Information about stapedectomy and otoscopy

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A stapedectomy(http://docturs.com/dd/pg/groups/11314/stapedectomy/) is a surgical procedure of the middle ear
performed to improve hearing. Find out about Stapedectomy surgery and other doctors online from our (http://docturs.com/dd/) website.

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Information about stapedectomy and otoscopy

  1. 1. Information ofStapedectomy and Otoscopy
  2. 2. IndexS.No Title 1 Details on Stapedectomy 2 Stapedectomy - Facts to know 3 Otoscopy - The health check-up for the Ear 4 Stapedectomy - The Ear surgery and the process of hearing 5 Stapedectomy - Post operative Specifics
  3. 3. Details on StapedectomyStapedectomy is the surgical procedure of the middle ear through the ear canal, toimprove the hearing. The procedure is mostly done after administering local or generalanesthesia. The worlds first stapedectomy is credited to Dr. John J.Shea Jr. whoperformed it in 1956. Docturs.com/dd offers detailed information on stapedectomyincluding the pre-operative and post-operative care. The stapedectomy procedure involves the removal of the innermost bone stapes from the other two – incus and malleus. This procedure is a very successful surgical treatment for deafness that is caused by the medical condition otosclerosis. And this medical condition can be diagnosed by the family history, symptoms and the results of the hearing tests of the patient. In some cases, the loss of hearing is gradual while some may experience balance problems, tinnitus or dizziness. An ear specialist – otologist or audiologist, should administer the hearing test rather than the family doctor of the patient or any onlinedoctors. It is necessary to determine whether the hearing loss of the patient is conductivei.e. caused by a lesion or a disorder in the middle ear or ear canal or is it sensorineural i.e.caused by an inner ear disorder. This determination test may also be done with the help ofcomputed tomography (CT) scan or an x-ray study of the head.There are two tests which are commonly used to distinguish between conductive andsensorineural hearing loss, and they are – Weber’s test and Rinne’s test. The latterincludes an examination involving a vibrating tuning fork held against the mastoid boneand outside the ear canal. If the person suffers from conductive hearing loss, he will hearthe tone as louder when the fork touches the bone, but in normal cases, the sound wouldbe louder when held near the outer ear.In the former option of Weber’s test, the vibrating tuning fork is held on the midline ofthe forehead and is questioned about in which ear the sound seems louder. The affectedear will hear the sound louder in the person with conductive hearing loss.
  4. 4. There may also be some risks attached to the stapedectomy procedure and the mostserious risk is increase in hearing loss which is in about 1% of the patients. Due to thisreason, the surgery is performed on only one ear at a time. The other complications maybe ringing in ears, vertigo, change or lack of taste, partial facial nerve paralysis,perforated eardrum or damage of the bone chain attached to the eardrum. The vertigomay require surgery and it may be an indication of incomplete seal between the middleear and inner ear fluids. Such a condition calls for immediate ear examination, bed restand sometimes, an operation to reopen the eardrum to check the prosthesis.Robert Danilov at Docturs talks in detail about the other parts of stapedectomyprocedure. Docturs.com/dd is medical vertical offering detailed medical information forhealthy living.Stapedectomy - Facts to knowStapedectomy is the removal of the middle to improve hearing. There are three bones inthe middle ear - the incus, the malleus and the stapes. The stapes bone is removed forbetter hearing, with an instrument called otoscope. The procedure can be seen andunderstood better with the help of online medical videos.After this procedure, if severedizziness and vertigo are experienced,it is an indication of the incompleteseal between the fluids of the middleear and the inner ear. If this is the case,it calls for immediate bed rest andexamination by the ear surgeon.Experiencing dizziness and headacheis common for the first two days aftersurgery. There is a swelling and as itsubsides, and the ear drum dries upand the packing is absorbed orremoved, the hearing improves withintwo weeks and continuously gets better over next 3 months. The patients suffering fromtinnitus before the surgery will get good relief within a month and half of the procedure.And almost 90% patients have significant improvement in hearing while only about 8%experience minor improvements.The percentage of risks and complications is very low in the stapedectomy procedure as itis very safe. Only 2% of patients may have additional hearing loss in the operated earwhile 1% may lose hearing completely. While 9% patients may have disturbances in theirsense of taste, only negligible 0.1% patients can experience rare complications likedamaged eardrum, infection and facial nerve palsy.The other alternatives to medical procedure may be medications, stapedetomy, hearingaids or just waiting for good results. While some with mild hearing loss may support
  5. 5. watchful waiting and postpone the surgery, some may go for hearing aids. Thoughmedications are not specific that cure otosclerosis, it is said that fluoride or calciumcontents are effective in prevention of hearing loss by slowing down abnormal bonegrowth. But it should be taken care that such medications should not be used duringpregnancy and doctor should be consulted for it.Another alternative is the stapedotomy surgical procedure similar to stapedectomy. Theonly difference is that the surgeon uses the laser to cut a hole in the stapes in order toinsert the prosthesis rather than removing the stapes. In addition, some ear surgeons usethe laser to free the stapes bone without inserting prosthesis. This variation, however,works best in patients with only mild otosclerosis.One should be aware about the consequences of chosen surgical procedures and itsalternatives for safety and alertness. One should be alert about detailed information onevery medical ailment for a better and healthy living.Otoscopy - The health check-up for the EarHave you been experiencing pain in the ear? Do you feel a pinching or pricking sensationin your auditory canal? Chances are that you suffer from an ear infection. Here,docturs.com presents a medical discussion for your knowledge and benefit. Below isdiscussed, the otoscopy procedure which is used to examine the ear.The ear is divided into three sections – specifically – the outer ear, the middle ear, and theinner ear. The otoscopy procedure is performed to examine the external area of the ear. Amedical device called the aurioscope is used to carry out the examination. The entireprocess takes only about 6 to 7 minutes, at most. The process is simple and painless. Thepatient will have to tilt their head to an appropriate angle to allow the healthcare expert toperform the examination.
  6. 6. On the docturs.com website, you will find expert authors and medical professionalsdiscussing the subject at length. The platform is also open to members so that they canshare information. In the article by Steven Clancy, you will find a detailed explanationabout the procedure as well as the device, tools, and methods used. The otoscope is athin, slender device with a handle and a head. It has a head and an electric light sourcewhich helps the physician to look at the affected areas. The infections of the middle ear,otitis media, and otitis externa are some of the ear diseases that can be detected with thismethod.The medical videos on the website, posted by Steven Clancy are useful in providingvisual information. In the video titled, “The Ear Examination”, the procedure of otoscopyis explained with the process being carried out with a female patient. The various stepsare shown here. First the physician views the external areas of the ear and then peers inwith the help of the otoscope. The ear wax is cleared and basic treatment for infection canfollow the inspection. The video also has the otoscopic visual images which give clarityon what can be seen in the ear. Such check-ups are performed when an individual suffersfrom some discomfort or has hearing problems. Nevertheless, you could always gothrough the procedure during a regular health checkup.Members and regular users of docturs.com find it to be a useful platform since it is amedical vertical which offers information, medical products, news, etc so as to assist ahealthy way of life.Stapedectomy - The Ear surgery and the process of hearingIf you have been suffering a gradual loss of hearing, chances are that the stapes bone inyour ear is damaged. Why does this damage occur? What is the stapes? And is a surgeryneeded to restore your hearing ability? - docturs.com presents a medical explanation tothe surgery of the middle ear. Discussed below are the procedure, need and reason toundergo a stapedectomy procedure.
  7. 7. The ear has three parts – the external ear, the middle ear and the inner ear. The externalear comprises of the ear pinna which helps direct sound waves to the ear. The sound thentravels through the ear canal which has the earwax. The earwax is present so as to evadeinfections and germs. The sound waves move further and reach the middle ear. The mainrole of this part of the ear is to convert waves into vibrations which can reach the innerear and help interpretation of sound. Finally, in the inner ear the, the sound reaches aliquid medium in the cochlea. Microscopic hair present here convert the vibration into thenerve signals which are comprehended by the brain.When the sound waves reach the middle ear, they are converted into vibrations afterpassing through the eardrum. The eardrum vibrates because of sound waves and thevibrations are carried forth by three little bones called the malleus, incus and stapes.Due to conditions like otosclerosis the stapes bone in the ear becomes damaged andconsequently stapedectomy needs to be performed. The reason for damage is theformation of a spongy bone that does not allow the stapes to vibrate or carry forth thevibrations of sound waves to the inner ear. Since sounds fails to reach the inner ear, nervesignals to the brain are not made and consequently, the patient suffers a loss of hearing.On the docturs.com website this subject has been discussed by expert author, RobertDanilov has shared informative articles and images. In his post, he talks about theprocedure, the need for the procedure to be performed as well as the possiblecomplications. In the post titled the "Contraindications of Stapedectomy", he hasmentioned the conditions in which the surgery should not be carried out.For such a surgery, it is important for the patient’s general health to be steady, cochlearreserve should be adequate, the patient should not be suffering from tinnitus and vertigo,besides other guidelines.At docturs.com we always advocate a healthy way of life and provide relevantinformation about various diseases. We are a medical vertical which provides all medicalproducts, online shop, books, medications as well as a platform for interaction.Stapedectomy - Post operative SpecificsStapedectomy is the method employed to restore an individual’s hearing ability. This isan operative method where a small inner bone of the ear is replaced with an artificialprosthesis. The middle ear bone called the stirrup is replaced with the tissue graftmethodology so that the individual can hear without difficulty. Complications are veryuncommon but it may be required for the patient to make follow-up visits with the doctorfor clearing of the crusts from the site of surgery.
  8. 8. The patient will be given medications and antibiotics. However, complete recovery may take about 6 weeks when the patient can be free form the symptoms and discomfort. Since the ear is also a centre for body balance it is advised that for at least a day post Stapedectomy surgery, the individual must rest at home. Driving, working, walking, and such activities should be avoided. Your body coordination will remain affected for at least 24 hours and hence, one must be careful keeping this point in mind. Even small actions like sneezing or blowing your nose can cause trouble! In a completely inevitable situation, try finding relief by keeping your mouth open. In words, you can sneeze orcough with your mouth open to avoid pressure on you’re the regions operated upon.From the hygiene point of view, you can bath and wash your face but do not let waterenter your ear region. If your care giver asks you to do so or uses water for medicalpurposes, it is alright. But besides that, at all times it’s important to keep your earsprotected with a cotton swab or petroleum jelly to avoid any type of damage.A packaging may be kept in the ear as a protective shelter. This must not be disturbedwhile changing the cotton saw. Medications prescribed by the doctor should be strictlyused to avoid infections. Generally, ear drops prescribed are effective in treatment.After the Stapedectomy procedure, it is possible that you might hear some clickingsounds or experience disbranches in your auditory chamber. But these will heal withtime. Some other symptoms may include draining of liquid from the channel along withswelling of tissues in the ear. Doctors online, medical websites, and online medicalplatforms are important for gaining knowledge about various methods and practices thatmust be followed post-operation. Although there are no serious concerns, the generalapprehensions associated with any surgical process hold true even here and hence caremust be taken.
  9. 9. Reference:Stapedectomy : - http://docturs.com/dd/pg/groups/11314/stapedectomy/Otoscopy :- http://docturs.com/dd/pg/groups/2512/otoscopy/Doctors online, medical products and medical videos : - http://doctors.com/dd/
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