The following micro ear surgeries are commonly performed in Jubilee Hospital,Trivandrum, Kerala, South India.
1) Myringotomy and grommets insertion:
Middle ear effusion (Glue Ear_SOM) or fluid in the middle ear cavities are is a common occurrence in children. This result in Hearing loss-Deafness, a common cause in children.
Some kids do respond to medical treatment but some of them do not respond to medical line of management and the fluid in the middle ear has to be drained by placing an incision on the ear drum and aspirating the contents of the middle ear using a suction apparatus. The opening thus created in the ear drum is known as Myringotomy. Some of them will have to have aeration tubes called Grommets, inserted in order to keep the middle ear aerated for a longer period of time.
2) Myringoplasty:
This is a microsurgical technique performed to repair a perforated ear drum. The perforation of the ear drum is the result of a prior infection in the middle ear. These patients generally experience recurrent ear discharge and hearing loss of varying degrees. The aim of this operation is to restore the hearing loss and stop the ear discharge permanently by reconstructing the ear drum. This surgery is successful in over 95% of the cases.
It is better to perform a cortical mastoidecomy to get better results.
3) Tympanoplasty:
This surgery is performed to correct the damaged middle ear bones in addition to the defective ear drum. These patients generally experience a more severe degree of hearing impairment. The success of this operation depends on the number of bones affected and the type of damage. Accordingly a type I, type II, or type III Tympanoplasties are performed.
4) Tympanoplasty with Mastoidectomy
This operation is performed to tackle infection that has affected the mastoid bone and middle ear cavities or to tackle a dangerous disease called as Cholesteatoma. This is a more radical type of surgery to tackle more aggressive disease. Hence the outcome of hearing impairment in these cases depend upon the damage and destruction brought by the disease process.
5) Stapedectomy:
This is one of the most delicate middle ear surgery performed on the tiniest bone in our human body called as the Stapes. This surgery is performed to correct a disease called as Otosclerosis. In this disease the sound transmission to the inner ear is impeded as a result of fixation of the stapes bone. The surgical process involves removal of the fixed stapes and replacing it with an artificial material like Teflon. The results of this surgery are excellent in selective cases.
These days patient prefer to go for imported computer Programmable hifi hearing Aids freely available at affordable cost.
For Appointment- call 0471-2334561/62/63/64, 6452020,407822 Fax-0471-2330925
Email: drpaulose@yahoo.com
Clinic hours: 8AM -1 PM Mon-Wed-Friday
(Operation Days Tue-Thu-and Saturdays)
(For more pictures, see Gallery:3)