...connection with our surrounding enviroment
The function of our ear to receive sounds from our surrounding environment and transmit these signals towards to our brain. A mechanical air pressure wave ( sound) creates movement on the eardrum which is linked to small bones which in turn transmit the signal towards to our inner ear (cochlea). Any condition which interrupting of sound transmission can cause hearing reduction.
Common ear condition and treatment:
- Discharge / pain / infections
- Management Eustachian tube dysfunction
- Repair of the eardrum
- Ventilation tube insertion- Grommet-
- Reconstruction of damaged ear bones
- Implantable hearing aids
- Narrow earcanal widening
“Dr. Levente has deep knowledge of his field and explains things in understandable language. I've got grommet insertion and septoplasty done because of heavyness in the ear and a continuous disturbing sound. Satisfied with results. Thnx Doc. P.S.”
Repairing the eardrum (Myringoplasty)
Myringoplasty is an operation carried out to repair a hole in the eardrum. The operation is necessary to:
- Avoid recurrent ear infections
- Protect the middle ear
- Improve hearing, if there is a conductive hearing loss due to eardrum perforation
- Enable patients to swim or get their ear wet without facing infection as a consequence
How is the procedure performed?
The operation is performed within 30-60 minutes, under light narcosis. It involves taking a piece of small tissue from behind the ear in the hairline to use as a graft. This graft is then slipped behind the eardrum to cover the perforation. At the end of the surgery your ear is packed with special light ribbons therefore, you can leave our hospital after a couple hours.
Expectations and Advice following the surgery:
- You can go home on the same day
- There will be some packing inside your ear, to be removed after 7 days
- Do expect sensations of ear blockage while having the pack in your ear
- Do expect mild dizziness / instability of balance
- You may have a small bloodstained discharge “ooze” in the first 24-48 hrs
- Do not expect any improvement in hearing in the first few weeks after packs are removed
- There should be no increase in pain, discharge or bleeding
- Avoid getting water on the wound or in the ear
- Off work / school for about 3 days
Ventilation Tube - Grommet Insertion
Our ear is connected to the back of the nose to maintain an equal pressure inside and outside in the ear, which is required for proper hearing. When you swallow a “click” or “pop” sensation in the ear indicates that the tube is functioning normally. If the Eustachian tube is blocked, the air in the middle ear slowly absorbs and the eardrum will retract.Eventually the ear will be filled by fluid to protect the eardrum and middle ear bones. In the beginning, you will feel a sharp pain, like somebody is punching your eardrum with a needle. Later on it will change to a dull pain. If the fluid remains there for a longer time period, it will become like "glue" and could will cause reduced hearing.
"Glue ear" could get better by itself, but this can take a while. Therefore, we might ask you to visit the clinic on a regular basis for review. After a couple of weeks a decision can be made, if there is a need to operate.
Sign of the "glue ear":
- poor hearing
- recurrent ear discharge
Advantage of the Grommet insertion:
- Ventilating “aerating” the middle ear
- Reducing secretions in the middle ear
- Allowing better eardrum vibration “function”
This gives the ear a chance to recover. Usually, within one year the Grommet will spontaneously dislodge and fall out once a the normal tube function is reestablished.
Expectations and advice following grommet insertion:
- This is usually day case surgery but if other procedures need to be carried out as well (e.g. tonsillectomy), an overnight stay may be required
- Avoid getting water into the ears as this may easily cause infection in the ears. This applies to showers, bathing, washing hair as well as swimming. Alternatively, cotton wool heavily smeared with Vaseline is an excellent and sometimes more comfortable alternative
- Swimming is only permitted after the follow-up appointment has given the all clear
- Avoid diving with a grommet in the ear. Earplugs must be used for all these activities
- If ear discharge persists, smells foul or there is increased pain or dizziness seek help as this suggests infection and treatment with antibiotic eardrops will be required
- Pain is normally fairly minimal and can be controlled with simple painkillers
Grommets usually fall out of ear in about 9 months. They spontaneously grow out and are ejected by the eardrum and therefore very rarely have to be removed. Usually they fall out of the ear and may be found on the pillow upon waking up. The eardrum usually heals up where the grommet was situated. If your grommet falls out early, do not panic. You do not need to contact your doctor immediately. You should continue keeping your ear waterproof and attend the outpatient clinic as planned.
Repair of Ear bones
In recent years changes in surgical techniques have made it possible to reconstruct diseased hearing mechanism in most cases.
Active infection may in some cases stimulate the skin in the ear canal to grow through the ear drum perforating the middle ear. When this occurs a skin lined cyst known as cholesteatoma is formed. This cyst may continue to expand over a period of years and can destroy the surrounding bones. If a cholesteatoma is present the drainage tends to be more constant and frequently and has a foul odor. Once a cholesteatoma has developed or the bone has become infected it is rarely possible to eliminate the infection by medical treatment alone. Antibiotics placed in the ear and used by mouth only result in a temporary improvement in most cases. A cholesteatoma or chronic ear infection may persist for many years without difficulty except for annoying drainage and hearing loss. Surgery is necessary to eradicate the infection and prevent serious complications.
An invisible incision made behind your ear and the surgical goal is to eliminate the infection and to obtain a dry, safe ear. In many cases the infection cannot be totally eliminated and hearing restored in one operation alone. Infection is eliminated and the ear drum rebuilt in the first operation. A second operation to restore your hearing will be performed a minimum of four months later.
Proper hearing is an essential part of our everyday life, therefore we have designed our clinic to be able to test your hearing from newborn till adult.
General Hearing Screening Tools:
- Audiogram (Hearing testing)
- Tympanogram (Middle ear analyzer)
- Hearing Aid assessment (fitting, programing)
- Tinnitus diagnostic and treatment
- Balance test
Advanced Screening Tools:
Our advanced hearing screening equipment is able to provide an in-depth explanation of your problem, which will assist diagnosis and treatment plan. In some circumstance light sedation is necessary which could easily be managed as a day case procedure.
- Auditory Brain stem Response
- Auditory Steady-State Response
- Oto Acoustic Emission
- Vestibular Evoked Myogen Potential
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