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Ear Reconstruction Health Feed

Ear Deformities - Know Classification Of Them!

Ear Deformities - Know Classification Of Them!

Abnormal development of the ear can lead to a lot of complications in the anatomy of the ear such as developmental and hearing problems. It can also give a deformed look to the ear. As such, ear deformity surgery corrects the shape of the ear and facilitates activities inside of it.

Types of ear deformities which can be treated with ear deformity surgery:

  1. Protruding ears: This is also called prominent ears. This condition is characterized by the ear protruding out from the side of the head. It can stick out more than 2cms from the side portion of the head.
  2. Constricted ears: This condition is characterized by the rim of the ear getting wrinkled, folded or tight. This condition is also known as ‘lop ear’ disorder.
  3. Cryptotia: This condition occurs when the framework of the ear cartilage gets partially buried under the skin.
  4. Microtia: This occurs when the external ear is underdeveloped.
  5. Anotia: When the ear is totally absent.
  6. Stahl’s ear: In this condition, the ears are pointy in shape and there is extra cartilage in the scapha portion (groove or depression of the ear).
  7. Ear tagsThey are also known as branchial cleft remnant or accessory tragus. This disorder consists of extra skin and cartilage in the ear.
  8. Earlobe deformities: These include duplicate earlobes, earlobes with clefts and skin tags attached to the ear lobe.
  9. Traumatic ear deformities: Some people have tears, laceration and bite injuries in their ears due to accidents or traumas. It can also be cured with ear deformity surgery.
  10. Cauliflower ear: Sometimes, abnormal cartilage might form on the normal cartilage, this gives an abnormal appearance to the ears.
  11. Ear keloids: This is caused by excessive tissue formation after minor trauma such as ear piercing.
  12. Ear hemangiomas: This is a common form of tumor in infancy. It can not only occur on the ears but also on any other parts of the body.

Ear deformity surgery is performed by a team of experts and plastic surgeons. Ear reconstruction can also be performed after an ear deformity surgery.

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Tympanoplasty - Know The Types & Procedure Of It!

Tympanoplasty - Know The Types & Procedure Of It!

Tympanoplasty is a surgical operation for reconstruction or repairing of a perforated eardrum (tympanic membrane) and/or the middle ear bones (ossicles). The purpose is to also improve or restore hearing at the same time. It can be performed under general or local anesthesia. Eardrum might get perforated from chronic infection or from trauma to eardrum.

Types of Tympanoplasty:

These are the following types of Tympanoplasty:

  1. Type I Tympanoplasty (Myringoplasty): It involves the restoration of perforated eardrums by grafting with materials like Gelfilm, AlloDerm, Gelfoam, fat, and cigarette paper.

  2. Type II Tympanoplasty: It is used for tympanic perforations with malleus erosion and involves grafting onto the incus or remains of malleus.

  3. Type III Tympanoplasty: It involves placing a graft onto stapes on destruction of two ossicles and providing protection for the assembly.

  4. Type IV Tympanoplasty: Used for ossicular destruction, it involves placing a graft around or onto a stapes footplate.

  5. Type V Tympanoplasty: It is used when a footplate of stapes is fixed.

Diagnosis:

A complete physical test is performed along with an audiogram and a history of hearing loss, keeping into consideration of facial weakness or vertigo. Otoscopy assesses the mobility of the tympanic membrane and malleus. A fistula test is recommended in case of dizziness or marginal perforation of the eardrum.

Procedure:

The surgeon must consider the location and size of the perforation when Tympanoplasty is considered.

  1. In Type I Tympanoplasty when perforation is small, an incision is made into an ear canal to elevate away and lift the remaining eardrum forward  from the bony ear canal, using an operating microscope to see into the ear. If perforation is large or if it is far forward, away from the surgeon’s view, an incision might be performed behind the ear to elevate the outer ear forward, which helps in providing access to perforation.

  2. When the perforation is exposed, the remnant is forwardly rotated and the bones are inspected. Scar tissue, if present, is removed with laser or micro hooks.

  3. Tissues are taken from the back of the ear, the tragus, or from a vein, then dried and thinned.

  4. The graft is supported by placing an absorbable gelatin sponge under the eardrum, then inserted underneath the eardrum remnant, and folded back onto the perforation to provide closure. The sheet is also then placed against the graft which helps to prevent it from sliding out.

  5. If it is open from the back, the ears are stitched together with sutures being buried under the skin. A sterile patch is placed outside the ear canal.

Results:

Ninety percent of the time, Tympanoplasty is successful. This surgery relieves pain and removes infection symptoms entirely. Hearing loss is extremely minor or not at all there after it.

Post-Operative Care:

  1. It is common to have a discharge from an external ear for a few days after surgery. But if this problem continues, the doctor should be consulted.

  2. Don’t touch or remove packing in the ear canal.

  3. Keep the ears dry until it heals completely.

  4. Don’t lift heavy weights until it heals completely.

  5. Avoid flying for a few weeks post-surgery to protect tympanums against fluctuating air pressure.

  6. Avoid coughing, straining, blowing nose, and sneezing to avoid dislodging of graft.

Take Away:

Tympanoplasty is performed to repair the eardrum and middle ear. It also improves hearing. Most of the time, the procedure is successful, relieving pain and eliminating infections completely. However, consulting a doctor is always advisable.

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My father had a hole in his ear he is also a heart patient. Should I use candibiotic ear drop as present time he is not able to hear properly since he got cold and congestion.

My father had a hole in his ear he is also a heart patient. Should I use candibiotic ear drop as present time he is n...
Please consult an entire doctor and get treatment if it is chronic. Have audiometry test done to know his type of hearing loss. If hes having regular ear discharge surgically closing the hole is must.
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ENT Specialist in Gurgaon

ENT Specialist in Gurgaon

An ENT specialist or otolaryngologist exprise in problems related to upper respiratory tract problems, hearing ability and speech skill test. Best ENT specialists in Gurgaon are skilled in diagnosis, prevention and treatment of diseases related to upper respiratory tract like nasal passages, larynx, trachea, ear, nose, and throat. Below is the Best ENT specialists in Gurgaon that you can refer to in case of hearing problems, throat infections or speech disability.

1. Dr. K.K Handa

Commonwealth fellowship for training in Lasers, DNB, MBBS, MNAMS, MS(ENT)

Consultation fees: ₹800 - 900

Dr. K.K Handa has 30 years of experience as a trusted Ear-Nose-Throat (ENT) specialist. His areas of keen interest are endoscopic sinus surgery and head and neck surgery. He is also among the foremost voice and laser surgeons in the country. His expertise includes laryngology, voice surgery, laser surgery and cochlear implants.

2. Dr. Priyanjana Acharyya Sharma

MBBS, MS - ENT ( Gold Medalist Honors )

Consultation fees: ₹600

Dr. Priyaranjan Acharyya Sharma has around 10 years of experience and was a gold medallist in her MS ENT specialist. Dr. Sharma has specialization in treatments such as implants, removal of foreign bodies and aiding in the healing of impairment or injuries. She is a permanent member of IMA, MCI and AOI. She currently practices at Apollo Cradle, the GNH Hospital and the ENT care in Gurgaon. 

3. Dr. Vijay Verma

MS - ENT , MBBS

Consultation fees: ₹500-1000

Dr. Vijay Verma is one of the most trusted and reputed doctor in his field. In 13 years of his practice he has gained a lot of trust from his patients and respect from his colleagues. He currently practices at  3 Senses ENT & Clinic and Artemis Hospital. He is also member with Association of Otolaryngologist of India. The ENT services provided by him are Cochlear Implant, Hearing Aid Fitting, Speech and Hearing Impairment, throat and nasal disorder treatment. He is well aware of the advancement medical technologies and treats his patients with a lot of commitment and care.

4. Dr. Shashidhar TB

MBBS, MS - ENT, Certificate in Pediatric Otolaryngology - Head and Neck Surgery, ECFMG (USA), 

Robotic Surgery Familiarization (France)

Consultation fees: ₹800-1000

Dr. Shashidhar is renowned ENT specialist currently practicing in Gurgaon. He has 13 years of national and international experience. His area of interest is robotic surgery. Other than he specialties in reconstructive middle ear surgery, septorhinoplasty, laryngoscopy and salivary gland surgery. He is known for his diagnoses skill and has been awarded with many prizes like  Best Paper Award (Runner Up) In International Pediatric Otolaryngology Conference , Winner of Prestigious Delhi State and All India ENT Residents Quiz and the Winner of GSK all India Medimind Medical Quiz. he is a member of  the Haryana Medical Council.

5. Dr. Manish Prakash

MBBS, MS-ENT, DNB (ENT), DOHNS(LONDON) 

Consultation fees: ₹600

Dr Manish Prakash is one of the leading ENT surgeons in Gurgaon. He has 20 years of experience and is a Life Member of Association of Otolaryngologists India, Member of the National Academy of Medical Sciences, a Life Member of the India Medical Association and a Life Member of IMA Gurgaon. He is currently affiliated with Mayom Hospital in Gurgaon. He specialises in foreign body removal,  fitting of hearing aids, nosebleed treatment, tonsillitis, canalith repositioning, functional endoscopic sinus surgery and treatment of deviated septums. 

6. Dr. Amitabh Malik

MS - ENT, MBBS

Consultation fees: ₹700

Dr. Amitabh Malik is currently practices at Paras Hospital, Gurgaon. He  has 18 years of practice in the field of ENT. His areas of special interest are pediatric ENT, Micro Ear, Micro Laryngeal, and Endoscopic Sinus. He has successfully conducted number of ENT surgeries and specializes in cochlear implantation.

7. Dr. Vineet Chadha

MBBS, MS - ENT

Consultation fees:₹500 - 1000

Dr Vineet Chadha is a renowned ENT specialist in Gurgaon and a senior ENT consultant at the Fortis Memorial Research Institute in Gurgaon. In 10 years of his practice he reconstructive middle ear surgery, nasal endoscopy, treatment for Obstructive Sleep Apnea, cochlear implants, fitting patient’s hearing aid, treating laryngeal cancer and treatment for sinus disorder.

8. Dr. Sarika Verma

MBBS, DNB - ENT

Consultation fees: ₹600 - 800

Dr. Sarika Verma is an ENT Surgeon and Allergy Specialist with 15 years of experience. In 15 years she has done more than 850 allergy tests by and has treated several patients with allergy vaccination or immunotherapy. Some of her other areas of specialisations are functional endoscopic sinus surgery (FESS), Micro Ear surgery, Microlaryngeal surgery(MLS), tonsillectomy, endoscopic adenoidectomy and thyroid surgery. She is a member of various ENT National and state level associations.

9. Dr. Harmeet Singh Pasricha

DNB (ENT), MBBS, MNAMS - Otorhinolaryngology

Consultation fees:  ₹500 - 800

Dr. Harmeet Singh Pasricha is a renowned consultant Otorhinolaryngologist (Ear, Nose & Throat). Dr. Pasricha has 19 years of experience and has been associated with some prestigious hospitals like Indraprastha Apollo Hospital and Sri Ganga Ram Hospital. He is currently practicing at his own clinic the Pasricha ENT & Eye Care Centre, Gurgaon as a medical director and is a visiting consultant at Metro Hospital & Heart Institute, Palam Vihar and Columbia Asia Hospital, Palam Vihar. His areas of interest include Microsurgery of the Ear, Endoscopic Sinus Surgery and Micro Laryngeal Surgery

10. Dr. Sunil Aggarwal

MBBS, MS - ENT, DNB

Consultation fees:  ₹500

Dr. Sunil has more than 16 years of professional experience as an ENT Specialist he is a trusted name and is known for his diagnosing skills and treating all kinds of disorders that affect the ears, nose and throat, as well as related structures such as the head and neck. His keen areas of interest are hearing loss, tonsil troubles, hay fever, sore throat and sleep apnoea, etc. he is a senior consultant with Paras Hospital in Gurgaon.

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Hello, maine 1 saal pahele kaan k parde ka opration karvaya because usme hole tha .but fir bhi muje sunai kum deta hai kabhi kabhi rassi bhi nikalti hai kaan se. Please any suggetion.

Hello, maine 1 saal pahele kaan k parde ka opration karvaya because usme hole tha .but fir bhi muje sunai kum deta ha...
If discharge is present than we should rule out otitis media after clinical examination and plan treatment accordingly
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Hi Sir, Whats the difference between myringoplasty and tympanoplasty. Is it possible to have a residual perforation after tympanoplasty/.

Hi Sir, Whats the difference between myringoplasty and tympanoplasty. Is it possible to have a residual perforation a...
Myringoplasty is the term used for treating perforations and tympanoplasty is the term used for treating the whole tympanic membrane
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Bat Ear Correction - A Surgery To Gift Your Child

Bat Ear Correction - A Surgery To Gift Your Child

Bat ear correction
It is also known as prominent ear correction or otoplasty. Prominent ear can be a cause of embarrassment or low confidence in children. It involves correction of shape of ear in adult and children. Surgery is delayed up to age of 6 till ear is developed. Each ear is different, know from your surgeon which procedure is suitable to achieve optimum results and give confidence to your child.

Ear Pain - What Causes It?

Ear Pain - What Causes It?
A sore throat can cause ear ache. True or False? Take this quiz to find out.
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I had an canal wall down ear surgery 2 months ago. Now I am perfectly all right. Can I take pressure by this side while sleeping. It is very difficult to sleep whole night only one side.

I had an canal wall down ear surgery 2 months ago. Now I am perfectly all right. Can I take pressure by this side whi...
Hello dear Laxmi, hi Welcome to Lybrate.com I have evaluated your query thoroughly . * Surely you can sleep with pressure on the operated side at 2 months now without any problems . Wishing you fine health ahead . Regards .
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