Endoscopic Ear Surgery
- In the last decade, there has been an increase in the use of endoscopes in ear surgeries, not just as an adjunct method, but exclusively.
- Endoscope provides a wider panoramic view thereby allowing for a better access to deeper and narrower spaces in the ear.
- The use of endoscope has made ear surgeries minimally invasive resulting in early and speedy recovery.
Auroplasty / Ear Lobe Repair
- It is a cosmetic surgery of ear lobe and indicated for an elongated hole of the ear lobe or a split/torn ear lobe.
- Patient with defect following trauma or use of heavy ear jewelry are the most suitable candidate for this procedure.
- It is often done on an outpatient/clinic basis with local numbing of the ear lobe (local anesthesia) and generally takes around 30-45 minutes.
- This procedure is simple and yields good result.
- It is a surgical procedure of ear drum where a small incision is made in the drum to relieve excess pressure and discomfort caused by accumulation of fluid/pus in the middle ear cavity.
- A small tube is sometimes inserted which allows adequate aeration of middle ear and prevents re-collection of fluid. The tube gets self extruded in 6-12 months or is removed by the ENT surgeon during a secondary minor procedure.
- Without insertion of the tube, the incision heals itself within 3-4 weeks.
- Repeated middle ear infections or trauma can result in a perforation of the ear drum.
- Tympanoplasty involves surgical repair of perforated ear drum with or without reconstruction of middle ear bones (ossiculoplasty).
- It can be performed using an endoscope or microscope.
- With the advent of endoscopes it is now possible to do a scarless tympanoplasty.
- Ossiculoplasty involves reconstruction of the ossicular chain (Malleus, Incus & Stapes) with an aim to improve hearing.
- Indications for this surgery are patients with decreased hearing as a result of pathology in the ossicular chain (discontinuity, fixation, trauma, infection or prior surgical attempt).
- Various materials are used for reconstruction, and can either be a biological tissues (bone or cartilage) from the same person or an prosthetic material (Titanium, Teflon etc).
- Mastoid bone is a part of skull and is situated behind the ear. It consists of air cells with a “honeycomb” appearance.
- Mastoidectomy involves eradication of the disease in the mastoid air cells and also the middle ear (extension of the disease).
- The goal of the surgery is to make the ear safe from complications by clearing the disease.
- Otosclerosis is a hearing disorder that causes impaired hearing as a result of fixation of the stapes bone due to deposition of abnormal bone. Stapedotomy involves removal of part of the fixed stapes bone and replacing it with a prosthesis to restore the sound conduction mechanism.
- It is more prevalent in women during the child bearing age and gets aggravated during pregnancy.
Facial Nerve Decompression
- Facial nerve is a vital nerve with multitude of functions including facial expression, taste sensation of tongue, tearing of eyes and salivation in mouth.
- Lower facial nerve can be compressed during trauma, infection or following surgeries around/ in the ear.
- Such situation requires an immediate intervention by an experienced ENT surgeon and earliest surgical decompression of the nerve to prevent irreversible nerve damage.