Skip to main content

Featured post

Is a Cholesteatoma Life-Threatening?

 A cholesteatoma can be dangerous to your health if left untreated. This abnormal skin growth behind the eardrum can lead to serious complications by damaging crucial structures in the ear. Here’s what you need to know:   Potential Complications:   Facial Nerve Damage: This can lead to facial palsy. Hearing Bones Damage: This may cause deafness and tinnitus. Balance System Damage: This can result in dizziness or total loss of balance and hearing in that ear (known as a dead ear). Brain Risks: The bony barrier between the ear and brain can wear away, increasing the risk of severe infections. Infection Risks: Mastoiditis: Infection spreading into the mastoid bone. Brain Abscess or Meningitis: Infections spreading into the brain. Blood Vessel Blockage: Infection in the mastoid bone can block the main blood vessel, draining blood from the brain. Treatment:   Surgical Removal: Nearly always recommended to prevent these dangerous complications. If you suspect you

Superior Canal Dehiscence Syndrome (SCDS)


🔍 Unlocking the Mystery of Superior Canal Dehiscence Syndrome (SCDS) 🌀✨

It's a rare condition that affects the inner ear, and here's the lowdown:

 Cause: SCDS occurs when one of the bony canals in the inner ear, particularly the uppermost semicircular canal, doesn't close or thicken properly during fetal development.

 

Symptoms:

 Hearing Loss: It's a common symptom of SCDS.

Sound Distortion: Ever feel like sounds aren't quite right? That could be SCDS at play.

Balance Problems: SCDS can throw your balance off, making you feel unsteady.

Autophony: Imagine hearing your own heartbeat or breathing louder than usual. That's autophony.

World Tumbling Sensation: Loud noises or pressure changes might make you feel like the world is spinning.

Diagnosis and Treatment:

 CT Scans: A specialist might use these to spot SCDS, but other tests are crucial too.

Hearing Tests: Essential for accurate diagnosis.

Treatment: Surgery may be necessary for severe symptoms.

Remember, SCDS varies in severity, so don't hesitate to seek help from a specialist if you suspect you're experiencing symptoms. Your ears deserve the best care! 🦻💫 

#SCDSAwareness #InnerEarHealth #HearingMatters


How is Superior Canal Dehiscence Syndrome (SCDS) treated?

Superior Canal Dehiscence Syndrome (SCDS) can be managed through various approaches. Here are some common treatment options:

 Conservative Measures:

Lifestyle Modifications: Avoid activities that trigger symptoms, such as loud noises or sudden changes in pressure (e.g., flying or scuba diving).

Weighted Vest: Wearing a weighted vest can help stabilize balance and reduce symptoms.

Surgical Interventions:

Middle Fossa Craniotomy: This surgical procedure involves accessing the affected semicircular canal through the skull. The surgeon repairs the dehiscence (abnormal opening) using bone grafts or other materials.

Transmastoid Approach: Another surgical option, where the surgeon accesses the canal through the mastoid bone behind the ear. The dehiscence is sealed or covered.

Round Window Reinforcement: In some cases, the surgeon reinforces the round window (a membrane in the inner ear) to reduce sound transmission.

Plugging or Capping: The surgeon may plug or cap the affected canal to prevent abnormal fluid movement.

Post-Operative Care:

After surgery, patients need to follow specific guidelines for recovery.

Avoid Heavy Lifting: To prevent pressure changes in the inner ear.

Gradual Return to Normal Activities: Resume activities gradually as advised by the surgeon.

Individualized Approach:

Treatment decisions depend on the severity of symptoms, patient preferences, and overall health.

Consultation with an otologist or neurotologist is crucial for personalized management.

Remember that each case of SCDS is unique, and treatment plans should be tailored to the individual. If you suspect SCDS, seek professional evaluation to determine the most appropriate course of action. 🦻🌟

 

What are the success rates of Superior Canal Dehiscence Syndrome (SCDS) surgery?

 

The success rates of SCDS surgery can vary based on individual factors, the specific surgical technique used, and the severity of the condition. 

However, I can provide some general insights:

 Middle Fossa Craniotomy: This surgical approach has a high success rate in terms of symptom improvement. It involves accessing the affected semicircular canal through the skull and repairing the dehiscence (abnormal opening). Patients often experience relief from symptoms such as autophony (hearing one’s self) and balance issues.

Transmastoid Approach: This method also has a favourable success rate. The surgeon accesses the canal through the mastoid bone behind the ear and seals or covers the dehiscence. Patients typically see improvements in symptoms.

Round Window Reinforcement: While less common, reinforcing the round window can be effective in reducing sound transmission and improving symptoms.

Patient-Specific Factors:

The overall health of the patient.

The presence of any other ear-related conditions.

The extent of dehiscence and associated symptoms.

Post-Operative Care and Follow-Up: Adherence to post-surgery instructions and regular follow-up visits are crucial for successful outcomes.

Risk of Complications: Like any surgery, there are risks, including infection, hearing changes, and eardrum perforation. However, these complications are relatively rare.

Remember that discussing your specific case with an otologist or neurotologist is essential. They can provide personalized information based on your condition and guide you through the decision-making process. 🦻🌟


Can I expect a complete resolution of Superior Canal Dehiscence Syndrome (SCDS) symptoms?

Complete resolution of symptoms in cases of Superior Canal Dehiscence Syndrome (SCDS) can vary from person to person. While some individuals experience significant improvement or complete relief, others may continue to have mild symptoms even after treatment. Here are some factors to consider:

 

Severity: The severity of SCDS plays a crucial role. Mild cases may respond well to treatment, while severe cases may still have residual symptoms.

Treatment Approach: The success of surgical interventions (such as middle fossa craniotomy or transmastoid approach) depends on the specific technique used, the surgeon’s expertise, and individual factors.

Individual Variation: Each person’s body responds differently. Some patients achieve complete resolution, while others may have lingering symptoms.

Management Strategies: Even if complete resolution isn’t achieved, effective management strategies can significantly improve quality of life. Lifestyle modifications, avoiding triggers, and using assistive devices (like weighted vests) can help.

Long-Term Outlook: Regular follow-up visits with an otologist or neurotologist are essential. They can monitor progress, adjust treatment, and provide ongoing support.

Remember that personalized care and communication with your healthcare provider are crucial. They can guide you based on your unique situation and help manage symptoms effectively. 🦻🌟

 

Can I participate in physical activities after Superior Canal Dehiscence Syndrome (SCDS) treatment?

Certainly! After Superior Canal Dehiscence Syndrome (SCDS) treatment, engaging in physical activities is possible, but it’s essential to follow some guidelines:

 Gradual Resumption: Start by gradually resuming physical activities. Listen to your body and avoid overexertion.

Low-Impact Exercises: Opt for low-impact exercises initially. Walking, swimming (once cleared by your doctor), and gentle yoga are good choices.

Avoid Triggers: Be cautious with activities that may trigger symptoms. Loud noises, sudden movements, or changes in pressure can impact SCDS.

Weighted Vest: If recommended by your healthcare provider, continue using a weighted vest during physical activities. It helps stabilize balance.

Consult Your Doctor: Always consult your doctor before participating in any vigorous or high-impact sports. They can provide personalized advice based on your progress.

Remember that individual responses vary, so follow your doctor’s recommendations and prioritize your well-being. 🦻🌟

 

 

Are there any specific sports to avoid after Superior Canal Dehiscence Syndrome (SCDS) treatment?
 

Certainly! After Superior Canal Dehiscence Syndrome (SCDS treatment, it’s essential to be mindful of sports and activities that may impact your condition. While individual responses vary, here are some general guidelines:

 

High-Impact Sports: Consider avoiding high-impact sports that involve rapid movements, jumping, or intense physical exertion. Examples include:

Contact Sports: Football, rugby, boxing, etc.

Gymnastics: Tumbling, vaulting, or routines with rapid spins.

Basketball: Frequent jumping and sudden stops.

Activities with Pressure Changes:

Scuba Diving: The pressure changes underwater can affect the inner ear. Consult your doctor before diving.

Flying: Changes in cabin pressure during air travel may impact SCDS symptoms.

Loud Environments:

Concerts: Exposure to loud music or noise can exacerbate symptoms.

Shooting Ranges: Avoid prolonged exposure to gunfire noise.

Balance-Intensive Activities:

Rock Climbing: Requires balance and body positioning.

Horseback Riding: Involves motion and balance challenges.

Listen to Your Body:

If an activity causes discomfort, dizziness, or worsens symptoms, modify or avoid it.

Gradually reintroduce activities and monitor your response.

Remember to consult your healthcare provider for personalized advice. They can guide you based on your specific case and help you make informed decisions about sports and physical activities. 🦻🌟


Mr Gaurav Kumar

Ear Nose Throat Consultant


Call For Appointment
07494914140



Follow on Instagram











Popular Post

Retracted Ear Drum

  What Is a Retracted Eardrum? A retracted eardrum, also known as tympanic membrane retraction, is a condition where the eardrum (tympanic membrane) is pulled inward or drawn backwards from its normal position. The eardrum is a thin, delicate membrane that separates the outer ear from the middle ear. It plays a crucial role in transmitting sound vibrations from the outer ear to the middle ear, where the auditory ossicles (small bones) are located.   Under normal circumstances, the eardrum is slightly concave and positioned at an angle that allows it to respond to changes in air pressure. The Eustachian tube, a tube connecting the middle ear to the back of the throat, helps equalize pressure between the middle ear and the outside environment.   However, in cases of a retracted eardrum, the Eustachian tube might not function correctly or become blocked, leading to an imbalance in pressure. When negative pressure builds up in the middle ear, it causes the eardrum to retract inwa
Read more

Boil in the Ear canal can be very painful...

How do I know I have boil in the ear canal? The ear canal is lined by skin up to the eardrum. Skin in the outer third of the ear canal has hair follicles. Hair follicles can get infected with bacteria and can form boil or furunculosis. It is challenging to look in our own ear canal. You can only feel a bump in the ear canal entrance which is tender to touch. Why is so painful when we have boil in the ear? Ear canal skin is very tightly attached to underlying cartilage. So any swelling in the skin stretches it and makes it very sore to touch. How do we get boil in the ear canal?  Most common causes of boil in the canal is dryness of the skin and trauma. Dry skin leads to cracks and these cracks can get infected. People who use dry earbuds, fingers, towel edges or pens and traumatise ear canal skin, which can get infected with bacteria. How do I release the temptation of using earbuds? Some people can get very dry skin due to sensitivity to soup, shampoo or dy
Read more

"Naseptin: Powerful Defence Against Nasal Bacteria!"

  Everything You Need to Know About Using Naseptin Nasal Cream   If you've been dealing with nasal issues, you may have come across Naseptin nasal cream as a potential solution. Whether you suffer from recurrent nasal infections (vestibulitis), nose bleeds or simply need some relief from nasal dryness, Naseptin can be a valuable aid. In this blog, we'll cover everything you need to know about using Naseptin nasal cream to ensure you get the best results from this trusted product.   Unlocking the Power of Naseptin Nasal Cream: A Guide to Its Versatile Uses   Naseptin nasal cream, a powerful ally in nasal health, holds the key to treating infections caused by staphylococcal bacteria. This versatile cream offers much more than meets the eye, and we're here to shed light on its incredible benefits! 🌟 👃 Kicking Nose Infections to the Curb: Say goodbye to those troublesome nose infections! Naseptin comes to the rescue, targeting staphylococcal bacteria and effect
Read more

Clinical Trials on Tonsillitis

  Tonsillitis, characterized by inflammation of the tonsils, has been a subject of medical interest for decades. After a long hiatus without significant trials, the field has seen renewed attention with several pivotal studies. These trials aim to refine surgical treatments and improve patient outcomes, marking a significant step forward in managing recurrent and chronic tonsillitis.   Key Research Questions Tonsillotomy vs. Tonsillectomy: Is tonsillotomy as effective as tonsillectomy in reducing sore throat days over 24 months? Surgical Techniques for Tonsillectomy: How does the recovery time compare among extracapsular monopolar tonsillectomy, intracapsular microdebrider tonsillectomy, and intracapsular coblation tonsillectomy? Watchful Waiting vs. Surgical Intervention: What is the impact of tonsillectomy, tonsillotomy, and watchful waiting on the quality of life for adults with recurrent or chronic tonsillitis over six months?     The NATTINA Trial The NATTINA tri
Read more

Tonsil Stones or Tonsilloliths

Where do Tonsil Stones come from? Tonsil stones or tonsillolith are formed in the tiny crevices on the tonsil surface. Tonsils are present at the back of the throat. Two large tonsils on each side can catch food particles when we eat. This food debris can accumulate bacteria and give a bad smell. This mixture of bacteria and food debris can become solid to form tonsil stones. Can Tonsil Stones go away on their own? Tonsil stones form due to food particle and bacteria. You can prevent stone formation by regularly rinsing mouth after every meal, good oral hygiene and dental care. Gargling with salt water and gentle use of bud to deliver the stones can help in some cases. Soft water floss can help keep tonsil surface clean. If you have, post nasal drip due to sinusitis, seeking treatment advice from ENT surgeon can help. You should not use sharp objects to clean tonsil stones or make tonsil surface bleed. What symptoms do tonsil stones cause? Tonsil ston
Read more

Eustachian Tube Dysfunction

Are you unable to pop your ears or feeling pressure in your ears? Eustachian tube dysfunction is a very common problem after flu or cold or even after long haul flight when you feel hearing is muffled, feel pressure around the ears and sometimes you feel as if you are underwater. Good news is most of the time it is temporary.  If you try decongestants, antihistamine ( hay fever tablets ) and Valsalva (ie try and pop your ears) things should improve after a few days to a week. Why do we have symptoms of Eustachian tube dysfunction? The eustachian tube is present at the back of our nose and connects the nose to the middle ear. It is there to maintain equal pressure on both sides of the eardrum. The eustachian tube also helps in clearing normal mucus from the middle ear.  Hence opening and closing of this ventilation tube are very important for hearing. Normally every time we yawn and chew this tube opens and closes without us noticing it. So, if this opening of ventilation tube
Read more

Vertigo and Dizziness..

Are labyrinthitis and vertigo the same? The ear has three main parts: the outer ear, the middle ear, with small bones of hearing, and the inner ear, consisting of the labyrinth. The labyrinth has two parts as well, hearing processing part and balance part. When you get an infection in the inner ear, it is often called labyrinthitis. Common symptoms for Labyrinthitis are hearing loss or vertigo, however, there are also other causes for vertigo as well. What is the most important thing to remember when you have labyrinthitis symptoms? In the first few hours of symptoms, it is difficult to know between stroke and labyrinthitis. If you have vertigo and notice one side of your face becoming droopy, your arms or leg become weak and speech becomes slurred, you should call for urgent help. What is the difference between labyrinthitis and vestibular neuritis? If you only have vertigo symptoms, then it is due to vestibular neuritis. Vestibular neuritis oc
Read more

Biodesign®: Revolutionizing Tissue Repair and Minimally Invasive Ear Surgery

  Introduction   Advancements in medical technology continue to revolutionize healthcare, and one such groundbreaking innovation is Biodesign®. This platform technology is responsible for a wide range of tissue-repair products that span multiple medical specialities. At the core of Biodesign is a natural extracellular matrix (ECM) derived from porcine small intestinal submucosa (SIS), unleashing the potential for transformative treatments in the field of ear surgery and beyond.   The ECM: A Guiding Latticework of Cellular Growth   The extracellular matrix is a remarkable latticework of proteins and structural molecules present in our tissues. In the context of Biodesign, this ECM plays a pivotal role in guiding cellular growth and facilitating tissue repair. Cook's proprietary processing methodology is the key to harnessing the power of the ECM while preserving its natural matrix molecules like collagen, proteoglycans, and glycosaminoglycans.   The Birth of a Scaffold for Regenerat
Read more

Pharyngeal Pouch

  What is a pharyngeal pouch? When we eat food, it passes through the mouth, into the pharynx (the space behind our oral cavity) and then into the oesophagus (food pipe). In some patients, the lower part of the pharynx can bulge or form a pocket that can collect food and become large enough to compress on the food pipe. This 'hernia' is commonly known as the   pharyngeal pouch   or   Zenker's diverticulum. Is a pharyngeal pouch serious? A pharyngeal pouch is an uncommon condition presenting predominantly in males than females, usually showing after the age of seventy or later. If the pharyngeal pouch is left untreated, it can become more prominent, and the regurgitation of food into the windpipe can lead to chest infections. In sporadic cases, cancer can form in the pouch.  What are the symptoms of a pharyngeal pouch? Symptoms of pharyngeal pouch depend on the size. A small pharyngeal pouch mainly presents as a feeling of something stuck in the throat or choking on food, an
Read more