Dr. Manish Prakash
  • +91- 9999469769
  • drmanish@mayomhospital.com

Ent Surgries

Ear Surgeries

What is a Myringotomy?
During a Myringotomy surgeon do a small incision in the eardrum to drain the fluid to relieve strain from the middle of the ear. Then a small spool-shaped tube, known as a pressure-equalizing (P.E.) tube, is placed into the opening of ear to ventilate and prevent fluid from accumulating in the ear. The eardrum heals around the tubes left around the ear drums to heal. The tubes are expected to fall out naturally in 6-12 months or maybe be removed by a physician.

You may receive general anesthesia for this procedure. You will feel somewhat dizzy or sleepy during and after the surgery. Anesthecia works up to 24 hours. It is important for you to rest for the day and be under supervision. You should not ride bike or perform such activities that require coordination.

Postoperative care:
Once patient feels better, they can start doing all the things normally. They may have a small amount of bleeding or a small amount of light yellow fluid from their ears. Please inform the doctor if the drainage is continuous or the bleeding is excessive. Your doctor may prescribe you with some ear drops to prevent a bacterial infection. When blowing your nose, do so gently. Try and sneeze with your mouth open. Keep your head elevated on at least two pillows.

Swimming/ bathing:
Try to avoid water from entering into the ear for up to 10 days. However, it is more of a problem if soap enters the ear through the tubes. When washing hair or showering use earplugs. Washing ears with a face cloth is allowed. Use earplugs when swimming as well.

Pain Control: A slight earache is usual. This is usually relieved by giving Acetaminophen or Tylenol. Severe pain must be reported to your physician.

Notify your doctor if the following occurs:
• There is excessive bleeding for more than three days
• There is excessive drainage for more than three day.
• Fever greater than 101
• Ear pain lasting more than two days.
• A displaced tube (out of the ear).

Endoscopic Ear Surgery

Endoscopic Ear Surgery in Gurgaon is a new technique. Endoscopic ear surgery may result in a less invasive surgery that can be performed entirely through the ear canal.
The ear contains some of the smallest structures that can be operated upon. For example, the three bones of the middle ear (called ossicles) are the smallest bones in the human body. In order to perform surgery on anatomy this delicate, surgeons often use a microscope
Microscopes have been used in surgery for over seventy years. They make structures appear larger and clear. Surgical microscopes are weighing hundreds of pounds. The microscope needs to be about a foot away from the object the surgeon is looking at. As a result, other structures between the target and the lens can block the view. For example, the ear canal is shaped like a bent tube, and can often get in the way. The ear bone can also block the view with a microscope. To overcome blocked views, surgeons sometimes need to make a larger incision behind the ear canal or drill away bone.
An endoscope can help surgeons see during surgery. It is shaped like a narrow tube and the lens is at the end. The lens can be placed extremely close to the object. This gives a very detailed view. Because the endoscope is so narrow, it can be slide past blocking structures. In some cases, this can avoid a larger incision or prevent drilling away of blocking bone. The endoscope also provides a wide view, whereas the microscope provides a narrower view. Endoscopes are angled lenses, allowing the surgeon to literally see around corners. Endoscopes have allowed high-quality views and enough to use for ear surgery.
The microscope and endoscope each have their own pros and cons. The microscope produces three-dimensional images, whereas the endoscope produces two-dimensional images. However, the endoscope can be easily moved around, so surgeons can get a sense of 3D (called pseudo-3D). The endoscope must also be held in the surgeon’s hand, leaving only one hand left to operate. As a result, endoscopic ear surgeons need specialized experience.
The ultimate purpose of the endoscope is to allow surgery through the ear canal into the middle ear (this is termed transcanal endoscopic ear surgery or TEES).
ENT Specialist at Mayom is actively using an endoscopic approach for several disorders include eardrum (tympanic membrane) perforations, cholesteatomas limited to the middle ear, and problems with the ossicles (bones in the middle ear) causing a conductive hearing loss.