Fluid Behind Ear Drum or In The Middle Ear (Otitis Media With Effusion) and Myringotomy Surgery

Fluid in the middle ear, known as otitis media with effusion, commonly occurs in children and may be caused by adenoids, allergies, or repeated infections. It can lead to hearing loss and speech delay. Myringotomy involves making a small incision in the eardrum to drain the fluid. In some cases, a grommet (tiny ventilation tube) is inserted to prevent recurrence.

Ear Discharge, Perforation (Hole) in Tympanic membrane (Ear Drum) and Micro ear surgery:

A perforation of the tympanic membrane (eardrum) may result from infection, trauma, or pressure changes, leading to hearing loss and recurrent ear discharge. Myringoplasty or tympanoplasty is a micro surgical procedure to repair the perforation, restore hearing, and prevent infections by reconstructing the eardrum with graft tissue under microscopic guidance.

Chronic Ear Discharge, Mastoiditis and Mastoidectomy Surgery:

Chronic ear discharge may result from persistent middle ear infections and can lead to Mastoiditis—an infection of the mastoid bone behind the ear. If untreated, it may cause serious complications. Mastoidectomy is a surgical procedure to remove infected mastoid air cells, eliminate disease, and restore ear health and function.

Chronic Ear Infections, Damaged Ear Bones and Ossiculoplasty Surgery:

The ear contains three small bones behind the ear drum—malleus, incus, and stapes—that transmit sound to the inner ear. Chronic ear infections can damage or erode these ossicles, leading to hearing loss. Ossiculoplasty is a micro surgical procedure to repair or replace the damaged bones, restoring the sound conduction pathway and improving hearing function.

Damaged or Narrowed Bony Ear Canal and Canalplasty Surgery:

A damaged or narrowed bony ear canal can result from chronic infections, trauma, or congenital conditions, causing hearing loss and recurrent ear problems. Canalplasty is a micro surgical procedure to widen or reconstruct the bony ear canal, improving ventilation, drainage, and access to the eardrum, and enhancing overall ear health and hearing.

Otosclerosis and Stapedectomy Surgery

Otosclerosis is a disease which affects more young females than males, where one of the ear bones gets fixed to cause deafness and produces noises in the ear. The deafness is progressive. It is treated by micro ear surgery called Stapedectomy. An alternate to the surgery can be the use of hearing aids.

Severe to Profound Deafness and Cochlear Implant Surgery:

Deafness can be congenital (present at birth) or acquired due to infections, trauma, or aging. Congenital deafness often results from genetic factors or prenatal infections and can severely affect speech and language development. When hearing aids are insufficient, cochlear implant surgery becomes a viable option. This advanced procedure involves placing an electronic device that directly stimulates the auditory nerve, enabling individuals—especially children—to perceive sound and develop better communication skills.

Presently, an implantable bionic ear, Cochlear Implant, is available for children and adults having severe to profound hearing loss. The department has already successfully performed two cochlear implant surgeries.  

Deafness and Hearing Screening Test

• Stapedial Reflex Threshold Test (SRT)/ Speech Discrimination Score (SDS)
• Pure Tone Audiometry (PTA)
• Impedance Audiometry

People who need Hearing Screening Test include:

• Frequent mobile phone users
• Call Centre operators
• People working in manufacturing plants with increased sound load
• Growing children with milestone developmental delay (speech delay, autism, attention deficit, hyperactivity, school defaulters, etc.)
• Persons receiving significantly long-term ototoxic drug therapy (like amino glycosides)
• Persons who have suffered from any diseases that may eventually have affected hearing

Wax Accumulation and Removal Under Microscope

Wax is a normal secretion in the ear and its purpose is to protect the eardrum. At times it may cause blockage, deafness and/or pain in the ear, when it needs to be removed. The use of commercial ear buds to clean the ear, routinely, is not advised. It may damage the ear and its hearing function. The department provides professional clearance of wax accumulation from the ears.