Best surgical treatment for ear diseases
Endoscopic Ear Surgery is rapidly gaining momentum around the world as an ideal alternative technique for small to medium cholesteatoma and tympanoplasty surgery. Endoscopic, minimally invasive, ear surgery is relatively a young technique. The traditional microscopic procedure relies on wide exposure through straight-line access by making a large incision behind the ear. This requires a very different set of surgical skills than endoscopic ear surgery through the natural ear canal. One of the benefits of endoscopic surgery for the ear is that the patient does not require long hospital stays as was required in traditional surgery. They are generally sent home on the same day on which the procedure took place. But in the case of patients who have undergone tumor surgery might need to stay in the hospital for a couple of days. Furthermore, the best endoscopic microscopic ear surgery in Jaipur camcan be used to treat multiple ear infections and disorders in adults and children such as Cholesteatoma. This is a non-cancerous cyst that develops in the middle ear as a result of dead skin cells. The occurrence of this type of cyst can be due to repeated ear infections or a potential ear injury that can occur due to dead skin. Endoscopic surgery enables faster recovery through better visualization and nil incision near the ear.
Most ENT surgeons are preferring endoscopic microscopic ear surgery in Jaipur due to its benefits in comparison to open surgery. The surgeons can get a complete view of the area which is going to be treated with the help of the microscope. A clear view of the middle ear enables them to operate in a better manner while it was not possible in conventional surgery undertaken with a microscope. This is because the surgeons were able to get a straight-line field of view resulting in the limited ability of the surgeons to view the operation area. With endoscopic surgery, there is no major visible incision. This also helps in reducing pain to a great extent and supports faster healing. Furthermore, the small instruments for operations can be used in a better manner as the endoscope assists by providing a clear view of the nearby area of the surgery.
Myringoplasty:
This operation is performed to repair a hole in the eardrum when there is no middle ear infection or disease of the ear bones. This procedure closes the middle ear in a natural way and may improve hearing. Surgery is performed under local or general anesthesia. Tissue grafts are used to repair the defect in the ear drum. The patient may be hospitalized for one night and may return to work within a week. Healing is complete in most cases in eight weeks. At this time the hearing improvement should be noticed.
Tympanoplasty:
The purpose of a tympanoplasty is to inspect the ear spaces for disease and to attempt to improve the hearing loss. The operation is performed to eliminate any infection and repair both the sound transmitting mechanism and the eardrum. This surgery may improve the hearing loss. The surgery may be done in one or two stages. A tympanoplasty is an outpatient procedure with some patients going home the same day and some being hospitalized for one night following surgery
Most tympanoplasties are performed through an incision behind the ear, under a local or general anesthetic. The surgery may also be performed through the ear canal. The perforation is repaired with fascia or perichondrium. Sound transmission is accomplished by repositioning or replacing diseased ear bones. Occasionally, a piece of cartilage is used to stiffen the eardrum and attempt to stop recurrent retraction pockets or cholesteatoma.
Mastoidectomy:
The mastoid space connects directly with the middle ear space. There are important structures in and adjacent to the mastoid including the brain, inner ear and facial nerve. This makes infections risky and surgery delicate. Almost any active process like infection or cholesteatoma will involve both spaces. Therefore, mastoid surgery is frequently necessary in conjunction with tympanoplasty to adequately treat the existing problem.
The mastoidectomy is the procedure to clean out the mastoid. This is generally done through an incision behind the outer ear. The outer layer of bone is then removed and the abnormal contents are cleaned out. At the completion of the surgery the incision is either glued back together or closed with dissolvable sutures that require little care.
The mastoidectomy with or without a tympanoplasty is an outpatient procedure. One can expect to be discharged after surgery or the next morning. Three weeks of restricted activity are advised. If regular activities require heavy lifting expect three weeks. Most other activities can be resumed sooner.
Mastoidectomy (modified) Radical:
The purpose of this operation is to eliminate the infection without consideration of hearing improvement. It is usually performed on those patients who have very resistant infections. Occasionally it may be necessary to perform a radical mastoid operation in cases that originally appeared suitable for a tympanoplasty. The decision is made at the time of the surgery. Fat, muscle or bone graft to the ear is necessary at times to help the ear heal properly.
A radical mastoidectomy is done under general anesthesia and may require one night of hospitalization. The patient may usually return to work in one to two weeks. Complete healing may require up to four months.
Meatoplasty:
If a modified radical or radical mastoid is performed the opening to the ear canal sometimes needs to be enlarged by removing a portion of the cartilage in the ear. This is called a meatoplasty. After this procedure is performed, routine cleaning of the mastoid cavity is more easily accomplished.
