Wednesday, April 17, 2024

Types Of Inner Ear Surgery

Ear Surgery And Its Types: What You Need To Know

Endoscopic ear surgery (EES): What it’s for, how it works, what to expect

Medical technology has undoubtedly made tremendous developments that are aimed to enhance the health experience of the patients. Over the decades, there have been changes in the treatment and surgical methods that paved for efficient medical treatment and care.

Many revolutions have been made to improve the function and quality of treatment. One such major revolution in the surgical world is the introduction of plastic surgery that has made it easier to correct the disrupted parts of the body. It was after the invention of plastic surgery that people started to increase their self-esteem by enhancing physical appearance.

There are different types of plastic surgery that are meant for different parts of the body. For instance, eye surgery is done for lifting your sagging eyelids. In this article, we will be talking about ear surgery that is meant to correct the position and shape of the ear, along with treating some internal issues.

What To Expect During Surgery

The surgery to implant the cochlear device is frequently an outpatient procedure, which means no overnight stay at the hospital is required.

Doctors perform this procedure using general anesthesia. The surgeon makes an incision behind the ear, then creates a small opening in the bone behind the ear to access the inner ear and install a series of tiny electrodes. The electrodes connect to the internal component of the cochlear implant, called a receiver. The surgeon permanently installs the receiver under the skin above the ear. After the electrodes and receiver are in place, the incision is closed with stitches or staples.

What Is A Cochlear Implant

Mimics the natural hearing function of the inner ear to make sounds louder and clearer

Who Can a Cochlear Implant Help?


  • Have a moderate-to-profound hearing loss in both ears
  • Demonstrated limited benefit from wearing hearing aids in both ears


  • Have severe-to-profound hearing loss in both ears
  • Demonstrated limited benefit from wearing hearing aids in both ears


  • Have profound hearing loss in both ears
  • Demonstrated limited benefit from wearing hearing aids in both ears

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How Are Ear Tumors Diagnosed

Your healthcare provider may notice a cyst or tumor during a routine ear exam. Your provider may refer you to an audiologist for a hearing test. You will likely also see an ear, nose and throat doctor who specializes in ear disorders.

Your provider may perform a biopsy. This procedure removes the tumor or cells from the tumor. A pathologist examines the samples in a lab to make a diagnosis.

Because inner ear tumors are difficult to reach and biopsy, your provider may order a CT scan or MRI to learn more about an ear issue. In rare cases, you may need surgery to diagnose an ear tumor.

Purpose Of Ear Surgery

Reconstructive Middle #EarSurgery Techniques to improve hearing. Dr. # ...

Various diagnoses can lead to ear surgery. People may opt for cosmetic ear surgery to pin back ears that stick out, change their earlobe shape, correct superficial ear deformities, improve symmetry, or reconstruct tissue lost from trauma.

Ear tube surgery inserts a small plastic tube in the eardrum to facilitate airflow and assist with fluid drainage for kids with chronic ear infections. Adults can also have ear tube surgery , but it’s less common.

Many internal ear conditions can be corrected via endoscopic procedures. Instead of making an incision behind the ear, the surgeon gains access to the middle ear through the ear canal. Endoscopic ear surgery can treat issues such as:

Individuals with hearing loss may have surgery to get a cochlear implant or other type of implanted device to assist with hearing.

If you believe that you or your child are having a medical emergency, call your healthcare provider or 911 right away.

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Hearing Is A Priceless Investment

A variety of hearing problems affect one in three people over the age of sixty. This severely limits their ability to respond to alarms, follow their doctor’s advice or even hear doorbells. This also prevents them from fully participating in regular conversations and enjoying everyday life.

The trouble with hearing loss is that the condition steadily worsens the longer it is left untreated. Being one of the five basic senses that we need to navigate our lives, its loss can spell dire consequences, especially for those who also suffer from various other afflictions brought about by aging.

While hearing aids can greatly assist patients who suffer from hearing loss, many people feel self-conscious while wearing the device, believing it to be too conspicuous and noticeable. However, those with hearing loss should understand that not being able to hear is very obvious to those around them and often much more conspicuous then any aid or device.

Surgical Treatment Of Chronic Ear Infections

While an occasional ear infection isnt too bothersome, chronic ear infections can get in the way of daily life and activities. SFENTA offers surgery to patients with chronic ear infections to help put an end to this challenging condition.

For an ear infection to be considered chronic, it would need to occur frequently or last longer than three months. Chronic ear infections can often include other symptoms such as pain, drainage from the ears, facial weakness, and hearing loss. Our providers specialize in performing surgery to help correct chronic ear infections.

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Hearing loss reconstruction usually becomes an option when there is a clear deformity or abnormality of some part of the ear thats affecting the ability to hear. In many cases, non-surgical attempts to correct hearing loss are made before considering surgery.

  • Patients who undergo hearing loss reconstruction may experience the full restoration of hearing
  • Patients may also reach a point where hearing improves enough to have a positive impact on quality of life

Sound waves go to the ear canal and cause the eardrum to vibrate. Three bones in the middle ear transmit vibrations to the inner , which is filled with fluid. Inner ear movements cause waves in the fluid, in turn stimulating hair cells that activate auditory nerves and send signals to the brain. Any disruption in this process may result in some degree of hearing loss. For some people, the reason for a loss of hearing is because of issues with structures in the ear that are either damaged or deformed. This is one of several reasons why surgical hearing loss reconstruction may be necessary to restore hearing capabilities.

What Causes Hearing Loss

Two types of cholesteatoma surgery and natural destruction in the middle ear, 12 minutes

There can be a number of reasons for hearing loss. Sensorineural hearing loss is damage to the inner ear or nerve pathways and can be caused by illness, medications, hereditary or genetic issues, trauma, malformation of the inner ear, exposure to loud noise or simply aging. Conductive hearing loss can be caused by ear infections, fluid buildup, allergies, perforated eardrum, benign tumors, abnormal bone growth, or impacted earwax. Mixed hearing loss, a combination of conductive and sensorineural loss, can also occur.

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Surgical Facial Nerve Injury

Iatrogenic intratemporal facial nerve injury, particularly during middle ear surgery, is very uncommon. When considering extratemporal facial nerve injury, this occurs most frequently during parotidectomy. Malignant lesions, particularly those encasing the facial nerve, necessitate sacrifice of the facial nerve if negative margins cannot be obtained. Nerve transection identified intraoperatively, whether intentional or unintentional, should be repaired at the time of surgery, if possible, using the techniques described above . Postoperative facial paralysis, particularly when the surgeon is sure that the nerve was not compromised, is most frequently due to local edema, trauma, manipulation of the nerve, or local anesthetics that are still active. After ample time has been given for these local effects to subside or if EMG analysis indicates no voluntary motor unit action potentials, the patient should undergo surgical exploration to identify and fix any causes of paralysis.

Joseph P. Pillion, … Jay Shapiro, in, 2014

Why Is Middle Ear Surgery Performed

These interventions are recommended for treating middle ear problems. Tympanoplasty is recommended for large eardrum perforations or middle ear infections such as acute or chronic otitis media that cannot be cured with antibiotics.

Mastoidectomy is an operation to remove the flat air cavities of the skull behind the ear in order to treat infections of the mastoid portion in that part of the skull, to treat complications of otitis media, abnormal bone growth, cholesteatoma , or to place cochlear implants.

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What Are The Common Conditions Affecting The Middle Ear

Several conditions can affect the middle ear. This may include:

  • Eustachian tube dysfunction: The eustachian tube balances the pressure between the middle ear and outside pressure. Damage to the eustachian tube can damage the eardrum and affect the hearing.
  • Ear infections: Middle ear infections may cause pressure, pain, hearing loss, rupture of the eardrum, and ear discharge.
  • Tympanic membrane perforation: It refers to a hole in the eardrum, leading to hearing loss, drainage, and pain.
  • Cholesteatoma: It is characterized by abnormal skin growth in the middle ear.
  • Conductive hearing loss: It results when the sound waves do not transmit to the inner ear.

After An Eardrum Repair Procedure

Macrotia Ear Otoplasty Surgery to Reduce Large Prominent Ears

After your surgery, your doctor will fill your ear with cotton packing. This packing should remain in your ear for five to seven days after your surgery. A bandage is usually placed over your entire ear to protect it. People who undergo an eardrum repair procedure are typically released from the hospital immediately.

You may be given ear drops after the surgery. To apply them, gently remove the packing and put the drops in your ear. Replace the packing and dont put anything else in your ear.

Try to prevent water from entering your ear during recovery. Avoid swimming and wear a shower cap to keep water out when you bathe. Do not pop your ears or blow your nose. If you need to sneeze, do so with your mouth open so that pressure does not build up in your ears.

Avoid crowded places and people who may be sick. If you catch a cold after surgery, it could increase your risk of contracting an ear infection.

After surgery, you may feel shooting pain in your ear or you may feel as though your ear is filled with liquid. You may also hear popping, clicking, or other sounds in your ear. These symptoms are usually mild and improve after a few days.

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Treatment For Cancer Of The Ear Canal Middle And Inner Ear

The main treatment for cancer that starts in the ear canal, middle and inner ear or the bone is surgery.

Radiotherapy is often given after surgery. Some people may have it instead of surgery if the cancer cannot be removed.

Depending on the stage of your cancer you may also have chemotherapy.

The ear canal is actually part of the outer ear. But it is included in this section about middle and inner ear cancer. This is because the treatment of ear canal cancer is different from outer ear cancer.

Cancers that start inside the ear are rare.

What Is The Outlook For Ear Infection Surgery

If this is your first operation for a hole in the eardrum, eardrum grafting is successful in over ninety percent of the patients resulting in a healed and dry ear.

Hearing improvement following surgery depends on many factors as discussed with your physician.

In most cases two surgeries will be needed in order to improve the hearing. In this case, your hearing may be worse in the operated ear between operations. It is imperative that the second stage operation be performed to rule out the possibility of recurrent or residual disease in the ear. In addition an attempt at improving the hearing function is made.

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How Are Benign Ear Tumors Treated

Some noncancerous ear tumors dont need treatment unless the tumor affects hearing or balance. Your provider monitors the tumor to keep an eye on its growth and any symptoms.

Healthcare providers often use radiosurgery to remove benign ear tumors like acoustic neuromas. This procedure directs high doses of radiation directly to the tumor. Its not a surgical procedure.

To treat keloids, your healthcare provider may inject the tumor with a corticosteroid. Some keloids require surgical removal followed by radiation therapy.

Otoplasty For Prominent Ears

Video: New technique for corrective ear surgery

Ear deformities can occur in different conditions and affect people differently. Some are born with protruding ears, while others get traumatic deformities caused by trauma or injury. Either way, it is essential to correct those deformities that can often hamper your self-esteem. If you have been suffering from any ear deformity, you need to consult your ENT doctor about this and get yourself diagnosed. Otoplasty for prominent ears has nothing to do with your hearing, it just enhances your appearance and corrects the deformity, and boosts your confidence. These deformities can be corrected with the help of otoplasty for prominent ears.

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Getting The Most Out Of Your Hearing Implant

Follow-up appointments are keyAdhering to a rehabilitation program will help you develop new listening and comprehension skillsExample rehabilitation activities include:

  • Using your hearing implant system for as many hours a day as possible
  • Reading aloud to yourself and with your family and friends
  • Listening to audio books while you read along with a printed copy
  • Listening to songs that are easily recognized

Leading Expertise In Endoscopic Ear Surgery

Transcanal endoscopic ear surgery is minimally invasive surgery to operate on tiny, delicate structures within the middle ear. It differs from traditional ear surgery in that surgeons access the middle ear through the ear canal rather than through an incision behind the ear. This causes less pain and results in faster recovery.

Most middle-ear conditions that we treat with TEES are not life-threatening, but they can greatly affect a persons quality of life. As these conditions progress, they can destroy nearby structures, such as the ear bones, facial nerve, and the inner ear. Surgery is often necessary to avoid complications such as hearing loss, facial paralysis, balance problems, or brain infections such as meningitis, which can be life-threatening.

The neurotologists in our Comprehensive Skull Base Program are specialists in medical and surgical care for disorders of the ear, cranial nerves, and the skull base. We treat patients of all ages for hearing loss, balance problems, tumors, infections, injuries, congenital defects, and facial nerve disorders.

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What Are The Types Of Benign Ear Tumors

Noncancerous ear tumors can block your ear canal, leading to earwax buildup. Types of benign ear tumors include:

  • Acoustic neuromas form on the vestibular nerve. This nerve in your inner ear connects to your brain.
  • Adenomas are rare noncancerous tumors that develop in the middle ear.
  • Cholesteatomas are sacs of fluid, air or skin cells that form behind the eardrum in the middle ear. They can lead to hearing loss if not treated.
  • Glomus tympanicum paraganglioma affects the tympanic nerve. This nerve in the middle ear connects to the eardrum.
  • Keloids are a type of fibrous scar tissue. They can form after an ear piercing or trauma to the outer ear.
  • Osteomasand exostoses form on bones in the external ear canal .
  • Sebaceous cysts contain skin cells and oil. They can develop in the ear canal, behind the ear or on the earlobe. They are also called epidermal inclusion cysts.

When To Call The Doctor

Types of ear surgery

Your healthcare provider may schedule a follow-up appointment one week after your surgery to check for vertigo or signs of infection. They may schedule another follow-up appointment four to six weeks after surgery to do hearing tests.

You should contact your healthcare provider if you have the following symptoms:

  • Severe vertigo or dizziness.
  • Unusual discharge, pain or swelling, which may be signs of infection.
  • Bleeding that doesnt subside after a few hours.
  • The muscles on the side of your face where you had your surgery feel weak.

A note from Cleveland Clinic

Stapedectomies treat otosclerosis, a condition that damages your middle ear. You may not realize you have otosclerosis until you notice you cant hear people when they whisper or speak softly. Stapedectomies are an effective way of treating otosclerosis and restoring your hearing. If youve been diagnosed with otosclerosis, ask your healthcare provider if a stapedectomy may be the solution to your hearing problem.

Last reviewed by a Cleveland Clinic medical professional on 02/04/2022.


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How Are Malignant Ear Tumors Treated

Dermatologists treat skin cancer on the outer ear. Treatment for cancerous ear tumors depends on the cancer type and location. Treatment might include:

  • Mohs surgery to remove the cancerous skin cells.
  • Radiation therapy, radiosurgery or chemotherapy to destroy cancer cells.
  • Treatment for ceruminous adenoma tumor involves surgically removing the tumor. Your surgeon might also remove nearby lymph nodes.

Your Chronic Ear Infection Surgery

Your surgery and recovery steps will depend on the type of surgery the provider feels is best. Because each surgery is unique, the provider will discuss the steps and pre- and post-operative care instructions at your appointment. Most chronic ear infection surgeries require little downtime after surgery and offer some immediate relief. Full results will be achieved once your recovery is complete.

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Ear Tumor Removal Surgery

Endoscopic ear surgery can be very helpful to remove different types of cancerous and noncancerous ear tumors. Ear tumors dont grow in a straight line. So, an angled endoscope makes it easier to find and remove tumors that can grow in the nooks of the middle ear, as well as the area around your ear.

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