Dr janakiram is a world famous ENT , SKULL BASE SURGEON IN ROYAL PEARL HOSPITAL, TRICHY. HE TEACHES ENT SURGEONS FROM ALL OVER THE WORLD . He is the Best Ent Surgeon , doing skull base surgery . In this picture you can see him doing pituitary surgery . Pituitary tumours present with headaches , vision loss . Sometimes also present with hormone changes . Dr janakiram has performed over 1000 pituitary tumour surgeries at Royal pearl hospital , Trichy . He is the Best Skull base surgeon to perform intricate skull base tumours