SURGERY IN THE EAR HOSPITAL

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Procedures aimed at improving hearing as well as stopping infection and its complications will be a priority.

The aim is to provide all forms of surgery to the ear; this will include the external ear or pinna, the ear canal, ear drum and middle ear.

Microsurgical operations such as myringoplasty, tympanoplasty, ossiculoplasty, stapedotomy, atticotomy, mastoidectomy and reconstruction are intended to be routinely available.

Certain procedures for the inner ear will also be available.

Some other procedures related to the ear such as local tumours and nasal problems will be treated when directly related to the ear problem.

Interventions to help with vertigo, such as treatment for Meniere’s disease will be offered.


SURGERY ON THE EAR CAMPS

OT sign: No entry without permisssion
Preparing OT in the morning
Scrubbing up for surgery
Wayne Butt and Rosanita in OT
Burtibang 2012 - Theatre  in action

We perform all varieties of middle ear surgery.

Most operations are for infected ears with perforated eardrums and often also poor hearing. Some are done simply to restore hearing.

Procedures include:

Minor operations such as:
Grommet insertion
Removal of foreign body from ear

Intermediate operations such as:
Myringoplasty (repair of hole in eardrum)
Stapedotomy (repair of stapes bone for otosclerosis and deafness)
Tympanoplasty (repair of damaged or infected eardrum)
Meatoplasty (widening a narrow ear canal)

Major operations such as:
Ossiculoplasty (repair of the very small hearing bones behind eardum, to improve hearing)
Atticotomy (cleaning small area of infected bone or ‘cholesteatoma’ in the ear, near the eardrum)
Attico-Antrostomy (similar, but more bone needs cleaning)
Cortical mastoidectomy (opening the bone behind the ear to clear infection)
Combined approach tympanoplasty (usually only for mucosal disease, or when appropriate follow up and 2nd stage procedures are feasible)
Modified radical and radical mastoidectomy (clearing widespread infection of bone in ear)
Mastoid cavity obliteration (repairing the area in the ear where bone of mastoid has been cleaned)

Frequently these procedures are combined e.g. attico-antrostomy with cavity obliteration, tympanoplasty, ossiculoplasty and meatoplasty.

We always make sure that patients are aware of the reasons and aims for the surgery and they sign or mark a printed form giving their consent to the procedure.

There are 3 main goals of surgery for an infected ear.

1. Making the ear safe from further damage. Some ear infections are dangerous to life, so it is true to say that many of the operations can be life saving. Even if there is no danger to life, the infections cause many other problems: ear discharge, offensive smell, loss of hearing, dizziness, and many other risks.

2. A dry ear with no discharge. This is the aim but sometimes even though the ear has become safe from serious risks some wetness or discharge continues.

3. Improved hearing. This is not always possible. It is always our aim, but when an ear has been infected for a long time this may not be possible. Sometimes a second smaller operation later, when the ear is no longer infected may be offered to repair the hearing.

Other operations: we will consider certain other ENT and Head and Neck operations on ear camps, when time and safety permit.