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Ossiculoplasty Surgery - Restoring Your Hearing

  Ossicular Reconstruction (Ossiculoplasty) Patient Information Leaflet 1. Why am I being offered ossicular reconstruction? You have hearing loss caused by damage or disruption to the ossicles — the three tiny bones in the middle ear ( malleus, incus, and stapes ) that transmit sound from the eardrum to the inner ear. This damage may be due to: Chronic ear infections Cholesteatoma Previous ear surgery Long-standing eardrum perforation Trauma or erosion of the hearing bones Ossicular reconstruction (ossiculoplasty) is a surgical procedure designed to improve hearing by rebuilding this sound-conduction mechanism. 2. What is ossicular reconstruction? Ossiculoplasty involves repairing or replacing one or more of the hearing bones using either: Your own tissue (e.g. reshaped ossicles or cartilage), or A biocompatible prosthesis (most commonly titanium) The operation is usually performed alongside: Eardrum repair (tympanoplasty), and/or Mastoid surgery (especially if cholesteatoma i...

Is your child having adenoid surgery?


 When is adenoid surgery required?

Adenoids are part of the immune system like our tonsils. If your child has an enlarged adenoid, he/she can have the following symptoms.

  • Enlarged adenoids can lead to a blocked nose. This can lead to thick secretions in the nose and bad breath. A child with a blocked nose may be mouth-breathing most of the time and can lead to prominent upper teeth.
  • Enlarged adenoids can affect a child's sleep quality, leading to sleep apnoea and snoring. They may breathe like "Darth Vader".
  • Enlarged adenoids can block the Eustachian Tube. The Eustachian Tube is responsible for maintaining air pressure in the middle ear. Enlarged adenoids can contribute to a glue ear and frequent ear infections.



How is adenoid surgery done?


Adenoid surgery is done as a day-case procedure under general anaesthesia. The procedure itself takes 20-30 minutes. ENT doctors can perform adenoid surgery through the mouth or the nose with the help of an endoscope. The child should be able to go home the same day with regular painkiller medications.



What are the side effects of having your adenoids removed?


In general, adenoid surgery is a safe procedure. Adenoid surgery is commonly performed on children between the ages of 1 -8 years old. The primary complications of adenoid surgery are bleeding, infection, recurrence and anaesthetic risk. Some children complain of nasal congestion for a few days to weeks. In some cases, the child may complain of earache as the throat and ear have the same nerve supply. This earache can be managed well with painkillers.



Can adenoid removal affect speech?


Having adenoid surgery tends to improve airflow through the nose. After adenoid surgery, the child will move towards more natural speech.


What if I decide for my child not to have adenoid surgery?


The great news is adenoids shrink relatively with age. In most cases, symptoms can be managed using a saline nasal spray, with or without nasal steroid drops. Other factors which can help your child's symptoms are hydration and humidification of room air.


When should I contact the hospital after my child's adenoid surgery?


You should contact your doctor or emergency contact number if you notice that the child is spitting fresh blood, complains about neck stiffness, or has a temperature that is not getting better with Paracetamol, or if the child is not passing enough urine.



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Consultant Ear Nose Throat Surgeon

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Disclaimer: 
For general information only, always seek medical advice from your treating consultant



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