Dr Paulose

World Class ENT Plastic and Laser Surgeon

grommets

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Hearing Loss in Children- Any Cure?


Mixed hearing loss is a combination of conductive and sensorineural hearing loss at the same. It occurs when sound is not being transferred from the outer to the inner ear (cochlea) efficiently and there is also damage to the inner ear.If a child has many middle ear infections, fluid may be in the middle ear most of the time. It can get very thick and sticky – this is called ‘glue ear’.
This must be removed by a procedure called Myringotomy and insertion of grommet.
A myringotomy is a small cut in the ear drum to drain fluid in the middle ear. Grommets are tiny tubes which are put into the hole created by myringotomy to keep it open and provide prolonged ventilation. These operations are usually done to relieve hearing loss due to middle ear fluid or recurrent ear infections but not nerve deafness.

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Deafness in Children-Grommets (V tubes)


Deafness is a partial or complete loss of hearing, also known as hearing impairment. The normal threshold range is 0-20 decibels (dB), where 0 dB is the threshold for the perception of sound at a given frequency for people with normal hearing.

There are 3 types of hearing loss:
Conductive hearing loss: affects 4% of all school children. Almost all cases are due to glue ear. Sensorineural hearing loss: affects 0.3% of all schoolchildren. Mixed hearing loss has components of both conductive and sensorineural hearing loss.

Myringotomy is a surgical procedure in which a tiny incision is created in the eardrum to relieve pressure caused by excessive buildup of fluid, or to drain pus from the middle ear. A Grommet tube is inserted into the eardrum to keep the middle ear aerated for a prolonged time and to prevent reaccumulation of fluid. Without the insertion of a tube, the incision usually heals spontaneously in two to three weeks. Depending on the type, the tube is either naturally extruded in 6 to 12 months or removed during a minor procedure
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Ear Operation for blocked Ears:Myringotomy and Grommet


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16 year old girl is having hearing loss in both ears due to blocked Eustachian tubes.There is large adenoid still present even at this age, called residual adenoid.This is causing ear aches and hearing loss.Also she has nasal blockage and recurrent colds.She is a loud snorer too. Myringotomy and insertion of ventilating tubes are done in Jubilee Hospital, Trivandrum, by Dr.K.O.Paulose FRCS Consultant ENT Surgeon.This is done under a general anesthesia.