Endoscopic Ear Surgery in Gurgaon | ENT Specialist | ENT Doctors in Gurgaon

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.

Anesthesia:
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).

EAR TUBES & MYRINGOTOMY

A myringotomy is done to remove fluid or infection from the middle ear space behind the eardrum. Usually, a tube which is made up of silicone or plastic is inserted through a small incision to allow air to circulate within the middle ear and/or allow fluid to drain from the middle ear. This tube does not damage the hearing of the patient. The tube usually left for 6 to 24 months, and then naturally falls out on its own.

Day of Surgery: The procedure takes only a few minutes after general anesthesia/ Local anesthesia. Liquid or soft foods may be allowed when patient awakened from the anaesthesia. Mild pain in the ear is usual and readily relieved by acetaminophen or ibuprofen. Blood-tinged drainage from the ear after surgery is usual and may last for several days. A cotton ball may have been inserted in the ear canal at the time of surgery to absorb drainage; it should be changed as often as necessary while the drainage is present.
Antibiotic Eardrops will have been used at the time of tube placement. You will use these eardrops for a few days after surgery. These eardrops help treat any underlying infection and prevent the tube from blocking with blood. After 5 days of surgery, you can return to normal activities.

Water Precautions: You can bathe, shower, with earplugs. Swimming may result in water entering the middle ear through the tube, possibly leading to discomfort and/or an ear infection.

Ear Drainage & Infections: Ear drainage may occur immediately after the procedure or at any time while the tubes are placed. If the ear drainage is runny, white, yellow-green, bloody, or foul-smelling, use the antibiotic ear drop. It must had provided at the time of surgery and use the ear drops as directed. Drainage means an infection is present. If the tubes are placed and open, these infections usually get cured by the antibiotic ear drops without the need for oral antibiotics.

Follow-up: After one week of surgery follow up to ENT OPD for your first post-operative visit. If you need to confirm the appointment, please contact the office at 9999469769

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.

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