Ear & Hearing

Comprehensive diagnosis and treatment of ear conditions. From common infections to hearing loss, vertigo, and advanced ear surgeries — expert care by Dr. Surabhi Nikam Mirajkar.

Ear Conditions We Treat

Hearing Loss

Hearing loss can be conductive, sensorineural, or mixed. Early evaluation and audiometry testing is key to determining the right treatment path.

Common Symptoms

  • Difficulty hearing conversations
  • Asking others to repeat themselves
  • Muffled sounds
  • Ringing in the ears

Treatment Approach

Audiometry tests, hearing aids, medical management, or surgical options like myringoplasty depending on the cause.

Hearing Loss

Ear Infections (Otitis Media & Externa)

Ear infections are among the most common ENT presentations. Both middle ear (otitis media) and outer ear (swimmer's ear / otitis externa) are treated.

Common Symptoms

  • Ear pain
  • Discharge from ear
  • Reduced hearing
  • Fever (in children)
  • Fullness in ear

Treatment Approach

Antibiotic ear drops, oral antibiotics, myringotomy for fluid drainage, and pain management.

Ear Infections (Otitis Media & Externa)

Tinnitus (Ringing in Ears)

Tinnitus is the perception of sound (ringing, buzzing, hissing) without an external source. Can be caused by noise exposure, wax buildup, or hearing loss.

Common Symptoms

  • Ringing, buzzing or hissing sounds
  • Affects one or both ears
  • Worse in quiet environments
  • Associated hearing loss

Treatment Approach

Identifying and treating the underlying cause, sound therapy, tinnitus retraining therapy (TRT), and medical management.

Tinnitus (Ringing in Ears)

Vertigo & Balance Disorders

Vertigo presents as a sensation of spinning and is often caused by inner ear conditions like BPPV, labyrinthitis, or Meniere's disease.

Common Symptoms

  • Spinning sensation
  • Nausea and vomiting
  • Balance problems
  • Involuntary eye movements (nystagmus)

Treatment Approach

Epley maneuver for BPPV, vestibular rehabilitation therapy, medications, and in rare cases surgery.

Vertigo & Balance Disorders

Eardrum Perforation

A hole or tear in the eardrum (tympanic membrane) caused by infection, trauma, or pressure changes. Can affect hearing and increase risk of infections.

Common Symptoms

  • Sudden sharp ear pain
  • Hearing loss
  • Ear discharge
  • Ringing in the ear

Treatment Approach

Many heal on their own. Persistent perforations may require myringoplasty (surgical repair).

Eardrum Perforation

Earwax Impaction

Excess earwax buildup can cause hearing loss, pain, and tinnitus. Safe removal by an ENT is the recommended approach — avoid cotton buds.

Common Symptoms

  • Blocked sensation in ear
  • Reduced hearing
  • Earache
  • Dizziness

Treatment Approach

Ear syringing, microsuction, or manual removal under direct vision — safe and effective.

Earwax Impaction

In Depth

Sensorineural Hearing Loss

Sensorineural hearing loss (SNHL) occurs when the delicate hair cells in the inner ear or the auditory nerve pathways become damaged, preventing sound signals from properly reaching the brain. Unlike conductive hearing loss, SNHL is typically permanent and cannot be reversed through medication or surgery alone.

Understanding Presbyacusis

Presbyacusis, or age-related hearing loss, is the most common type of sensorineural hearing loss affecting adults. This gradual condition typically begins after age 60 and affects both ears equally, making it difficult to hear high-pitched sounds and understand conversations — especially in noisy environments. Presbyacusis develops due to natural changes in the inner ear structures, reduced blood flow, and cumulative lifetime noise exposure.

Hearing Solutions Available

Modern hearing solutions offer significant improvements in quality of life. Options are tailored to the degree and type of hearing loss.

  • Hearing aids — digital technology to amplify speech and reduce background noise
  • Cochlear implants — for severe to profound hearing loss, bypassing damaged hair cells
  • Tinnitus management — sound therapy and retraining for associated ringing
  • Comprehensive audiological evaluation to choose the right solution

Early Intervention Is Crucial

If you're experiencing difficulty hearing conversations, frequently asking people to repeat themselves, or turning up the television volume — schedule a comprehensive hearing evaluation. Our team can assess your hearing loss and recommend personalised solutions.

Book a Hearing Evaluation

Surgical Interventions

Ear Surgery Procedures

Advanced otologic procedures for hearing restoration and ear health. Each intervention is tailored to the patient's specific condition, age, and overall health status.

Most surgeries are day care procedures — go home the same day

Myringotomy & Tympanostomy Tube Insertion

Myringotomy is a surgical procedure involving a small incision in the eardrum to relieve pressure from excessive fluid buildup, typically resulting from chronic otitis media. Tympanostomy tubes (grommets) are often inserted to allow air circulation in the middle ear, particularly in children with recurrent ear infections.

Key Details

  • Performed under general anaesthesia
  • Procedure takes approximately 15 minutes
  • Tubes typically fall out naturally within 6–18 months
  • Commonly recommended for children with recurrent ear infections
Myringotomy & Tympanostomy Tube Insertion

Tympanoplasty

Tympanoplasty is performed to repair a perforated eardrum or address middle ear issues. The surgeon makes an incision in the ear canal, lifts the ear canal skin, and grafts tissue onto the perforation to create a seal that promotes healing and prevents recurrent infections.

Key Details

  • Effectively restores hearing after eardrum perforation
  • Prevents recurrent infections from entering the middle ear
  • Tissue graft sourced from the patient's own body
  • Day procedure or short hospital stay
Tympanoplasty

Mastoidectomy

Mastoidectomy involves the surgical removal of infected or diseased cells from the mastoid bone located behind the ear. This procedure prevents infection from spreading to the skull and is typically performed for chronic mastoid infections that do not respond to conservative treatment.

Key Details

  • Performed under general anaesthesia
  • Prevents spread of infection to surrounding structures
  • May be combined with tympanoplasty (combined approach)
  • Surgical extent tailored to the degree of disease
Mastoidectomy

Stapedectomy

Stapedectomy treats otosclerosis — a condition where abnormal bone growth prevents the stapes (a tiny bone in the middle ear) from transmitting sound to the inner ear. The procedure involves removing and replacing the stapes with a prosthetic device to restore sound transmission and improve hearing.

Key Details

  • Highly effective for conductive hearing loss due to otosclerosis
  • Prosthetic stapes restores normal sound conduction
  • Significant improvement in hearing outcomes
  • Performed under local or general anaesthesia
Stapedectomy

Most ear surgeries are outpatient procedures, allowing patients to return home the same day. Proper post-operative care is essential for optimal recovery.

Frequently Asked Questions

How do I know if I need to see an ENT for my ear problem?+
If you have persistent ear pain, sudden hearing loss, discharge from the ear, ringing in the ears that doesn't go away, or balance problems, you should consult an ENT specialist promptly.
Is it safe to use cotton buds to clean ears?+
No. Cotton buds push wax deeper and can cause impaction or injury to the eardrum. The ear is self-cleaning — if you feel blocked, consult an ENT for safe removal.
Can hearing loss be treated?+
It depends on the type and cause. Conductive hearing loss due to wax or infections is often treatable. Sensorineural loss may require hearing aids or cochlear implants. Early evaluation gives the best outcomes.
What is BPPV and how is it treated?+
BPPV (Benign Paroxysmal Positional Vertigo) is caused by small crystals dislodging in the inner ear. It is treated with the Epley maneuver — a series of head movements performed by your ENT.
What are tympanostomy tubes and when are they needed?+
Tympanostomy tubes (grommets) are tiny ventilation tubes inserted into the eardrum to allow air into the middle ear and drain fluid. They are recommended for children with recurrent ear infections or persistent fluid affecting hearing.
Can stapedectomy fully restore hearing?+
In most cases, stapedectomy significantly improves hearing in patients with otosclerosis. Many patients experience near-normal hearing after the procedure. Results vary depending on the severity and individual anatomy.

Have an Ear Concern?

Book a consultation with Dr. Surabhi for an expert evaluation.

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