Acquired Hearing Loss - An Overview

Acquired hearing loss is the hearing loss that occurs after birth and can happen at any point of time in one’s life. Acquired hearing loss can appear suddenly, after having previous normal hearing because of illness, injury or toxic medications. Sudden hearing loss can be very challenging for children as it can greatly affect their learning and development. Child can also experience depression, fearfulness and show behavioural changes. Hearing loss affects the quality of life of adults as well. Unmanaged hearing loss can have an overall impact on education, employment and general well-being of the individual.

The most common causes of acquired hearing loss are:

1. Ear infection (otitis media).
2. Eardrum perforation caused by untreated ear infection, head injury or blow to the ear.
3. Middle ear blockage usually due to accumulation of wax.
4. Illnesses and infections such as Meningitis, Measles, Mumps, Chicken Pox, Influenza, etc.
5. Prolonged exposure to noise.
6. Head injury.
7. Certain drugs and medications.
8. Cysts and tumours within the ear canal.
9. Aging.

Types

Ear is divided into three parts outer, middle and inner. 

• Hearing loss associated with outer and middle is termed as conductive hearing loss. 
• Hearing loss concerned with inner ear is termed as sensorineural hearing loss. Sensorineural hearing loss may be permanent in nature. 
• Mixed hearing loss: Some people have both conductive and sensorineural hearing loss.

Hearing loss symptoms
In case of sudden hearing loss, the ability to hear will decrease or disappear (completely) at once, from the affected ear. In case of gradual hearing loss, at first the person may have difficulty in understanding conversation, due to which may ask others to repeat frequently or may also misunderstand the conversation. Due to decreased ability to hear, person’s family may complain about loud TV or music.

Hearing loss due to certain ailments and conditions can also produce additional symptoms, which include:

1. Tinnitus(ringing in ears)
2. Deep earache
3. Discharge or bleeding(from ear)
4. Stuffiness inside ear
5. Dizziness
6. Nausea

Treatment and prevention
After proper diagnosis, that is identifying the type and measuring the degree of hearing loss, various treatment options are suggested to patients to improve their hearing ability. In case of temporary hearing loss, the underlying cause of hearing loss has to be treated first e.g., in case of infection, antibiotics are recommended. For blockage with earwax, earwax has to be removed. In case of permanent hearing loss treatment options available are:

1. Hearing aids: It is the easiest and most commonly offered treatment option for hearing loss and proved to be highly effective in age related deafness. These are electronic instruments that can be worn inside or behind the ear. Hearing aids amplify the sounds and thus improve deafness. Usually it takes some time to get used to hearing aid as things might sound little different initially.
2. Cochlear implants: In case of severe hearing loss  surgical intervention is required in which a cochlear implant is placed in the inner ear that will help converting the perceived sounds into electrical signals which can then be transmitted to brain and thus sound sensations are perceived. Cochlear implant can be recommended in one or both ears depending upon the severity.
3. Assistive listening devices (ALDs): ALDs are sound amplifying devices in cell phones, telephones and can be implemented in places like theatres and auditoriums.
4. Speech reading: People dealing with hearing loss can be trained for this in which they need to pay close attention and watch how the speaker’s lips and body are moving. This will help understand conversation little easily.

Hearing loss can affect the person at personal and professional levels, disturbs the emotional well being of person and thus has an overall negative impact on general well being of individual. By taking the below mentioned precautions, hearing loss can be prevented:

1. Protection from prolonged loud noise.
2. Never put any foreign objects inside ears.
3. Protection from head trauma. Wearing helmets and seat belts while driving.
4. Consult the doctor before taking any serious medications.

Nasal Polyp - An Overview

If you have got the nasal obstruction, or got the repeated sneezing since a long time then you got to blame Nasal polyp. Not necessarily it is the only cause, but most cases will be due to the nasal polyp. Yes, nasal polyp is an outgrowth of the soft tissue within the nasal cavity. It is usually diagnosed when taken for clinical examination for other symptoms like mouth breathing in children or for acute episode of chronic rhinitis.

Incidence of Nasal Polyp

It is a most commonly seen disease. Every 3 of 20 cases in a day in outpatient department of ENT branch are the cases of nasal polyp. There is no age limitation in nasal polyp as it can be seen very commonly from the new born to adults.

What is a Nasal Polyp?

Nasal polyp is the non-cancerous soft tissue growth or the fluid collection results in the formation of the polyp. They are usually seen as soft, pedunculated mass. It is the result of the increased cell growth of the soft tissues. It has no sensation and are non bleeders. They are usually not painful and can be seen in single nostrils or in both the nostrils.

Causes of Nasal Polyp

Nasal polyp may be the result of the accumulation of the fluids or mucus within the nasal cavity due to the sinusitis, chronic rhinitis and due to the long term effects of drugs like aspirin.

Symptoms of Nasal Polyp

The symptoms of polyps in nose includes the severe nasal obstruction leading to the mouth breathing in children and in some adults, there is also decreased or complete loss of smell where the person with polyp will not be able to smell anything as a result he cannot enjoy the food and this affects his appetite too. And there is a post-nasal drip where the mucus gets accumulated and drains back in to the throat giving a strange sensation every time. The nasal polyps also results in the repeated nasal allergies like allergic rhinitis commonly associated with frequent sneezing, thin watery discharge from the nose and the dull headache.

Diagnosis

As the nasal polyps are non-painful, they are detected accidental for the other symptoms like nasal congestion or nasal obstruction. A simple X-rays is done for the examination of the paranasal sinuses helping in the diagnosis. It is also confirmed through CT scans which can give the exact location and extension of the polyp. It also helps to differentiate with the other diseases like carcinogenic growths, fungal infections or angiofibromas.

Treatment

The sinus infection treatment becomes the utmost importance before treating the actual nasal polyp. The sinusitis being the main cause for the nasal polyp to be treated in early cases. When this is neglected or continued for many years, it may result in the formation of the polyp. It is usually treated by the administration of corticosteroids, antihistamines, decongestants and with antibiotics.

If the symptoms still persists then do not delay in consulting an ENT specialist for the further treatment of the nasal polyps. The specialized doctors opt for nasal polyp surgery only when the other conservative methods fail and there is no further improvement in the patient.  

Surgery involves the nasal polyp removal, this is the final method opted for the treatment of nasal polyps. The removal of nasal polyps includes 2 procedures Functional endoscopic sinus surgery where all the polyps are removed under endoscopy. And the other method involves nasal polyp removal under local or general anesthesia called as Nasal Polypectomy.

For more information, mail us: info@vikramenthospital.com  /  Call: +91-422-2550633

Ear discharge

Ear discharges are the most common symptom in the ear problems. About more than 10 million cases in a year suffer from the ear discharges. Ear discharges may lead to loss of hearing in many cases. Ear discharge is common among all age group. It can affect from the children to the aged people.

The causation for the ear diseases may be of acute origin or the chronic reasons. The most common causes include the foreign bodies, middle ear infections, injury to the ear drum or the other allergies like Eczema. The discharges may be thick, whitish or yellow in colour. They are thick and foul smelling in nature. It may be occasionally blood stained. Ear discharges are the most common symptom if the disease or infection is involved in the ear.

Ear infections

Ear infections or the Otitis Media are the most common cause for the ear discharge in many people. It is usually acquired or congenital. In this condition there is a keratinized growth of squamous epithelium in the middle ear called as Cholesteatoma. In complications it may be associated with hearing loss, facial palsy, CNS dysfunctions and vertigo. Causes include Viral, bacterial and fungal infections like E. coli, Staphylococcus aureus, Candida albicans, Rhino virus etc. Many risk factors also include smoke exposure and Nasal discharges, where the force blowing of the nose will lead to middle ear infections. Symptoms include ear discharge with foul smelling and white or yellow discharge, ear pain, Fever, tinnitus, Loss of hearing and poor sleep.

The treatment for the ear infections includes the analgesics, topical ear drops and antibiotics for the pain, fever and discharge. The medications for ear infection include Ibuprofen, Paracetamol, drops with Benzocaine are advised by the ENT doctors. If there is chronic ear infection for more than a year then surgical procedure like Radical mastoidectomy with cavity obliteration is followed under trained and professional ENT specialists and for irreversible hearing loss, hearing aids are provided.

Treatment of Ear discharge

The treatment for other diseases involving the ear discharge depends on the cause. In some cases, the child unknowingly pushes the objects like seeds, nuts, peas or cotton and in adults insects like cockroaches, moths, and flies get in to the ear and start the problems like pain, tinnitus with foul smelling discharge from the ears. This has to be removed with the great tactfulness and only by the ENT surgeons. Other causes like rupture of the ear drum or any injury to the ear drum can also leads to the discharges and sometimes bleeding too.

The ear discharge treatment is usually done on the basis of the cause involved. In case of only discharge with no pathological indication then cleaning, suction and dry swabbing is done but if there is rupture of the ear drum then surgery of the injured tissue is done. Common medicines for ear discharge involves analgesics and antipyretics such as paracetamol, ibuprofin, aspirin and opioid drugs and antibiotics like Amoxicillin is frequently used in the treatment of the ear discharges. In severe cases Corticosteroids are applied in form of topical ear drops. Tympanoplasty and Tympanic membrane repair or the ossicular reconstruction is done.  

For more information, mail us: info@vikramenthospital.com / call: +91-422-2550633

Sleep Therapy

Sleep is a state of unconsciousness in which the person can be aroused by the sensory stimuli. A good sleep is very much necessary for the proper functioning of the brain and Human body. A man requires about 7-8 hours of sleep, if there is continuous disturbance in the sleep then it may lead to behavioral abnormalities, cardiac diseases like hypertension, stroke and cardiac arrest, metabolic diseases like Diabetes and irritability, restlessness, anger and other altered behavior.

Sleeping also has the positive effects on our human body. It is been proved that in sickness we sleep more just to relax our body and brain and in turn this helps the immune to build up to fight against diseases. This sleep is disturbed by many reasons primarily being the Sleep Apnea and Snoring disorders. This disturbance can be treated by the sleep therapy for the individual causes.

The specialized and trained ENT doctors are striving each day hard to relieve the sleep disorders and get the new innovative devices and therapies for the following diseases.

Snoring

Snoring is a condition where there is a vibration of sounds due to the airway obstruction of the pharyngeal walls. It may be due to thickening of the walls of pharynx as in Obesity, or due to any other obstructions like large tongue, Tonsillitis, Adenoids, Nasal polyps and Deviated nasal septum. Though sleeping do not have any immediate effects on health, a long time sleep disturbance leads to cardiovascular diseases. It may affect anyone and in any age group. Female attaining Menopause also gets Snoring due to hormonal changes.

Sleep Apnea

When there is a severe obstruction of the air way by the complete air entry stoppage leading to the breath gasping, it leads to a condition called Sleep Apnea. This can be acute attacks with instant air blockage during sleep where the patient gets up from sleep, takes breath and sleeps again. This attacks may be of 10 seconds with repeated frequency of about 30 bouts in a duration of 6 hours of sleep. This Obstructive sleep apnea is a complete sleep disturbance. The patient repeatedly wakes and sleep leading to poor and restless sleep.

The long term effects of Sleep Apnea leads to many accidents like car accidents while driving or industry accidents due to the disturbed sleep and sleeplessness in the previous night. This also leads to the altered and poor performance in the next day work. Other effects also include Heart related diseases like Hypertension, stroke and cardiac arrest.

The sleeplessness disorder may be due to the obesity and other diseases like Adenoids, Nasal polyp, Tonsillitis, large flabby tongue, loose pharyngeal walls and Deviated nasal septum. These diseases are manageable and treatable depending on the cause.

Treatment for Sleep Apnea & Snoring

The sleep apnea treatment depends on managing the cause of the disorder. In severe cases of Obesity, weight reduction can be helpful. Continuous positive air way pressure (CPAP) is administered to the patient, a device where the patient is connected to the ventilator where there is continuous flow of air making him get sound sleep. Though this is most effective it is not well accepted by the patient due to the discomfort.

The treatment of Snoring depends on the cause involved. Surgical methods are followed in cases of any anatomical obstructions like Adenoids, or polyps or Deviated Nasal septum. In some cases with loose pharyngeal walls, tissue tightening or wall stiffening methods are followed. There are even devices like Fitness Trackers which are helpful to record snoring time and proper sleep.

For more information, mail us: info@vikramenthospital.com / call: +91-422-2550633

Ear Infection – Overview, Symptoms & Treatments

Ear infection occurs in the middle ear & the portion behind the eardrum due to viral or bacterial infection. Ear infection can either be chronic or acute. Acute ear pain stays for a short duration but very painful. Whereas, chronic ear infection recur often which can affect & damage the middle & inner ear.

If you are facing severe pains inside your ears, then the cause of the pain need to be detected first and to avail the accurate treatment. Fluid build-up and inflammations inside the Eustachian tube are the two instant consequences of painful ear infections.

If you are experiencing the pain on and often then be serious & take necessary precautions to reduce the severity of the issue. There are advanced treatments available today to overcome hearing difficulties & any kind of hearing disorders. It is recommended to have regular medical check-ups to keep your ears healthy & clean.

Causes of ear infection

• Allergies
• Sinus infections
• Colds
• Tobacco smoking
• Excessive mucus accumulation
• Swollen or infected adenoids

Common signs of ear infection

• Severe pain is one of the most prominent ear infection symptoms. You should never neglect this symptom at all rather you are requested to visit the nearest ENT specialist immediately. Though pulling or tugging ears can cater you temporary relief but if you want to eliminate the root cause, then doctor consultation is a must.
• Sometimes, fever might occur due to chronic ear-pains.
• Bloody or yellowish thick fluid discharge can be another commonest symptom of ear infection. This mostly indicates burst or hole within eardrums.
• Grumpy behaviour, vomiting and appetite loss.
• Trouble sleeping.
• Dizziness and balance disorder.
• Trouble hearing or extreme sensitiveness towards loud noises.
• Pressure or fullness feeling within eardrums. Popping or ringing of ears can also be experienced. Ear-rubbing can help in releasing pressure to some extent.
• Hear-loss causes in extreme cases.
• Severe headache from time to time.

Children are more prominent to get ear infection than adults as their Eustachian tube is short & narrow. When you notice the symptoms in your children then do consult a Paediatric ENT. The incident rate is much higher in infants. Climatic changes, altitude changes are the risk factor leading to ear infection.

Best treatments for ear infection

• Ear infection medication is one of the best treatments and you will get instant relief by choosing the same. In most of the cases, antibiotics are being prescribed by ENT specialists so that quick recovery can be ensured. Some medicines that can be safely used in this regard are ibuprofen and acetaminophen. Children having ear pains are often recommended Aspirin & ear drops for immediate pain relief.

• Warm-compress is an easiest means that can cater immediate results. It can be practiced at home by using moist and warm washcloth. The washcloth needs to be placed over your ears for minimizing the painful sensations. You are free to repeat this procedure for three to four times in a day whenever you are facing a chronic ear pain due to infections.

For more information, mail us: info@vikramenthospital.com  /  call: +91-422-2550633

Cochlear Implants - Are You a Candidate?

Cochlear implant surgery is a surgery done by placing an electronic device to replace the function of the inner ear. Unlike the hearing aids these implants do not amplify sound, instead they send sound in the form of electrical signals (by bypassing damaged parts of the ear) through the auditory nerve to the brain.

The surgery is safe and therefore you can rely on the same for improving your hearing ability. This surgery for hearing loss is suitable for both seniors and kids who have got auditory issues.

Who Can Benefit From Cochlear Implants?

• The Cochlear implant procedure is suitable for -
• Patients who suffer from moderate to acute hearing loss in both the ears
• People who are born deaf
• Those who are not benefited from other hearing aids

However, the candidacy for this procedure can also be confirmed by an ENT specialist after a thorough examination.

The Procedure

• A cochlear implant surgery is carried out under general anaesthesia which ease the severity of the pain experienced.
• A small incision will be made behind the ear and a hole will be made on the bone through which the implant will be inserted
• Next step will be to insert the electrode into the cochlea (inner ear)
• A component called the receiver will be inserted into a pocket made behind the ear. This ensures that the device is held in place and is close to the skin to transfer the electrical signals.

Recovery

The entire process lasts between three to four hours. This is not a major surgery but the patient may have to stay overnight for observation. There would be a few stitches and bandages behind the ear and the patient will have to return after a week for a follow-up.

When can the patient start to hear?

The patient will not be able to hear soon after the operation. You can hear only after you receive the external parts. There would be a waiting period for 3 to 6 weeks to ensure that the wound has healed completely and once the swelling goes away your doctor will do the fitting and programming. The patient will then work side by side with audiologists and speech therapists to improve communication.

Precautions

There are no severe restrictions for people living with implants; however, they should avoid contact sports since it can cause damage to the implant. And since the implant parts are made of metal you will not be able to get an MRI scan.

Benefits of cochlear implants

• Hearing-loss is a severe issue and hearing-aids don’t work for everyone. This is the reason ear implants for hearing loss have been gaining massive popularity.
• Bilateral hearing can be highly facilitated by cochlear implants. Sounds from two-ears are being merged effectively and so that you can hear sounds clearly. More dimensional and richer sounds will be delivered to your ears with the usage of these implants.

Factors affecting cochlear implants

• Cochlear implant procedure is dependent on hearing-loss severity.
• Cochlear condition.
• Medical conditions.
• Practising intensity of these implants.
• Hearing-loss tenure.
• Best features of cochlear-implant devices
• Cochlear-implant devices can be mechanically operated and they are medically approved devices preventing hear-loss.
• Damaged inner-ear functionality can be completely replaced by these devices for improving hearing capacity.
• These devices have got better compatibility with MP3players, mobile phones and other related audio devices.
• Innumerable wearing options can be availed out of which the best one can be chosen that can fulfil your lifestyle needs.
• Remote controls can be used for making flexible usage of these devices.
• These devices are battery-operated and the batteries can be recharged from time to time. Moreover, only eco-friendly batteries are being used in these devices.
  
  
  For more information, mail us: info@vikramenthospital.com  /  call: +91-422-2550633