Endoscopic Ear Surgery

Endoscopic Ear Surgery

Surgery of the ear is a common medical procedure that can be done for both functional and cosmetic purposes. It is commonly performed in children to address deformities present since birth and in adults to address problems that have evolved over time, Such as the treatment of chronic ear infections.

Endoscopic ear surgery, sometimes known as ‘EES,’ is a cutting-edge new technique that employs a narrow endoscope rather than a traditional microscope to see the middle and inner ear during ear surgery. In order to close an eardrum perforation clear the disease from middle ear and to improve hearing, the surgeon is given adequate exposure and can perform absolutely scarless surgery without making any cuts or incisions.

What is Endoscopic Ear Surgery, and how does it differ from the conventional Microscopic Technique ?

Ear surgical procedures usually involve the use of a microscope to visualise the eardrum and middle ear components and to remove ear mastoid diseases. This typically includes making an incision and removing bone behind the ear(mastoid), depending on the severity and location of the disease. However, a minimally invasive technique called endoscopic ear surgery can be performed without the need for a microscope.

An endoscope is a specialised instrument used during telescopic Principle. It consists of a small tube housing lens with a built-in light and camera. Endoscope is inserted  through the ear canal, providing a considerably larger and direct view of the ear structure To access and observe the interior of the ear during surgery, the best ENT Surgeon in Bangalore inserts the endoscope into the patient’s ear canal, eliminating the need for incisions and dissection while still achieving results equivalent to those of microscopic procedures.

Ear endoscopy is typically employed in Transcanal Endoscopic Ear Surgery (TEES) procedures, allowing surgeon to perform intricate operations on the small and delicate structures within the middle ear. Compared to traditional ear surgery, endoscopic ear surgery can be performed under general or local anaesthesia and often leads to a quicker recovery period and less postoperative discomfort.

What conditions can it treat?

There are many conditions that can be treated with endoscopic ear surgery, including:

• Cholesteatoma: A skin-lined cyst, known as a cholesteatoma, develops inside the eardrum. This particular ear cyst grows slowly; however, if a cholesteatoma becomes larger, it may destroy the ear’s bones and other crucial structures, leading to hearing loss. Cholesteatomas must be removed before they become too large to avoid complication, and surgery is the only method to do so.
• Chronic otitis media/ear infection: This is a middle ear condition marked by chronic inflammation that can lead to recurrent ear infections, hearing loss, and tinnitus resulting in ear down perforation (hole)
• Congenital ear abnormalities: These are birth abnormalities that alter the middle ear’s composition or functionality.
• Eustachian tube dysfunction: This is a disorder where the tube connecting the middle ear to the back of the throat does not function properly, resulting in ear discomfort, pressure, and hearing loss.
• Otosclerosis: Otosclerosis is a genetic disorder that affects the stapes bone in the middle ear. This bone vibrates in most humans to transmit sound waves to the inner ear. To treat otosclerosis, the doctor will perform ear surgery, using an endoscope to remove and replace the stapes bone with piston.
• Middle Ear Tumors: Many Middle ear tumors like glomus tumors, schwannoma , etc can be removed safely using endoscope
• Who is the ideal candidate for Endoscopic Ear Surgery?

Endoscopic technique can be performed upon any patient. There is no contraindication for Endoscopic Ear Surgery.

How long does Endoscopic Ear Surgery take to heal?

Time of recovery is very short in Endoscopic Ear Surgery Compared to Microscopic Ear Surgery After 1 day Patient can resume normal activities Take head bath from 2^nd day As there is no bandage or hair shaving in Endoscopic Ear Surgery the social discomfort is completely  eliminated Post-operative pain is very minimal as there is no incision or bone drilling

Benefits of Endoscopic Ear Surgery

Endoscopic ear surgery offers several benefits over conventional ear surgery techniques, including the following:

• Minimally Invasive: Endoscopic ear surgery involves placing the endoscope directly within the ear canal. This results in less tissue damage and scarring compared to standard surgery.
• Enhanced Visualisation: The endoscope provides a magnified and well-illuminated view of the internal ear structures, making it easier for the surgeon to access hard-to-reach areas.
• Improved Aesthetic Results: Endoscopic ear surgery often leads to better aesthetic outcomes due to its fewer incisions and reduced tissue damage.
• Enhanced Accuracy and Precision: This technique enhances the accuracy and precision of surgical procedures, reducing the risk of complications and improving the final results.
• Faster Recovery: Patients who undergo endoscopic ear surgery typically experience a quicker recovery and less postoperative pain compared to those who undergo standard surgery.
• Outcomes: The Success rate of Endoscopic Ear Surgery as well as hearing outcomes are similar to conventional technique.

Potential risks and complications associated with Endoscopic Ear Surgery

For the majority of patients with various ear conditions, endoscopic ear surgery is generally considered safe and successful. Endoscopic Ear Surgery has Superior visualization of structures therefore avoiding inadvertent injury to critical structures resulting in complication

Endoscopic Ear Surgery at Apollo Hospital, Karnataka

Apollo Hospital is recognised as the best hospital for endoscopic ear surgery in Bangalore. We prioritise appropriate diagnosis and Advanced treatment options for various ear disorders. Our top endoscopic ear surgeons in Bangalore collaborate with other specialists to offer multidisciplinary and coordinated care to our patients. Our state-of-the-art equipment and world-class services enable us to provide precise diagnoses and timely treatments, which is why we are ranked among the best ENT hospitals in Bangalore.