Care for ear, nose and throat conditions, hearing loss, vertigo and paediatric ENT, including endoscopic surgery.
Dr. Bibin Baby is a Consultant ENT Surgeon, MS (ENT) and DNB (ENT), trained and practised in endoscopic sinus surgery, laryngeal procedures, paediatric ENT surgery and the full spectrum of ear, nose and throat care. Alongside his surgical practice, he holds a subspecialty focus in Vestibular Medicine and Neurotology — the science of vertigo, dizziness and balance — offering integrated care that bridges ENT, Neurology and Emergency Medicine.
He completed his MBBS at Government Medical College, Kottayam (2018), MS Otorhinolaryngology at Government Medical College, Kozhikode (2023) and DNB (ENT) from the National Board of Examinations (2024). As Senior Resident in ENT at Government Medical College, Ernakulam, he managed a high-volume tertiary caseload — endoscopic sinus surgery, laryngeal procedures, paediatric ENT and complex vertigo workups in coordination with Neurology.
He completed the AVISA International Vestibular Medicine Educational Programme (October 2024 to October 2025), a structured programme in the assessment and management of vertigo and balance disorders.
He has also completed a Certificate Course in the Assessment and Management of Vertigo and Balance Disorders, covering videonystagmography and electronystagmography interpretation, canalith repositioning and vestibular rehabilitation, and a course in paediatric vestibular assessment.
He has published research on sinonasal polyposis, presented papers and posters at national and state ENT conferences (KENTCON, PHONOCON), and is a member of the Association of Otorhinolaryngologists of India (AOI) and the Indian Medical Association (IMA). He consults in Malayalam, English and Hindi.
Every consultation follows one principle: the right diagnosis first, then the least treatment that truly works.
Diagnosis and treatment aligned with current international guidelines — not guesswork or unnecessary medication.
High-definition nasal and ear endoscopy for precise, minimally invasive diagnosis and surgery.
Your age, work, lifestyle and preferences shape the plan — medical management first, surgery only when needed.
Vestibular assessment and treatment, including positional testing, repositioning manoeuvres and vestibular rehabilitation.
Gentle, patient examination of children with adenoid, tonsil, ear infection and snoring problems.
Diagnosis, surgery and follow-up.
Conditions seen in the clinic, in children and adults.
Endoscopic and microscopic techniques, performed through the nose, ear canal or mouth.
Functional endoscopic surgery (FESS) for chronic sinusitis and nasal polyps.
Correction of deviated nasal septum for blocked nose and better breathing.
Eardrum repair for perforations, ear discharge and hearing improvement.
Low-temperature coblation removal of adenoids in children with nasal blockage, snoring or recurrent ear problems.
Coblation tonsillectomy for recurrent tonsillitis and obstructive sleep-disordered breathing.
Micro-ear procedures for chronic ear disease and ossicular problems.
Turbinate reduction, polypectomy and endoscopic control of nose bleeds.
Neck swelling excision, biopsies and minor head & neck surgery.
What each procedure involves, why it is done, and what recovery looks like.
What it is: Removal of the adenoids and/or tonsils using coblation — a modern radiofrequency plasma technology that dissolves tissue at low temperature (around 40–70°C) instead of burning it at the 400°C of conventional cautery.
Why coblation: Because the surrounding tissue is not subjected to high heat, published series report less post-operative pain and bleeding than with conventional cautery. Individual recovery varies.
Who needs it: Children (and adults) with recurrent tonsillitis, obstructive snoring or sleep apnea, adenoid facies, or recurrent ear infections due to enlarged adenoids.
The experience: Done under general anaesthesia through the mouth — no external cuts. Surgery typically takes 30–45 minutes. Most patients go home the same day or after one night. Soft diet for a few days; children usually return to school in about a week.
What it is: Straightening of the nasal septum — the cartilage-and-bone partition between the two nostrils — performed endoscopically from inside the nose.
Why it is done: A significantly deviated septum causes persistent nasal block (often one side), mouth breathing, snoring, recurrent sinus infections and disturbed sleep. Septoplasty addresses the structural obstruction directly.
Key reassurances: There are no external cuts and no change to the outer shape of the nose — this is a functional operation, not cosmetic surgery. It typically takes 45–60 minutes under anaesthesia.
Recovery: Day-care or one night in hospital. The nose feels blocked for the first week while internal swelling settles; most people are back to routine work in 7–10 days, with breathing steadily improving over the following weeks.
What it is: Keyhole surgery of the sinuses performed entirely through the nostrils using a high-definition endoscope — no cuts on the face.
The principle: "Functional" means the goal is to reopen the natural drainage pathways of the sinuses rather than remove them — restoring the sinuses' own self-cleaning mechanism. Diseased tissue and polyps are removed precisely under direct vision.
Who needs it: Patients with chronic sinusitis that has failed proper medical treatment, nasal polyps, fungal sinusitis, or recurrent infections due to blocked drainage.
Recovery: Surgery takes roughly 1–2 hours depending on extent. Usually one night in hospital or day-care. Saline nasal rinses afterwards are an essential part of healing. Most patients resume routine activity in 1–2 weeks, with follow-up endoscopic cleaning visits to ensure the sinuses heal open.
What it is: Microsurgical repair of a perforated eardrum using the patient's own tissue graft (usually temporalis fascia or tragal cartilage), performed under a microscope or endoscope.
Why it is done: A persistent perforation causes repeated ear discharge, hearing loss, and the constant need for water precautions. Repair seals the middle ear, stops discharge and frequently improves hearing.
What to expect: Surgery takes about 1.5–2 hours. Published surgical series report graft closure in the large majority of cases, though individual results depend on the size and site of the perforation, the state of the middle ear and Eustachian tube function. If the tiny hearing bones are also damaged, they can be reconstructed in the same sitting (tympanoplasty with ossiculoplasty).
Recovery: Usually one night in hospital. The ear stays packed and must be kept strictly dry for several weeks. Hearing improvement is assessed around 3 months, once healing is complete.
What it is: A preauricular sinus is a small congenital pit in front of the ear — present from birth — which connects to a branching tract under the skin. Excision means complete surgical removal of the pit along with its entire tract.
When surgery is needed: Many pits stay silent lifelong and need nothing. Surgery is advised once the sinus has become infected — with swelling, pain or discharge — because after a first infection, recurrences are common and each infection makes future surgery harder.
The key to success: Recurrence happens when part of the branching tract is left behind. A wide, complete excision (including the supra-auricular approach when indicated) removes the whole tract and keeps recurrence rates low.
Recovery: A 45–60 minute day-care procedure with a small, well-hidden incision in the natural crease in front of the ear. Sutures come off in about a week.
Dizziness is not a diagnosis — it is a symptom with a cause. The Vertigo and Balance Care exists to find that cause and treat it properly — Assessment follows the structured approach taught in the AVISA International Vestibular Medicine Programme, 2024 to 2025.
Positional vertigo is treated with repositioning manoeuvres performed in the clinic. Response varies between patients.
One of the most common — and most missed — causes of recurrent dizziness.
Vertigo attacks with hearing loss and tinnitus — staged, long-term control plans.
Persistent postural-perceptual dizziness — the chronic "always unsteady" feeling, treatable with the right approach.
Unsteadiness in walking, falls in the elderly, and multifactorial imbalance.
Structured clinical evaluation to separate ear, brain, eye and cardiac causes of dizziness.
An exercise-based treatment that aims to retrain the balance system, tailored to the findings on assessment.
Hearing and balance testing, interpreted together.
These are the investigation modalities used in modern vestibular medicine. Not every patient needs every test — your evaluation is tailored to your symptoms, and a careful history and clinical examination remain the most powerful diagnostic tools of all.
Bedside manoeuvres in which the head is moved into specific positions while the eyes are observed for nystagmus (involuntary eye movements). This is the gold-standard test for diagnosing BPPV — it identifies which ear and which canal is affected, and treatment can often follow immediately in the same visit.
Infrared video goggles record eye movements while the patient follows targets, changes position, and undergoes caloric stimulation (warm and cool irrigation of the ear canals). VNG maps how each inner-ear balance organ and its brain connections are functioning, and helps separate inner-ear (peripheral) causes from brain (central) causes of dizziness.
A quick, well-tolerated test in which small rapid head turns are given while goggles track the eyes. vHIT checks each of the six semicircular canals individually at natural head speeds — very useful in vestibular neuritis and for confirming which side is weak.
Sound clicks are delivered to the ear while electrodes record tiny muscle reflexes from the neck (cVEMP) or below the eyes (oVEMP). VEMP assesses the otolith organs — the saccule and utricle — which sense gravity and linear movement, and is helpful in conditions like superior canal dehiscence and Ménière's disease.
Hearing and balance share the same inner ear, so a hearing evaluation is part of nearly every vertigo workup. Patterns of hearing loss give strong clues — for example, fluctuating low-frequency loss in Ménière's disease, or one-sided loss that warrants further imaging.
The patient stands on a force platform under different conditions (eyes open, eyes closed, moving surroundings) while sway is measured. This quantifies how well vision, inner ear and joint-position senses are being combined — useful for documenting imbalance, fall risk, and progress during vestibular rehabilitation.
Scans are not routine for dizziness — most inner-ear conditions show completely normal imaging. MRI of the brain and internal auditory canals is reserved for warning signs: neurological symptoms, one-sided hearing loss or tinnitus, atypical nystagmus, or suspicion of a central cause. CT of the temporal bone helps when a bony problem such as canal dehiscence is suspected.
Tests are advised only when they will genuinely change your diagnosis or treatment. Not every investigation described above is performed on site. Clinical positional testing and bedside vestibular examination are carried out during the consultation. Where a specialised test such as videonystagmography, video head impulse testing, vestibular evoked myogenic potentials or posturography is indicated, it is arranged through an appropriate referral centre.
Detailed history & examination
Clinical assessment & endoscopy
Hearing, balance & imaging tests
Medical, procedural or surgical
Structured review visits
Back to full, confident living
Simple, trustworthy explanations of ENT problems — in Malayalam and English.
Short, practical ENT and vertigo tips in Malayalam — new reels every week.
Health information is published through the linked articles and social posts above.
In-depth articles on PPPD, Ménière's disease, allergy and more.
Preparation and recovery information is provided at your consultation.
What each condition is, when surgery genuinely helps, how the procedure works, and what recovery is actually like — in English and Malayalam.
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Most vertigo comes from the inner ear balance system. The commonest causes are BPPV (loose crystals in the balance canals), vestibular migraine, vestibular neuritis and Ménière's disease. Less often, the cause is in the brain. A structured vestibular assessment identifies the exact cause — which is essential, because each condition has a completely different treatment.
Yes. BPPV is treated with repositioning manoeuvres (such as the Epley manoeuvre) performed in the clinic, which move the displaced crystals back to their normal position. Many patients improve over one to three sessions, though response varies. Long-term vertigo tablets are usually unnecessary and can even delay recovery.
Yes — acute sinusitis typically causes facial pressure and headache over the cheeks, forehead or between the eyes, worse on bending forward. However, many "sinus headaches" are actually migraine. A nasal endoscopy and clinical evaluation can distinguish the two, so you get the right treatment.
As early as possible. Sudden hearing loss is a medical emergency — treatment within the first few days gives the best chance of recovery. Gradual hearing loss should also be evaluated early: untreated hearing loss affects communication, work, safety and is linked to cognitive decline in older adults.
Yes. Enlarged adenoids block the back of the nose, causing mouth breathing, snoring, restless sleep and sometimes pauses in breathing (sleep apnea). Poor sleep can affect growth, behaviour and school performance. Evaluation is simple, and treatment — medical or surgical — is very effective.
No. Most sinusitis is treated with medicines, nasal sprays and saline irrigation. Surgery (FESS) is reserved for chronic sinusitis that fails proper medical treatment, nasal polyps, or structural blockage. When surgery is needed, modern endoscopic techniques mean no external cuts and faster recovery.
Vestibular migraine is a migraine variant where dizziness or vertigo is the main symptom — headache may be mild or absent. It is one of the most common causes of recurrent dizziness and is frequently misdiagnosed. It responds well to lifestyle changes, trigger management and preventive medication.
Persistent postural-perceptual dizziness (PPPD) is a chronic sensation of rocking or unsteadiness, worse when standing, moving, or in busy visual environments — often after an initial vertigo episode. It is a real, well-defined condition, treated with vestibular rehabilitation, specific medications and education.
Usually not, but it always deserves evaluation. Tinnitus is commonly linked with hearing loss, ear wax, or noise exposure. One-sided tinnitus, pulsatile tinnitus, or tinnitus with vertigo or hearing loss needs detailed assessment to exclude specific causes. Many management options exist.
Yes. A significantly deviated nasal septum causes blocked breathing (often one side), mouth breathing, snoring, recurrent sinus infections and disturbed sleep. When symptoms are significant, septoplasty — a day-care endoscopic procedure — corrects the deviation.
When it is loud, nightly, or accompanied by breathing pauses, choking, daytime sleepiness, morning headaches or poor concentration — these suggest obstructive sleep apnea, which raises blood pressure, heart and stroke risk. Both children and adults with these features should be evaluated.
Ear discharge usually means infection of the ear canal or a perforated eardrum with middle-ear infection. Treatment includes careful cleaning under vision, appropriate ear drops and water precautions. Persistent perforations can be repaired surgically (tympanoplasty) to stop discharge and improve hearing.
Vestibular suppressants help during acute attacks but are not a long-term solution. Taken continuously, they can slow the brain's natural compensation and prolong imbalance. The right approach is to diagnose the cause and treat it specifically — manoeuvres for BPPV, prevention for migraine, rehabilitation for weakness.
There is no strict minimum age — the decision depends on symptoms, not age. Children with significant sleep-disordered breathing, recurrent infections or ear problems benefit from surgery when indicated, commonly from around 3 years onward. Modern anesthesia and techniques make it a safe day-care procedure.
Usually not as a first step. Most dizziness is diagnosed by history and clinical vestibular examination — scans are frequently normal in inner-ear conditions like BPPV. Imaging is reserved for specific warning signs such as neurological symptoms, one-sided hearing loss, or atypical findings on examination.
The operation itself takes about 30–45 minutes under general anaesthesia, and most children go home the same day or after one night. With coblation, pain is considerably less than with older techniques — soft foods for a few days, and most children are back to school in about a week.
Septoplasty takes about 45–60 minutes, with discharge the same day or next morning. Expect the nose to feel blocked for the first week while internal swelling settles. Most people return to routine work in 7–10 days; breathing continues to improve over the following weeks. There is no external scar and no change to the nose's appearance.
Usually just one night, and many patients are treated as day-care. The more important commitment is afterwards: regular saline nasal rinses and a few follow-up endoscopic cleaning visits, which are essential for the sinuses to heal open. Routine activity typically resumes within 1–2 weeks.
Published surgical series report graft closure in the large majority of cases. Your own likelihood depends on the size and site of the perforation, the condition of the middle ear and Eustachian tube function, all of which are assessed before surgery is advised.
That is likely a preauricular sinus — a harmless congenital pit. If it has never caused trouble, no treatment is needed. But once it becomes infected (pain, swelling, discharge), complete excision is advised, because infections tend to recur and each one makes later surgery more difficult. It is a short day-care procedure with a hidden scar.
It depends entirely on your story and examination — which are the most important "tests" of all. Many patients, such as those with BPPV, are diagnosed and treated clinically with no machine tests at all. Where needed, tests like VNG, vHIT, VEMP or audiometry are chosen selectively to answer a specific question, and imaging is reserved for warning signs. You will never be sent for a battery of tests without a clear reason.
