An independent evaluation of leading ENT departments based on surgical outcomes, multidisciplinary care pathways, technology adoption, and patient-reported measures.   Introduction Chennai remains one of India’s strongest centres for advanced  ENT (Ear, Nose & Throat)  care covering complex procedures like  sinus surgery ,  thyroid and parathyroid surgery ,  airway reconstruction ,  voice surgery ,  sleep-apnoea management ,  cochlear implants , and  head-and-neck cancer . Th