Diagnosis and Management of Ear and Hearing Disorders

 

Condition

Procedure

Duration

Location

Local / General
Anaesthesia

Degree of Discomfort/ Pain

Outer
Ear Infection
Microscope
Ear
Suction
1 to
10 mins
Clinic None None
to mild
Middle
Ear Fluid – Adults (Otitis Media)
Myringotomy/
+/- tube insertion
5 mins Clinic Local Minimal
(only when giving LA)
Middle Ear
Fluid – Children
Myringotomy/
+/- tube insertion
5 mins Day Surgery General Minimal (only
when giving LA)
Pinna Cysts/ Keloids Excision 15 to 20
mins
Clinic Local Minimal
Chronic Eardrum Perforations Myringoplasty (Eardrum Patching) 45 to 60 mins Day Surgery General None to Minimal
Cholesteatoma Mastoidectomy 120 to 150 mins Day Surgery General Mild to Moderate
Otosclerosis Stapedotomy 45 to 60 mins Day Surgery General None to Minimal
Congenital Deafness Cochlear Implant Surgery 150 to 180 mins Hospital (1 night stay) General Minimal
Conductive Hearing Loss Bone Anchored Hearing Aid (BAHA) 45 to 60 mins Day Surgery Local or General Minimal
Acoustic Neuroma Excision 6 to 8 hours Hospital (5 to 7 days) General Moderate
Facial Nerve Injury Facial nerve decompression 4 to 6 hours Hospital (1 day stay) General Minimal to Moderate
Meniere’s Disease Installation of┬ávestibulotoxic medication 15 mins Clinic Local Minimal (only
when giving LA)
Benign Paroxysmal Positional Vertigo (BPPV) Particle Repositioning Maneuver 3 mins Clinic None None
Intractable Dizziness Labyrinthectomy 45 to 60 mins Hospital (2 to 3 days) General Moderate (from dizziness after surgery)
Dr Gerard Chee

MBBS (S'pore), FRCS (Edin), FRCS (Glasg) Fellow, Otology / Neurotology (Can)

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