Behind the ear drum, there are 3 ossicles, which are media for transmitting the sound waves towards the inner ear & then to the brain. These ossicles are :
It is 3rd ossicle, stapes which gets fixed by new bone deposition around its footplate hampering the mobility of the ossicle & by this causing conduction blockage in sound waves, resulting in hearing loss.
1. Hearing loss ( Unilateral/ Bilateral)
2. No otorrhea
Treatment is purely surgical.Fixed Stapes ossicle is removed & then replaced by a few Teflon prosthesis (piston), procedure called Stapedotomy; done under L.A. using microscope.
Patient starts hearing immediately on the operation table itself.
No external incision is seen; neither any suturing is required.
Chronic Suppurative Otitis Media (CSOM) With Perforation (Safe Otitis Media)
Tonsillities & Adenoid Hypertrophy in children.
Grafting of the perforated ear drum, using patient's own temporalis facis as a graft material; procedure called Tympanoplasty; done under L.A./ G.A., under the microscope.
Future complications, If surgery is delayed / not done :
Recurrent ear discharge.
Gradual & Permanent hearing loss.
Full Fledged Audiology Department which has facilities of