Ossiculoplasty in India

Total cost estimate for Ossiculoplasty

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Total Cost US $1,822
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Treatment/Surgery Cost
$1,500
111,537 INR

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Travel and Visa Cost
$0
0 INR

Travel and visa includes return airfare
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Duration of Stay in India

  • 2 Days
    in Hospital
  • 4 Days
    Outside
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Hotel, Food and Conveyance
$156
11,600 INR

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Additional Expenses
10% Extra

* Medicines, Nurse
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Total Treatment Cost
$1,822
135,451 INR

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Procedure Details

Ossiculoplasty is the procedure to correct the movement of the ear ossicles present in the middle ear. Infections such as otitis media and head injuries can cause damage to the bones, making them less mobile. Hence, an Ossiculoplasty is required to re-structure the bones or replace the bones with man-made ones in order to restore their proper functioning and to improve hearing.  

The several signs / symptoms that appear which indicate the requirement of an Ossiculoplasty are - 

  • Loss of hearing 
  • Ringing in the ears
  • Difficulty sleeping
  • Excessive fluid from the ear
  • Ear pain

A physical examination of the ear by the doctor can detect irregularities in the ear. A pneumatic otoscope is a device which helps to diagnose ear infections and to check the functioning of the ear drum and other organs of the ear. Other tests such as tympanometry and reflectometry can also be conducted to assess the functioning of the ear. 

Ossicular Chain Reconstruction is the procedure to replace the damaged ossicles with implants. The most commonly affected bone is the incus due to which it loses contact with the stapes. The space between the incus and stapes can be bridged by the insertion of a small piece of bone or cartilage. In case the gap cannot be filled and is too large, the bone has to be removed and an implant is inserted at the proper location in contact with the other ossicles. This ensures continuity of the ossicular chain.  

The risks and complications involved in an Ossiculoplasty are – 

  • Infection around the site of stitches
  • No improvement in hearing
  • Weakness in the facial muscles
  • Dizziness and Imbalance
  • Bleeding from the ear
  • Damage to nerves passing the ear
  • Loss of hearing

The recovery time for an Ossiculoplasty ranges up till 3 weeks post-surgery. There may be slight discomfort, uneasiness and pain in the ear. Small amount of blood may also be seen from the ear, however, does not need to be worried about. The patient must change the cotton covering the ear pack in order to maintain hygiene. Petroleum jelly may also be used to keep the cotton dry. The patient must not engage in any strenuous activity for up till 2 weeks and must only perform routine chores. It is essential for the patient to drink plenty of fluids and eat small portions after the surgery.

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FAQ Section

1) What Is Ossiculoplasty?

Ossiculoplasty is done to repair or reconstruct the three bones in the middle ear between the inner ear and eardrum. These bones together are called the Ossicular Chain. Ossiculoplasty is the process that builds and repairs the movement of the tiny ear bones of hearing of the middle ear which may have weakened due to disease or infection such as otitis media or trauma of the head injury. The purpose of Ossiculoplasty is to improve the patient's ability to hear as normally as possible, and the operation involves either reshaping the bones already there so that they work better or using prosthetics.

2) How is ossiculoplasty performed?

Ossiculoplasty engages the use of prostheses or reshaping of the bones so as to make them work better. The incision is made either in the ear canal or behind the ear under the general anesthesia. The broken ear bones are then extracted and cleaned. These broken ear bones are then substituted with the artificial bones. It is also plausible to rebuild the damaged bone by the conduction method in order to avoid the usage of artificial bones.

 

3) What are the signs of ossicles?

The main symptom of ossicles is hearing loss. The loss is generally to the joint between the stapes and the incus that needs fixing. Infection can also lead to injury of the malleus bone and the deafness can also be caused by sclerosis in the bones.

 

4) Who is an ideal candidate for ossiculoplasty?

In order to prevent damage to the ear ossicles, it is essential to treat the middle ear infections as soon as possible. Anyone experiencing conductive hearing loss can opt for Ossiculoplasty. 

5) What are the risks associated with having an ossiculoplasty

As with any surgical procedure, there is a small chance of side-effects or complications in ossiculoplasty, such as:

  • Anaesthetic complications: soreness or bruising around the injection site, sore throat from the breathing tube, damage to teeth and nausea or/and muscular pains.
  • No change in your ability to hear or a worsening of the hearing in the ear.
  • Facial weakness, caused by damage to the nerve which makes the muscles of the face move, which may be temporary or, in rare cases, permanent.
  • Dizziness.
  • Infection of the wound site may occur.
  • Infection or bleeding may also occur from within the ear and this may cause pain and/or bloody odorous discharge from the ear pack within the ear.
  • Disturbances to your sense of taste which is caused by damage to a particular nerve, which runs through the ear space.
  • Allergic reaction to the ear dressings.

6) What sort of anaesthetic will the patient have?

The operation will be carried out under general anaesthetic, which means the patient will be asleep throughout the surgery. It is also possible for this operation to be carried out using a local anesthetic, but this is

quite unusual and is not routinely done in the hospital.

 

7) Precaution to take after the surgery?

The patient should not lock himself or herself in the bathroom or toilet or make themselves inaccessible to the person looking after them. The patient shouldn't operate any domestic appliances or machinery and shouldn't drink alcohol. He or she shouldn't be responsible for looking after small children and must avoid watching too much television, read too much or use a computer as these kinds of stuff can cause blurred vision.