Chronic suppurative otitis media Treatment in India
Chronic suppurative otitis media:
Chronic suppurative otitis media (CSOM) is a chronic inflammatory disease of the middle ear cleft that includes the tympanic membrane (eardrum), ossicles (middle ear bones responsible for hearing) and the mastoid bone (the aerated bone behind the ear). In simple terms, it can be categorized into two chief types: The mucosal variant involving only eardrum and the squamous variant involving the mastoid bone with or without cholesteatoma.
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Signs and symptoms of chronic otitis media:
Ear discharge, recurrent or persistent for more than 12 weeks. The discharge can be profuse or scanty, foul-smelling or odorless, thick or thin, blood-stained or greenish discolored.
Hearing loss in the affected ear. It can be mild/moderate or severe/profound.
Such symptoms can extend over months or years in affected ear/s.
Signs and symptoms of impending complications in chronic ear disease:
- Recent onset vertigo or imbalance.
- Severe/progressive earache or headache
- Nausea and vomiting
- Weakness or asymmetry of the face on the affected side.
- Pain or swelling behind the ear, particularly in children.
- Sudden progression of hearing loss/total deafness.
- Fever with headache and neck stiffness/irritability
- Altered consciousness/drowsiness
The above signs and symptoms warrant urgent referral to the ENT surgeon for further management.
Management of Chronic Ear Disease:
The management of chronic ear disease is nearly always surgical except in a very elderly or debilitated population who are poor surgical candidates.
Tympanoplasty:
Tympanoplasty essentially means repair and reconstruction of the perforated or diseased eardrum with or without reconstruction of middle ear hearing/ossicular mechanism. The procedure involves grafting the perforated eardrum using autologous graft tissue (cartilage/fascia).
Repair of diseased ossicles (ear bones) can be done in the same sitting using middle ear implants.
Mastoidectomy:
Mastoidectomy entails the removal of disease from the mastoid bone by drilling the diseased body cells of this bone behind the ear. Mastoidectomy can be of two essential types namely:
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Cortical mastoidectomy:
This removes diseased mastoid cells in bone to reduce infective load and is a limited procedure and maintains the normal ear anatomy.
Radical or modified radical mastoidectomy:
This is an extensive procedure needing removal and exteriorization of the entire middle ear and mastoid system thereby removing extensive disease and converting the entire region into a common cavity approached post-operatively through a widened external ear meatus. The scope, hospital stay and post-operative recovery is different for all these procedures.
Ossiculoplasty:
Reconstruction of middle ear ossicles/bones using titanium implants
Bone anchored hearing implants:
For patients with open cavities or radical mastoidectomies on both sides.
Active middle ear implants (Vibrant Soundbridge):
For patients with mixed hearing loss with both conductive and sensorineural hearing loss components and when patients are not comfortable wearing hearing aids.
Cochlear implants:
To correct severe to profound hearing loss not amenable to any other non-surgical or surgical modality.
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BLK-Max Hospital
Number of beds: 700
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā 175
Airport Distance: 13 Km
About Hospital:
- BLK Super Speciality Hospital was established by Dr. B.L. KapurĀ in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK Super Speciality Hospital was established by Dr. B.L. KapurĀ in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
Max Hospital Saket
Number of beds:Ā Ā 500
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā Ā 267
Airport Distance: 13 KM
About Hospital:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.
Indraprastha Apollo Hospital
No. of beds: 900
ICU Beds:Ā Ā Ā 262
Airport:Ā Ā Ā Ā 20kms
Brief About:
- Indraprastha Apollo Hospital is a flagship hospital of Indiaās foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
- The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
- A team of highly trained medical professionals work under all the 52 specialities at the hospital.
Artemis Hospital Gurgaon
Number of beds:Ā 600
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā 185
Airport Distance: 19 Km
Brief About:
- Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
- Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
- Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
Medanta The Medicity Hospital
Number of beds:Ā 1250
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā 300
Airport Distance: 18 KMs
Brief About:
- Medanta ā The Medicity is amongst Indiaās largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
- Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
- The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.
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- Providing a doctorās opinion and proper quotation
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Fortis Memorial Research Institute
Number of beds:Ā Ā Ā 1000
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā 298
Airport Distance:Ā Ā 17 KMs
Brief About:
- Fortis Memorial Research Institute was established in 2001.
- It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
- Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
Sanar International Hospital
Number of beds: Ā 130
ICU Beds: Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā 35
Airport Distance: Ā 20 Km
About Hospital:
- Sanar International Hospital was established in 2018.
- Sanar International Hospital founded by Mr. Naresh Kapoor.
- Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.
W Pratiksha Hospital
Number of beds: 110
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā Ā 31
Airport Distance: 19 KMs
About Hospital:
- Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
- W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
- The hospital has treated more than 25,000 people In 2018.
Accord Superspeciality Hospital
Number of beds: Ā 380+
ICU Beds: Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā 41
Airport Distance: Ā 46 Km
About Hospital:
- The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
- Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is Indiaās first smart hospital and one of the first of its kind in the world.
- Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.
Aakash Health Care Delhi
Number of beds:Ā 230
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā 70
Airport Distance: 10 Km
About Hospital:
- Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
- The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
- Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
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