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 to Moderate
(only when giving LA)
Middle Ear
Fluid – Children
Myringotomy/
+/- tube insertion
5 mins *Day Surgery General Not Applicable
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 180 to 210 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
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

* – Depending on patients’ physical condition

Dr Gerard Chee

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

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