Adult Otology

HEARING RESTORATION SURGERY

Hearing loss is conductive in nature when the sound waves fail to travel to inner ear and sensorineural in nature when the damage is in the auditory nerve and the inner ear .A thorough examination by the otologist aided by the audiological tests helps to identify where the problem lies .

Most of the causes for the conductive hearing loss can be surgically corrected .Examples for conductive hearing loss includes tympanic membrane perforation or ossicular damage in chronic ear disease and otosclerosis where there is fixation of stapes bone.

Goal of the surgery is to give a dry and disease free ear to the patient and restore hearing. Any patient who is a candidate for surgical hearing restoration is by definition a candidate as well for a hearing aid though the fidelity of hearing is in general better with surgery than with a hearing aid. This should be discussed with the otologist who will recommend either surgery or amplification for each specific case.

MICROTIA SERVICE    

Children and adults with congenital auricular atresia, or microtia, are cared for here by the Microtia Service, comprised of a team of surgeons from the disciplines of facial plastic and reconstructive surgery and Maxillofacial Surgery, and Otology. All clinical, radiological, surgical and post-operative care for these patients is provided here. This multidisciplinary approach helps to treat the patient not only to retain hearing but to rule out any associated anomaly if present, to suggest a definitive plan for the future.

Malformed ear since birth broadly termed as microtia ears. Children with microtia suffer from social taboo and peer pressure due to malformed ear. Microtia ear surgery is still not widely done in india.Patients need to go to select centres in metros for the treatment of same. Mahavir Ent has initiated microtia surgery programme .under this programme patients are evaluated regarding anamoly  and patients found suitable for surgery are operated. Rib graft pinnaplasty is done at Mahavir ENT hospital with encouraging results. Dr. Vineet Jain is trained under india’s leading microtiasurgeon, Dr. Ashesh Bhumkar.

Candidacy for microtia surgery starts at age of 10-12 years or chest circumference of 68 cm.

TYMPANOPLASTY

Tympanoplasty or the reconstruction of the middle ear due to disease, trauma or congen ital causes remains the major work of otologists worldwide. A precise and exacting surgery where even the smallest mistake can result in failure or complications, the art of middle ear surgery continues to evolve, and technological advancements along with surgical skill has made it a great art. In MAHAVIR  ENT, no effort is spared to give patients of chronic ear disease, the best possible result. Over 25 years of surgical experience coupled with state-of-art equipment gives the patients from far and wide the most satisfying results. 

There are high end otologic microscopes, Carl Zeiss Vario and Movena in the operation theatre with xenon illumination and variable optics, high end otologic drills by Bein-air and Medtronic, titanium otology microinstruments, the only multiple nerve monitor NIM response2 in the state, Kurz middle ear implants, all combining to make even complicated revision surgery safe to the patient. Not surprisingly, over 30% cases being operated in this institute are failed surgeries done elsewhere.

With an almost non existent complication rate, high graft take up rates in excess of 97%, short hospital stay (usually day-care), and immediate return to active duty (you could wash your hair just three days after surgery), makes this institute the number one option for advanced middle ear surgery for chronic ear disease.

MASTOIDECTOMY

Located behind the ear, the mastoid bone connects to the middle ear and, when   healthy, is filled with air. Infection or disease in the ear or elsewhere can cause the mastoid to fill with fluid, mucus or excess tissue (such as a cholesteatoma, a benign tumor that may grow out of a healing perforated ear drum and cause hearing damage). When medications and other non-surgical treatments such as antibiotics or professional cleaning fail to resolve the problem, mastoidectomy may be performed. Complications from surgery are rare but may include drainage from the ear, infection, temporary dizziness or loss of taste on one side of the tongue.