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Dr. T. N. Janakiram

Centre of Excellence · Skull Base Surgery

Dr. T. N. Janakiram

World Renowned ENT and Skull Base Surgeon

Leads the centre in association with Lopmudra Hospitals. Known for endoscopic skull base work, including nasopharyngeal angiofibroma, and co-author of Atlas of Sellar, Suprasellar and Parasellar Lesions.

Current role
Managing Director and Consultant, Royal Pearl Hospital, Tiruchirappalli (Trichy), Tamil Nadu
Qualifications
MBBS, DLO, MS (ENT) — Madras Medical College

Education

MBBS, Diploma in Otorhinolaryngology (DLO) and MS (ENT) from Madras Medical College, where he graduated as a state ranker and best outgoing student.

Specialisations

  • Endoscopic skull base surgery
  • Juvenile nasopharyngeal angiofibroma (JNA)
  • CSF rhinorrhoea repair
  • Skull base osteomyelitis surgery
  • Pituitary tumours, craniopharyngiomas and chordomas
  • Tumours of the petrous apex and clivus
  • Neuro-endoscopic training

Milestones

Institutional leadership

  • Chairman and Founder of the IFO Royal Pearl Group of Hospitals, grown from a single clinic in Trichy into Chennai.
  • Royal Pearl Hospital regularly hosts international surgical teams, including surgeons from Ukraine, for advanced skull base training.
  • Academic Head of the Karl Storz Asia-Pacific training and research division for neuro-endoscopy and skull base surgery.

Surgical experience

  • Over 2,000 mastoid surgeries, 1,000 endoscopic sinus surgeries and 600 stapedectomies before specialising in skull base neuro-endoscopy.
  • Sought after internationally for deep ventral skull base operations: pituitary tumours, craniopharyngiomas, chordomas, and tumours of the petrous apex or clivus.
  • Recognised as a pioneer in advanced skull base osteomyelitis surgery.

International appointments

  • Visiting international consultant at Davao Medical School.
  • Visiting international consultant at Viet Duc Hospital, Vietnam.

Books

  1. 2017Juvenile Nasopharyngeal Angiofibroma
  2. 2019Step-By-Step Approach to Endoscopic Base Surgery
  3. 2020Atlas of Sellar/Suprasellar/Parasellar Lesions
  4. 2023Invasive Skull Base Mucormycosis

Published profiles

Profile supplied by Lopmudra Hospitals, October 2026, alongside his published hospital profiles.

Back to the Skull Base Surgery centre

Where Dr. T. N. Janakiram can help

The part of the body this care focuses on

12345
  1. 1Through the nose — endoscopic skull base surgery.
  2. 2Pituitary gland — pituitary tumours and craniopharyngiomas.
  3. 3Back of the nose — juvenile nasopharyngeal angiofibroma (JNA).
  4. 4Deep skull base — chordomas and tumours of the clivus and petrous apex.
  5. 5Skull base leaks — CSF rhinorrhoea repair.

A simple drawing to show where in the body this care is focused — not a scan or an exact anatomy.

Career path

  1. Step 1

    Studied

    • MBBS, DLO and MS (ENT)Madras Medical College — state ranker, best outgoing student

  2. Step 2

    Training & earlier posts

    • Academic Head, neuro-endoscopy and skull baseKarl Storz Asia-Pacific training and research

  3. Step 3

    Works now

    • Chairman and FounderIFO Royal Pearl Group of Hospitals
    • Managing Director and ConsultantRoyal Pearl Hospital, Trichy
    • Leads the Centre of Excellence for Skull Base Surgerywith Lopmudra Hospitals
    • Visiting international consultantDavao Medical School; Viet Duc Hospital, Vietnam

  4. Step 4

    Recognised for

    • 2017Juvenile Nasopharyngeal AngiofibromaBook
    • 2019Step-By-Step Approach to Endoscopic Base SurgeryBook
    • 2020Atlas of Sellar/Suprasellar/Parasellar LesionsBook
    • 2023Invasive Skull Base MucormycosisBook

Skull Base Centre

Consult the skull base team at Lopmudra Meera Hospital

Camp–Swargate, Pune. Call the centre or request a consultation and our desk will guide you.

Book AppointmentCall Emergency
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