Microscopic Ear Surgeries
Microscopic Ear Surgery
• Avoid getting water in the ear.
• Avoid blowing your nose.
• Avoid sneezing with your mouth closed.
The best doctor in this specialty in Cairo is Dr. Mohamed ElKady, a consultant in ENT surgeries and head and neck surgeries.
Advantages of Microscopic Surgery
Microscopic surgery represents a significant advancement over traditional surgical methods, which sometimes required large incisions and bone openings, in addition to the difficulty of treating certain cases due to the surgeon's inability to see adequately. Thus, microscopic surgery is more precise.
Microscopic surgery has helped individuals suffering from trauma, cancer, and congenital defects to restore the form and function of damaged tissues.
Steps of Microscopic Surgery
The steps of microscopic surgery include:
• Anesthesia, usually general anesthesia due to the precision and duration of the procedure.
• Making an incision, as the need for incisions depends on the medical condition and surgical procedure.
• Closing the incision, which must be done upon completion of the procedure.
• Obtaining results, which will appear over time.
Preparing for Microscopic Surgery
Dr. Mohamed ElKady, a consultant in ENT surgeries, may require some preparations before performing microscopic surgery, such as:
• Laboratory tests or medical evaluation.
• Taking certain medications.
• Quitting smoking.
• Avoiding specific medications.
Microscopic Surgery
Microscopic surgery (in English: Microsurgery) involves any procedure that uses a specialized surgical microscope to magnify the targeted area on the screen and precise tools to perform complex and small-scale operations.
Key Cases Requiring Microscopic Ear Surgery
You may need microscopic ear surgery to repair a perforated eardrum if the perforation is large or does not heal within a few weeks. The microscope is used in very delicate surgeries inside the middle and inner ear to restore or improve hearing.
For example, eardrum grafting, replacing middle ear bones with artificial ones, or extracting fluid behind the eardrum.
In all these cases, patients experience improved hearing, which positively impacts their quality of life.
The Importance of Microscopic Ear Surgery
The use of a microscope is crucial in treating ear diseases because the ear's components are very delicate. The microscope provides a magnified and clear image to Dr. Mohamed ElKady, the best ENT doctor, with binocular vision, offering better depth perception and freeing both hands during the procedure.
What Cases Require Microscopic Ear Surgery?
The microscope is used in ear surgeries, such as:
• Eardrum grafting surgery: a surgical procedure to repair the eardrum. The eardrum is a thin layer of tissue that vibrates in response to sound and is essential for amplifying external sounds.
Dr. Mohamed ElKady, a consultant in ENT surgeries, performs eardrum grafting when the eardrum (or tympanic membrane) has a perforation that does not close on its own. This is done to improve hearing and prevent water from entering the middle ear.
Many people have eardrum perforations across different age groups, and the perforation may occur in one or both ears.
Causes of Eardrum Perforation
Chronic middle ear infections or direct injuries to the eardrum can cause perforations. Hearing loss varies depending on the size and location of the perforation.
This surgery is often required due to direct trauma or chronic middle ear infections, leading to pus, recurrent infections, and hearing impairment.
Tympanoplasty (Eardrum Repair) Procedure:
The tympanoplasty procedure is performed by making an incision behind the ear to access the middle ear.
This approach is used to place the graft in the middle ear, and the surgery is usually performed under general anesthesia.
The role of Dr. Mohamed ElKady, Consultant ENT Surgeon, is to conduct some tests to ensure there are no issues with the Eustachian tube, which is responsible for ventilation. This is a very delicate procedure that requires high skill.
After a successful surgery, the patient experiences significant improvement, especially in restoring hearing, relieving pain, and stopping inflammation.
Ear Bone (Ossicular) Decay Surgery:
Ear bone decay is a colloquial term referring to chronic inflammation in the ear bones, leading to their erosion, where the hard bone material turns into soft, necrotic tissue.
The danger of this medical problem lies in the location of the ossicles near facial nerves and the potential risk to the brain. The definitive solution is microscopic surgery to remove these bones and prevent further decay to protect the brain and facial nerves.
The procedure involves suctioning the glue-like fluid from behind the eardrum and inserting a ventilation tube into the middle ear.
These cases are more common in children due to adenoids blocking the openings of the Eustachian tube (the middle ear ventilation canal).
Surgical intervention is necessary after failed medical treatment to prevent the glue-like fluids behind the eardrum from turning into permanent middle ear adhesions, which become difficult to treat.