Ear Surgeries

Tympanoplasty

Tympanoplasty is a surgical procedure aimed at repairing a perforated eardrum (tympanic membrane) and/or the small bones (ossicles) in the middle ear. This procedure is commonly performed to restore hearing, prevent recurrent ear infections, and improve overall ear health.

A perforated eardrum may result from chronic ear infections, trauma, or previous ear surgeries. Left untreated, it can lead to hearing loss, persistent ear discharge, and even spread of infection to nearby structures. Tympanoplasty helps seal the perforation, reducing these risks and restoring proper hearing function.

There are different types of tympanoplasty based on the extent of damage and reconstruction required. The surgery can be performed through the ear canal or a small incision behind the ear. During the procedure, the surgeon uses graft material—usually taken from the patient’s own tissue—to patch the hole in the eardrum. If the ossicles are damaged, they may be reconstructed or replaced to restore the sound-conduction pathway.

Tympanoplasty is usually done under general or local anesthesia and may take 1 to 2 hours. Most patients can go home the same day, with recovery typically taking a few weeks. Postoperative care includes keeping the ear dry, avoiding strenuous activity, and attending follow-up appointments to monitor healing and hearing improvement.

Dr. Abhishek S has extensive experience in performing tympanoplasty with excellent outcomes, using advanced microsurgical techniques to ensure precision, minimize discomfort, and maximize hearing restoration for his patients.

Mastoidectomy

Mastoidectomy is a surgical procedure performed to remove infected or damaged air cells from the mastoid bone, located just behind the ear. This procedure is typically required in cases of chronic ear infections, cholesteatoma (abnormal skin growth in the middle ear), or complications arising from untreated middle ear diseases.

The mastoid bone contains numerous air cells that can harbor infection. If left untreated, this can spread to nearby structures, including the brain. Mastoidectomy helps eradicate infection, relieve symptoms like ear discharge and pain, and prevent complications.

The surgery involves making an incision behind the ear to access the mastoid bone and using specialized instruments or a drill to remove the infected areas. Depending on the severity, it may be combined with tympanoplasty or ossiculoplasty.

Dr. Abhishek S performs both cortical (simple) and canal wall down mastoidectomies, tailored to each patient’s condition. Recovery includes keeping the ear dry, using prescribed medications, and regular follow-up visits to monitor healing.

Stapedotomy

Stapedotomy is a specialized microsurgical procedure performed to improve hearing in patients with otosclerosis, a condition where abnormal bone growth around the stapes bone (one of the tiny bones in the middle ear) restricts its movement. This impaired movement prevents sound from being effectively transmitted to the inner ear, resulting in progressive conductive hearing loss.

During a stapedotomy, a small hole is made in the footplate of the fixed stapes bone, and a prosthetic device is inserted to bypass the immobilized bone. This allows sound vibrations to be transmitted properly to the inner ear, restoring hearing. Unlike the older stapedectomy, which removed the entire stapes bone, stapedotomy is a more refined and safer technique with fewer complications and faster recovery.

The procedure is typically done under local or general anesthesia, often as a day-care surgery. The ear canal is used to access the middle ear, and a microscope ensures precision during the operation. Patients can usually return home the same day and resume normal activities within a week, with significant hearing improvement seen over time.

Dr. Abhishek S brings extensive experience and skill in performing stapedotomy with precision and care. His training in microsurgical ENT procedures ensures excellent outcomes with minimized risk. Patient counseling, thorough evaluation, and personalized follow-up care are integral to his approach.

If you’re experiencing gradual hearing loss due to otosclerosis, stapedotomy can be a safe and effective solution to regain your hearing clarity and quality of life.

Grommet Insertion & Myringotomy

Grommet insertion with myringotomy is a common and effective surgical procedure performed to treat fluid buildup or recurrent infections in the middle ear, particularly in children. It’s often recommended for conditions like Otitis Media with Effusion (OME) or chronic ear infections that lead to hearing loss, speech delays, or discomfort.

A myringotomy involves making a tiny incision in the eardrum (tympanic membrane) to drain accumulated fluid or pus from the middle ear. To maintain proper ventilation and prevent fluid from reaccumulating, a small tube called a grommet (ventilation tube) is placed into the incision. The grommet allows air to enter the middle ear, equalizing pressure and reducing the risk of further infections.

The procedure is typically performed under general anesthesia, especially in children, and takes about 10–15 minutes. It is minimally invasive, with most patients discharged on the same day. The grommet usually stays in place for 6 to 12 months and falls out on its own as the eardrum heals.

This procedure significantly improves hearing, sleep, speech development, and overall quality of life in children. Adults with chronic Eustachian tube dysfunction or barotrauma may also benefit.

Dr. Abhishek S has extensive experience performing grommet insertions with excellent outcomes. With a child-friendly and reassuring approach, he ensures that the procedure is safe, effective, and as stress-free as possible for both the child and the parents.

Ossiculoplasty

Ossiculoplasty is a specialized ear surgery aimed at repairing or reconstructing the tiny bones (ossicles) in the middle ear—malleus, incus, and stapes—to restore effective sound transmission and improve hearing. These bones can be damaged due to chronic ear infections, trauma, cholesteatoma, or congenital abnormalities, leading to conductive hearing loss.

During ossiculoplasty, the surgeon assesses the condition of the ossicles and replaces or reconstructs them using biocompatible prosthetic implants or reshaped natural bone, depending on the extent of the damage. The goal is to recreate a functioning ossicular chain that efficiently transmits sound vibrations from the eardrum to the inner ear.

The procedure is often performed along with other middle ear surgeries, such as tympanoplasty or mastoidectomy, especially in chronic ear disease cases. It is done under local or general anesthesia, and most patients can return home the same day or the next.

Ossiculoplasty has shown promising results in improving hearing, particularly when done by skilled ENT surgeons like Dr. Abhishek S, who combines precision with advanced microsurgical techniques to achieve the best outcomes.

Post-surgery, patients typically require follow-up visits to monitor healing and assess hearing improvement. Recovery involves minimal discomfort and most individuals resume normal activities within a few days.

With proper diagnosis and surgical expertise, ossiculoplasty offers a reliable solution to restore hearing and improve the quality of life for patients suffering from conductive hearing loss due to ossicular damage.

Cochlear Implants

A cochlear implant is a revolutionary electronic medical device designed to restore hearing in individuals with severe to profound sensorineural hearing loss, who do not benefit adequately from conventional hearing aids. Unlike hearing aids that amplify sound, cochlear implants bypass damaged parts of the inner ear and directly stimulate the auditory nerve to provide a sense of sound.

The device has two main parts:

• External component: worn behind the ear, includes a microphone, speech processor, and transmitter.
• Internal component: surgically implanted under the skin and into the cochlea, it receives signals from the external device and stimulates the auditory nerve.

Cochlear implantation is typically performed under general anesthesia and is followed by a period of healing before the device is activated. Once activated, the patient undergoes audiological rehabilitation and auditory training, which are essential for adapting to the new way of hearing.

Cochlear implants are suitable for both children and adults, and early implantation in children can significantly improve speech and language development. Adults who have lost hearing later in life can also benefit greatly, regaining the ability to recognize sounds and understand speech.

Dr. Abhishek S, with advanced training in otologic and neurotologic surgeries, offers expert evaluation, precise implantation, and thorough post-operative care, ensuring the best auditory outcomes.

With proper evaluation, surgery, and follow-up, cochlear implants can dramatically improve communication ability and quality of life, opening the world of sound to those once living in silence.