Temporal Bone Resection

Surgery for Hearing

Ear cancer is a rare cancer affecting the ear canal as well as the bones of the ear ( ie temporal bone surgery). Surgical extirpation is the treatment of choice followed by appropriate reconstruction. Following this, either adjuvant radiotherapy or chemoradiotherapy  is resorted to depending upon pathological staging.

The team of doctors in the clinic are trained and experienced in performing such complex skull base surgeries. The unique combination of a head neck surgical oncologist and a neuro otologist and skull base surgeon enable this team to give the best to their patients in terms of  ear surgery with oncological safety as well as functional outcomes with surgery for hearing as deemed suitable.  Since cancer treatment is a team based approach, these doctors avail the services of experienced plastic surgeon, pathologist, medical and radiation oncologist.

Subtotal Petrosectomy

Surgery for Hearing

Ear infections occasionally can get notorious and erode the bones of the ear ( temporal bone). If left unattended, it can progress to pus formation in adjacent areas like the brain and neck. Occasionally, this becomes life threatening. Whether it is aggressive ear infection, cholesteatoma or cancer of ear in this region, the treatment is ear surgery encompassing removal of the affected area. Surgery for hearing is generally not considered in this scenario since the principal aim is complete extirpation of disease. However, individualisation of every patients disease is essential before decision making.

Facial Nerve Decompression

Surgery for Hearing

The facial nerve is responsible for controlling the expressions of the face. There is one nerve on either side of the face. In the ear, it is placed in a very narrow canal to protect it. However, sometimes the facial nerve may undergo swelling within the canal due to infection or trauma. Since the canal is narrow, it does not allow adequate space for the swollen nerve to expand. This causes dysfunction of the nerve resulting into facial paralysis. The treatment for this is ear surgery to decompress the nerve. It is a surgery which requires astute clinical judgement with controlled handling of the nerve to ensure complete recovery. Dr. Abhineet Lall with his robust training at the premier Seth GS Medical College and KEM Hospital followed  by Otology Fellowships at Centres of excellence in the country and abroad ensures he gives the best to his patients.

Myringotomy with Grommet Insertion

Surgery for Hearing

The middle ear space undergoes pressure equalisation with the help of the eustachian tube ( ventilation tube). Many a times due to cold, infection etc. the eustachian tube is blocked. In children the eustachian tube is patulous and hence they are more prone to its blockage. This results into problems in the ear causing retraction of the drum, secretions to accumulate in the middle ear and hearing problems apart from earache and discomfort.

Myringotomy is a ear surgery by which a controlled, small performation is made in the ear drum at the appropriate location to aid the ear secretions to drain out. If the problem is of a chronic nature, then a ventilation tube ( grommet) is inserted which helps in pressure equalisation. This surgery for hearing prevents long term complications of a retracted eardrum like cholesteatoma formation.

Cochlear implant

Surgery for Hearing

Damage to the inner ear with its nerve endings can occur due to several reasons from birth defects to infection to exposure to ototoxic ( harmful to the ear) substances. Unfortunately, most of these problems occur in young children in whom speech development is not complete. As one knows hearing is an integral part of speech development ( a child speaks what he /she hears), this condition requires correction with a ear surgery by which an implant is inserted into the ear which starts functioning as the inner ear. This surgery for hearing is a life changing experience if done appropriately, at the right time and followed up comprehensive rehabilitation sessions Dr Abhineet Lall has been trained under Padmashri (Dr.) MV Kirtane who is a pioneer in cochlear implant surgeries. His team comprises of fully trained and experienced audiologists and speech therapists to care for the post surgical hearing rehabilitation.

Stapedectomy

Surgery for Hearing

Otosclerosis is a condition in which the samll bones for hearing undergo fixation. Stapedectomy is a type of ear surgery whereby the fixed bone is repaired by fine meticulos surgery. Additionally, this condition requires clinical acumen to decide appropriate nature of surgery.

This surgery for hearing gives immediate results with normal hearing provided the surgery is done appropriately.

Dr. Abhineet Lall has honed his skills in centres of excellence alongwith years of experience to give best results to his patients.

Mastoidectomy

Surgery for Hearing

Mastoidectomy is a type of ear surgery performed to extirpate ear infection or cholesteatoma. This is a condition called the “ unsafe” ear because if left unattended, it can progress to pus formation in adjacent areas like the brain and neck. Occasionally, this becomes life threatening.

The main objective of mastoidectomy is:

Complete removal of the infection by a meticulous ear surgery of the middle ear as well as the mastoid bone to prevent complications and recurrence ( recidivism).

It maybe combined with surgery for hearing restoration depending on the severity of the infection; else surgery for hearing restoration is deferred as a second procedure.

The most troublesome sequalae of this surgery is a persistant discharging ear. Dr. Abhineet Lall adopts advanced techniques derived from honing his skills in centres of excellence such that his patients have a dry ear.

Tympanoplasty

Surgery for Hearing

Tympanoplasty is a type of ear surgery performed to repair the ear drum. The ear drum perforates when it is subjected to recurrent ear infection. This can  further damage the ossicles ( small bones which conduct hearing).  In this scenario tympanoplasty is combined with a surgery for hearing restoration called ossiculoplasty.

Occasionally, the ear drum and hearing appartus can be damaged due to physical trauma or due to very loud sound.

The main objectives of tympanoplasy are:

  1. Restoration of hearing by fine, meticulous surgery for hearing
  2. Prevent recurrent ear discharge by robust ear surgery to repair the ear drum

Dr. Abhineet Lall uses techniques adopted from training in the best centres of  the country and globally. The key is to modify techniques of ear surgery to suit individual patients thus bringing out the best results. Our clinic takes pride in the fact that our outcomes of ear surgery are comparable to the best in the world.

Cancer of the ear

Surgery for Hearing

This is a rare disease, generally presenting after 40 years of age. Symptoms typically involve persistant blood tinged ear discharge, deafness and/ or deviation of the face. There could be associated swelling in or around the ear ( infront, below or behind). Diagnosis is confirmed with appropriate tests in the form of a biopsy and imaging.
Surgery encompasses a lateral, subtotal or total temporal bone resection whereby the tumour is excised with adequate margins with/ without a parotidectomy with/ without reconstruction.Decision for further treatment of radiotherapy/ chemoradiotherapy is made based on final histopathology.