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Foreign body removal: Animate and inanimate objects get struck in the external auditory canal most commonly in children, sometimes in adults & mentally retarded individuals. These can be removed either under general / local anaesthesia. |
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Myringotomy: Serous exudate collects in Serous Otitis media; likewise pus in Acute Otitis Media. This can be drained by giving an incision in tympanic membrane under LA / GA. |
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Grommet insertion : When there is decreased ventilation to the middle ear in SOM / Atelectasis or recurrent attacks of Acute Otitis Media, then ventilation can be improved by inserting ventilation tubes/ grommets into ear drum. |
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Aural toilet: Cleaning the wax, debris, pus from external ear. This is necessary to examine the tympanic membrane. |
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Repair of ear lobule: done under local anaesthesia to preserve the cosmetic interests of Indian ladies. |
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Window operation: done to evacuate the pus and to prevent the recurrence of abscess formation |
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Myringoplasty: This is a surgery done to reconstruct the perforation of tympanic membrane under local/ general anaesthesia. Temporalis fascia is harvested from an incision given behind the external ear. The scar of the surgery is concealed behind the external ear thus satisfying the cosmetic aspect of the patient. (This is performed using CARL ZEISS microscope in our hospital.) |
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Tympanoplasty: This is a surgery done to reconstruct the tympanic membrane perforation and damaged ossicles along with eradication of disease from middle ear. |
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Ossiculoplasty: Ossicles are small bones present in the middle ear which transmit sound to inner ear. the ossicular discontinuity is bridged by either homograft materials like bone, cartilage (from the same patients) or synthetic materials made of Teflon, Stainless steel- PORP, TORP. |
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Cortical / Simple mastoidectomy: This surgery is meant to eradicate disease from mastoid bone. Mastoid is a part of temporal bone which forms the shell of the ear Now a days we are practicing “ wide antrotomy “ thus ensuring aditus patency and ventilation to middle ear. This is sometimes required to be done for central perforations when the middle ear is wet. |
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Radical mastoidectomy: This procedure is done to eradicate disease from middle ear and mastoid without any attempt to reconstruct the hearing mechanism. Keeping in view of the importance of HEARING to an individual, this is rarely performed now. |
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Modified Radical Mastoidectomy: Done to eradicate disease from middle ear and mastoid along with reconstruction of hearing mechanism. |
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itStapedotomy and Stapedectomy: These are performed in cases where foot plate of Stapes (smallest bone of human body) got fixed.The mobility of which is very essential for sound to travel from external ear to inner ear. This foot plate fixation happens in OTOSCLEROSIS. In Stapedotomy, superstructure of Stapes is removed. A small fenestra of 0.6mm diameter is made and a 0.5mm size piston made of Teflon is kept and hanged to Incus / Malleus – thus reconstructing the ossicular chain. |
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Canalplasty & Meatoplasty: Usually done as an adjuvant procedure for MRM to facilitate easy drainage of secretions of mastoid and EAC. |
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Cochlear implantation: Cochlear implant is an electronic device which converts sound signals into electrical impulses which directly stimulate cochlear nerve. |
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Endolymphatic sac decompression: Done for intractable Meniere’s disease. |
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Labyrinthectomy: In balance disorders, if labyrinth (inner ear) is irreversibly damaged, it is excised. |
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CSF leak closure : A breach in the bone between brain and ear causes leakage of CSF into ear. This leak site is reconstructed with temporalis fascia, muscle grafts, cartilage pieces, bone pate. |
