Ear Treatments



Cochlear Implant Surgery


Cochlear implant is the latest development in medical treatment that enables totally deaf person to once again receive the sensation of sound. 
It stimulates the auditory nerve electrically, hence produce a sensation of sound in a different way. 

A Cochlear implant is suitable only for those people who can not obtain benefit from normal hearing Aid. 
The implant is a tool to broaden the educational, occupational, social opportunities by helping the profound hearing loss patient in hearing environmental sounds and thus allowing speech understanding. 
In the inner ear mechanical vibrations are transformed into electrical singles which are conducted through auditory nerve to the brain and perceived there (as sound, noise, speech etc.) 

People who are partially deaf or hard of hearing, usually have poor speech, and, they can be helped by hearing aids which only amplify the sound. When hearing loss is profound at point when they are unable to hear with powerful hearing aids, cochlear implant is the only answer for them. 
Beneficiaries of the cochlear implant are post-lingnal deaf-people who have become deaf after the full development of speech and pre lingually deaf child who has lost his hearing in very early phases of his life. The pre lingual child should undergo cochlear implantation at very early age to get better results. Speech Therapy should be given in very meticulous manner at least for 3-4 years in pre lingual child after implant surgery.



Tympanosclerosis


When there is deposition of chalk of like material around the drum, ossicles and windows, leads to hearing loss and noise in the ear. with the use of fine instruments microscope and skill. the hearing can be regained but the surgery should be done in intial stage of the disease process.



Myringotomy & Grommet Insertion


One of the common problem of childhood is recurrent ASOM (Acute suppurative otits media) or SOM(secretony olitis media) which can lead to permanent CSOM. Hence these procedure should be done at proper time.



Mastoidectomy


It is the surgery of compulsion, when there is extensive involvement of mastoid aircells with surrounding destruction with or without complications are the candidates for this surgery. A big cavity is formed after the operation and patients has to be in regular follow up with the surgeon for regular cleaning of cavity. Hearing results are variable after this surgery depending upen the preoperative stage of the disease. Sometime, patient has to go for second stage reconstruction for hearing gain.



Stapedectomy


When there is fixation of third hearing bone(STAPES) to oval window, leads to decrease hearing stapedectomy(stapedotomy) is done in these cases and the bone is replaced with Piston, patient get hearing results on operating table itself. Besides these, there are few surgeries done as per condition like for verted(Endolympathic sac decompression). Facial nerve reconstruction (for facial palsy) Cosmetic Surgery of pinna, Preauricular sinus etc. The Ear surgery are complicated one and needs a proper post, operative followup. Negligence coule to further complications hence defame the surgeon & precedure.



Tympanomastoidectomy


Also known as intact wall mastoidectomy. Whenever of mastoid bone with middle ear damage it is advocated. We remove the dieseased bone from mastoid aircells as well as reconstruct the middle ear and hearing bone. It is most commonly surgery done nowadays with very good results.



Ossiculoplasty


An ossiculoplasty is an operation to repair, reconstruct and improve the movement of the tiny bones of hearing in the middle ear. These bones may have become damaged or less mobile due to infection or disease such as long-standing middle ear infection (otitis media), or trauma such as a head injury. The operation involves either reshaping the bones already there so that they work better or using tiny false replacements (prostheses). An incision (surgical cut) is made either in front or behind the ear to reach the area.



CSF Otorrhoea Repair


Although the presence of a CSF leak places the patient at risk for meningitis, the use of prophylactic antibiotics is controversial. Many believe the use of antibiotics in the absence of infection has the effect of selecting out resistant organisms among the normal flora, complicating the treatment of meningitis when it does arise. They believe antibiotics should be withheld unless signs and symptoms of meningitis occur and diagnosis is confirmed by spinal tap. Then, broad-spectrum antibiotics are instituted until cultures and sensitivities are returned. 



Tympanoplasty and Myringoplasty


Patients who comes at early stage of the disease, those who have performation and mild hearing loss are suitable candidates for these surgery, these surgeries can be done under local anaesthesia with very good result. some of these patients require hearing bone reconstrution (ossiculoplasty) at same sitting.