BAHA Implant
Bone Anchored Hearing Aid (BAHA) is a device surgically implanted to help people suffering from a loss of hearing. Most conventional hearing aids transmit sound through air conduction. The BAHA device is suitable for conductive or mild-moderate mixed hearing loss.

Problems with hearing in the middle or outer ears can be helped with the BAHA device. The sound waves received by the BAHA device bypass the middle ear and get delivered straight to the functioning cochlea in both ears.

A BAHA device comprises of two parts:
a) The processor 
b) A fixture which is surgically implanted behind the ear in the bone.

The implant is embedded in the bone. The processor, which remains outside, is attached to the implant. There is a microphone on the processor that picks up sounds. The sounds are passed on to the implant. The implant vibrates which triggers the Cochlear. You can consider wearing a BAHA implant if other conventional hearing aids do not work for you. BAHA implants are also given to people with collapsed or irritated ear canals.

Cochlear Implant Surgery

A complex, small electronic device that helps hearing in people with severe hearing loss or deafness is used in the Cochlear Implant Surgery. The cochlear implant comprises of an external piece behind the ear and another piece that is surgically implanted under the skin. A cochlear implant comprises of four parts:
1. A microphone which picks up sounds from the surroundings
2. A speech processor which chooses and arranges the sounds the microphone picks up
3. A receiver/stimulator and transmitter that picks up signals from the speech processor and changes them into electric impulses
4. An electrode ray, a bunch of electrodes, receives impulses the stimulator sends and transmits them to different areas of the auditory nerves.
The implant does not cure deafness; it only gives you a useful portrayal of sounds in the environment and considerable aid in understanding speech.

The surgery is done in the following way:
i. The area around the site of the implant is shaved or cleaned
ii. The patient's vital signs are monitored through cables, patches and monitors attached to him or her
iii. General anaesthesia is administered through IV or through a face mask
iv. After the device is implanted, the patient is taken to the recovery room for the anaesthesia effect to lessen.

BAHA Implant and Cochlear Implant Surgery

Most people listen to music or their favourite videos while on the move, and they spend a considerable amount of time plugging in the headphones or earphones. If you are concerned about the pros and cons of the headphones and earphones, or rather which one is better, you will have to consider various aspects. These include noise isolation, frequency response, noise cancellation and comfort of wearing.

Earphones are devices which are worn on the pinna or the internal part of the ear. This device is also referred to as earbuds, in-ears, canal phones, buds, in-ear headphones, IEMs.

Headphones are equipment worn on or around the ear. These are not considered as handy as the earphones and are also known as ear speakers. Let s evaluate the pros and cons of these two devices and choose the one that is better.

Frequency response curve: This helps in assessing how much distortion is brought about by the devices which relate to the clarity. They should be able to respond equally well to all the pitches without transmitting any frequency more loudly than another. This suggests that the frequency you are receiving should be exactly similar to what has been fed in regardless of the frequency ranges. Typically, the earphones have bad frequency response while the headphones tend to have better frequency response. If you are primarily concerned about the noise distortion, then you should opt for headphones.
Noise isolation: By this, it is understood how well does the gear help in isolating other noises than what you are trying to listen. Generally, higher noise isolation is preferred unless you are willing to hear the sounds of the ambience. Better isolation also ensures that your audio would not bother others surrounding you. A rightly fitted pair of earphones would be able to give you the best noise isolation whereas good over-ear headphones would not be able to seal the sound from going out.
Noise cancellation: Noise cancellation is entirely different from the noise isolation. In the process of noise isolation, the atmospheric sounds which intrude in are reproduced and inverted. This is an excellent feature especially when you are travelling through public transportation or walking down the street. When it comes to earphones, the noise cancellation feature is are not as effective as headphones unless you buy any of the high end pieces. But the headphones are far better in cancelling the noises that are constantly playing in the backdrop.
Judging from all these aspects, the headphones tend to be a better purchase than the earphones, and they are also much more comfortable. Still, it boils down to personal preference at the end. If you wish to discuss about any specific problem, you can consult a general physician.

Earphones Vs Headphones - Which Is Better?

The infection of the bone of the ear is Mastoiditis. This may be an acute infection needing hospitalisation and injectable drugs or may be in the form of slow bone eroding processes like cholesteatoma.

Let us learn more about this condition and its treatment

Understanding the mastoid bone: The mastoid bone is made up of air sacs and it looks a lot like a sponge. In this sense, it is different from the other bones that can be found in the human body. In order to function properly, this bone requires air from the other parts of the ear, including the Eustachain Tube which connects the middle part of the ear with the portion that lies at the back of the throat. If this tube gets infected due to any reason, the infection and bacteria can also travel to the Mastoid bone, leading to an infection in this area. Another form of the infection starts from the ear drum and a slowly progressive bone eroding process starts which spreads into the air sacs and can potentially spread to the brain.

Symptoms: Acute mastoiditis will present with earache, ear discharge and onset of fever and chills, as well as redness and inflammation behind the ear. Pain in the ear may be experienced along with headaches and swelling that may be experienced behind the eyes. At the very earliest sign, these symptoms must be reported to an ENT or ear throat nose specialist so that the treatment can happen at the earliest. Chronic mastoiditis may be due to repeated infections and bone eroding cholesteatoma which presents with repeated episodes of ear discharge which may be foul smelling and may even have blood.

Diagnosis: The diagnosis is mostly made on ear examination and may involve imaging tests like a CT scan as well as an MRI scan of the head and the ear. A simple X-ray of the mastoids can help in detecting the severity of the infection, and it spread.

Treatment: After diagnosing the problem with imaging tests as well as a detailed ear examination, the doctor will usually start the treatment by admitting the patient in the hospital. Antibiotic medication will be administered through intravenous methods, after which oral antibiotics will be prescribed for many days after the patient has been discharged from the hospital. Surgery may be required if the infection has not cleared up even after the use of antibiotics and is also done in cases of bone erosion. This surgery will be done to drain the infected fluid from the ear and remove a part of this Mastoid bone. Complications like facial paralysis and vertigo need to be discussed with the surgeon before the surgery.

Acute Mastoiditis - Symptoms, Diagonisis & Treatment

Remember how Shrek literally pulled out a candle from his ear for the dinner table? Ever tried doing it yourself? Well, the stuff in your ears may be called wax, but it can t really be used to make a candle. However, it certainly can signify a lot about your health. Though the idea of discussing earwax is rather disgusting, it actually plays a pivotal role in keeping your ears healthy and functioning. Earwax protects your eardrums by barring the entry of insects, fungi, bacteria, dust and bacteria. In clinical terms, earwax is also known as cerumen. 

Studies indicate that children typically produce more earwax than adults. The earwax in your ear is a combination of alcohol, shed layers of the ear, unsaturated and saturated long-chain fatty acids and squalene. In order to clean earwax, you should not insert objects too deep in your ear, instead, you can just wipe it off with a cotton swab.  The color and texture of the earwax removed can actually indicate your overall health condition, stress level, genetic ancestry, etc.

Know what your earwax color says about your health 
Pale yellow to yellow earwax: It is the most common type of earwax and indicates overall good health. Children typically produce soft, pale yellow earwax and in case of adults, the color should remain the same, but the texture tends to be sticky. 
Wet vs. dry earwax: Wet and dry are the genetically determined earwax types, wherein, the 'wet type' is dominant and the 'dry type' is recessive. A research, conducted on Biologic variation in health and illness: race, age, and sex differences (1985) by Overfield, Theresa, established that dry-type earwax indicates East Asian and Native American ancestry, while wet-type indicates African and European. 
Thick, dark and black colored earwax: The production of earwax is also influenced by your stress level i.e. when you are stressed out, the glands that are responsible for the production of earwax work overtime and produce excess amount of earwax. As this earwax collects, it can turn thicker and darker thus, this type of earwax is a sign of increased stress level. And, black colored earwax indicates that it has been accumulating in your ears for quite some time and has not been cleaned. To avoid this, it is essential to clean your ears from time to time and in the right way. 
Dry, gray earwax: The gray color of the wax is an indication of dust build-up and must be cleaned properly at regular intervals. However, if your earwax suddenly seems dry and brittle, it could be the sign of a skin infection. Dry earwax accompanied by itchiness in the ear is usually a sign of eczema.
Bloody earwax: Blood in the earwax should never be ignored. This could be caused by an ear infection or can be a sign of ruptured eardrum and you must consult your doctor immediately. 
Thus it is important that you take proper care of your ears so as to ensure that your hearing is maintained and although earwax protects your ears against infections and problems, it must be cleaned from time to time. It is advisable that you get your ears cleaned professionally, in case you are suffering from certain ailments such as Diabetes.

Earwax - Did You Know Its Color Can Say A Lot About Your Health?

Common ear infections: What you should know about them

The most common ear infections happen because of bacterial or viral growth in the middle ear, the part which lies just behind the ear drum. Middle-ear infections can be very painful and children are most commonly reported in children. Most of these infections are caused by the blockage of the Eustachian tube, which connects the ear and the throat, causing the build-up of fluids and swelling. Here is a guide to the most common forms of ear infections and their symptoms, ranging from the acute to the chronic.

Acute infections have intense symptoms but can be cured with time and treatment. They generally last for shorter durations.

In Chronic cases of infections, the patient complains of recurrent symptoms multiple times. Chronic ear infections have the potential of causing permanent damage to the ear.

Symptoms reported by most patients with Ear infections:

1. Pain in the ear (Mild to severe):

This is caused due to increased pressure owing to the blockage of the Eustachian tube. Collection of fluid inside the ear would increase the intensity of pain in most cases. Children will keep tugging at their ear and most likely be cranky.

2. Redness and swelling:

Both of these are inevitable accompanying symptoms in case of any infection in the body.

3. Oozing of the fluids:

The blockage leads to the fluid being released from the ear which can be watery, thick yellow or mixed with blood depending on the severity and type of infection.

4. Fever

5. Difficulty in sleeping.

6. In some cases when the infection spreads, difficulty in balancing the body is experienced as body balance is maintained by ears.

7. The patient might also experience increased irritability.

8. Ear infections can also cause a hearing problem if the condition continues to go untreated.

Ear infections should be promptly dealt with to prevent long-term damages. So here is what should be done when you have ear pain symptoms.

1. Consult an ENT who will prescribe pain medication as the first line of treatment.

2. After the necessary tests are done, antibiotics are prescribed in most cases by the doctor. Other medications for palliative treatment (to ease the symptoms) are administered. However in a few rare cases, the infection might be because of non-bacterial causes in which antibiotics might not cure the state.

3. In case the problem keeps recurring, one must visit the doctor again and get further tests and treatment done.

As prevention is always better than cure, care should be taken to avoid all chances of carrying the infection to your ear. Maintain cleanliness in and around, especially in the case of children.

For further queries; we'd be happy to help!

Common ear infections: What you should know about them

Hearing is an essential process in everyone's life. Be it your social life or professional activities, hearing influences every aspect of your life. You can thus, never ignore the health of your ears to enjoy a healthy life. But there are several hindrances to obstruct effective hearing. One of the problems is the accumulation of a natural substance called cerumen produced by the glands present in the ear canal. The accumulated cerumen is medically referred to as Earwax. Over production of cerumen is mainly triggered by the deficiency of Omega-3 fatty acids, zinc and magnesium.

The basic function of the wax is to protect the ear canal from invasion by foreign particles like bacteria and dust particles. This is necessary for the smooth functioning of the ear and its protection from invaders. However, it becomes an irritating problem when the earwax is produced in excess. The problem aggravates when the ear canal is blocked due to accumulation of earwax. In such cases, we use certain objects such as bobby pins, Q-tips or cotton swabs to clean the accumulated earwax from the ear canal. What we do not realise is that pricking the wax using these objects can sometime cause significant damage to the ear. These objects push the wax deep inside the canal, leading to blockage.

The most common symptoms of excessive earwax are as follows:

Earache
Developing a fullness feeling in the ears
Loss of hearing on temporary basis
Noises inside the ear
Itching
Here are the preventive measures to remove ear wax blockage:

In order to prevent blockage of ear wax, try keeping it moist by frequently running water into your ear while taking a bath. This will prevent the ear wax from getting dried up so that it doesn t get blocked in the ear canal. Make sure, you drain the water from the ear after running it for some time.
Don t use any pointed objects inside the ears as it can cause ear infection while pushing the wax deeper.
Avoid inserting cotton swabs or ear buds into the ear canal. You can use them to remove exposed ear wax at the ear opening, but don t push them deep inside the ear canal. It can push the excess ear wax inside the ear canal, thereby resulting in to an impact.
Don t use candle ear wax remover. Ear candles are another method to remove ear wax, but it can be really dangerous as you need to hold the lighted candle very close to your ear. It can even burn your ear.
Don t use cold water or a strong jet to drain out the excess ear wax. Strong jet can lead to the damage of the ear drum while cold water may result into dizziness.
Avoid using any other method to remove ear wax at home, such as suction.
Don t use any type of acidic liquid in order to soften the ear wax.
Omega 3 fatty acids are good for mitigating the problem of ear wax. So, include walnuts, avocados, salmon, albacore and ground flax seed in your diet.
Consult a doctor if the problem persists even after using home remedies.

 Ear Wax - How To Get Rid It?

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