Dr Paulose

World Class ENT Plastic and Laser Surgeon

hearing loss in children

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Fluid Behind the Ear Drum-Treatment by T Tube


Fluid in the middle ear is called Otitis media with effusion (OME). This occurs when there is thick or sticky fluid behind the eardrum in the middle ear behind the ear drum causing deafness.The fluid in OME is often thin and watery. It used to be thought that the longer the fluid was present, the thicker it became. (“Glue ear” is a common name given to OME with thick fluid.). Surgery called myringotomy is performed which drains fluid involves a small incision in the eardrum, so that the fluid can be gently removed and a tube can be inserted.

There are many types of tubes, but all tubes serve the same function. They keep the eardrum open, allow air to enter the middle ear space, and permit fluid in the middle ear to drain. Most tubes will gradually be rejected by the ear and work their way out of the eardrum. As they come out, the eardrum seals behind the tube. Tubes will last four to six months in the eardrum before they come out.
Unlike Grommet, T tubes can generally remain in the ear for prolonged periods of time. They are not commonly rejected.

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Deafness in Kids- Glue Ears Treated


Hearing loss in children due to acumilation of fluid behind the ear drum is removed by a minor surgical procedure called Myringotomy. A ventilation tube called grommet is inserted after myringotomy.
This is done in Jubilee Christian Mission Hospital Trivandrum Kerala South India.
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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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