ENT ,Head and Neck surgery,JDWRNH

03/03/2026

From communities to classrooms: hearing care for all children

Act now so no child is left behind due to ear or hearing problems



Why focus on children’s hearing?
Globally, school-age children with hearing loss often remain undiagnosed and without access to needed services (World report on hearing, 2021). Hearing loss affects around 90 million children and adolescents aged 5-19 years, across all parts of the world (Global burden of disease study, 2021). However, it commonly remains undetected, especially in low-resource settings.

Common, preventable and treatable causes of hearing loss—such as otitis media with effusion (OME), chronic suppurative otitis media (CSOM), and impacted ear wax—remain widely prevalent in children. At time, hearing loss begins insidiously but progresses and worsens over time.

Left unaddressed, this not only affects a child’s ability to hear but significantly impacts speech, language, cognitive and social development, commonly leading to poorer educational outcomes, reduced employment prospects and long-term economic disadvantages.





How?

This year, WHD highlights the theme "From communities to classrooms: hearing care for all children."

The campaign focuses on two imperatives:

Preventing avoidable childhood hearing loss
Ensuring early identification of and care for children with ear or hearing problems
Communities and classrooms are natural entry points to reach children, parents, and teachers. By integrating hearing care into school health and child health programmes, we can help children hear, learn, and succeed.

27/02/2026

Arrow injuries can cause serious damage to the eyes, neck, chest, abdomen, and major blood vessels. Many are preventable with proper safety measures and awareness.

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🚨 Why Arrow Injuries Are Dangerous
• Deep penetrating trauma
• Severe bleeding
• Injury to vital organs (brain, lungs, vessels)
• High risk of infection
• Can be fatal if not managed immediately

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🛡️ Key Prevention Strategies

1️⃣ Safe Archery Practice
• Always practice in a designated archery range
• Never aim at people or animals
• Ensure a proper backstop behind targets
• Maintain a safe shooting distance

2️⃣ Supervision & Training
• Children must be supervised by trained adults
• Proper instruction before handling bows and arrows
• Follow strict range commands (“clear,” “shoot,” etc.)

3️⃣ Use Protective Equipment
• Arm guards
• Finger tabs or gloves
• Eye protection in training settings

4️⃣ Safe Storage
• Store bows and arrows in locked cabinets
• Keep out of reach of children
• Separate arrows from bow when not in use

5️⃣ Community Awareness
• Educate about dangers of playing with arrows
• Avoid celebratory or recreational misuse
• Promote responsible traditional or sporting use

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⚕️ In Case of Injury
• Do NOT remove the arrow (can worsen bleeding)
• Stabilize the object
• Control external bleeding
• Immediate transfer to hospital
The department also published a case series on arrow injuries in Bhutan. https://doi.org/10.1177/2050313X241271809

25/02/2026

International Cochlear Implant Day 2026 (February 25), the focus is on celebrating the strength, diversity, and unity of the global CI community under the theme " ". The day highlights the life-changing impact of technology, aiming to raise awareness and foster advocacy for equitable, lifelong access to hearing…In Bhutan ,Dr Tika Ram Adhikari the first leading otologist and cochlear implant surgeon performs Cochlear implant surgery …He performed 18 cochlear implant surgeries till date. post CI implant rehabilitation is done by Pelden Wangchuk (senior Audiologist) and Nima zangmo is undergoing masters in speech therapy.

24/02/2026

We warmly welcome Dr. Phub Tshering as our new Medical Director of JDWNRH and Dr. Sontosh Mukhia as our new Head of Department.

With their leadership, vision, and dedication, we look forward to progressing confidently into 2026. Their guidance will undoubtedly inspire excellence, strengthen teamwork, and enhance the quality of care we provide.

Together, we are committed to growth, innovation, and continued service to our patients and community.

Looking forward to being led, inspired, and achieving greater milestones ahead 😊

24/02/2026

Dr. Umesh Pradhan, ENT Surgeon and IPC (Infection Prevention and Control) Focal Person, delivered a presentation to the ENT Department on 24/02/2026 regarding awareness and sensitization on Multidrug-Resistant Organisms (MDRO).

During the session, he highlighted the commonly encountered multidrug-resistant organisms in hospital settings and emphasized their clinical significance. He further stressed the critical importance of strict hand hygiene practices as a fundamental measure in preventing the transmission of MDROs within healthcare.

22/02/2026

22/02/2026

Oral cavity lesions
1. ORAL MUCOSA
Clinical
-Pink, smooth, healthy lining
-No patches, no ulcers
Histology
-Normal thickness epithelium
-Cells are well organized
-No abnormal cells
Completely healthy

2. / HYPERKERATOSIS
(Leukoplakia stage)
Clinical
-White patch
-Often non-scrapable
-Usually painless
Histology
-Thickened epithelium
-Extra keratin on top
-Cells still mostly normal

Mostly benign, but needs observation
Think: “Too much skin, but not yet cancer”

3. / MODERATE DYSPLASIA
(Early precancer)
Clinical
-Red or red-white patch
-Surface may look irregular
Histology
-Abnormal cells appear
-Cells start losing normal shape
-Changes limited to lower layers

Precancerous lesion
Think: “Cells starting to misbehave”

4. DYSPLASIA / CIS
(Carcinoma in situ)
Clinical
-Bright red lesion (erythroplakia)
-Ulcerated or velvety
Histology
-Severe cellular abnormality
-Full thickness epithelium involved
-Basement membrane still intact

Cancer has not invaded yet
Think: “Cancer waiting at the door”

5. CELL CARCINOMA (SCC)
Clinical
-Ulcer, mass, or fungating growth
-Bleeds easily
-Pain, weight loss, lymph nodes
Histology
-Basement membrane broken
-Tumor invades deeper tissues

True cancer
Think: “Cancer has escaped”

22/02/2026