Diabetes deafness prevention screening


There are many reasons for hearing loss. Hearing loss in elderly known as presbycusis seems to run in families. Hearing loss by age is brought about by the natural process of the body aging.

Diabetes mellitus is a common chronic illness, with associated micro vascular complications.

Diabetes was found to be the leading cause of renal failure, lower limb amputation, blindness and ear disease and hearing loss. Diabetes can cause accelerated aging of the auditory system. Most of chronic diabetic complications are asymptomatic at their initial stages, and treatment will become impossible once symptoms develop. One can slow down the progress to devastating end results by frequent screening for diabetic complications. Diabetic screening for micro vascular complications recommends yearly ophthalmologic screening for retinopathy, annual comprehensive foot examinations, and urinalysis for microalbuminuria, and hearing testing.

How to prevent hearing loss? Poor blood sugar control for prolonged period can damage the blood vessels and nerves in the ear resulting in permanent hearing loss. If you are diagnosed with diabetes, look for these symptoms like turning the volume up louder on your radio or TV, struggle to follow conversations between multiple people, ask people to repeat what they said, and struggle to hear in crowded places.

Diabetes related hearing loss disability is a high frequency sensorineural hearing loss. Hearing loss treatment can be successful with hearing aids. Controlling the blood sugar can also help prevent diabetes-related hearing loss. Smoking speeds hearing loss on its own, when combined with other hearing loss risk factors, like loud noise. Consider using noise canceling or reducing devices to protect your ears.

Myringoplasty - Perforated ear drum repair


Eardrum operation and/or the surgery to repair small bones of the middle ear are called Tympanoplasty. Myringoplasty is used for the treatment for perforated eardrum alone. The treatment of perforated tympanic membrane prevents recurrent infection. The surgery of ear is almost always done under general anesthesia. A cut is made behind the ear or above the ear opening. Occasionally, during eardrum repair, ear canal is widened to get to the perforation. The material used to patch the eardrum is taken from under the skin. This eardrum 'graft' is placed against the eardrum. Dressings are placed in the ear canal. The success rate of tympanic perforation treatment is not quite so good if the hole is large.

Tympanotomy & Ossiculoplasty – Conductive hearing loss


Tympanotomy is a comparatively simple ear surgery used for exploration of the middle ear. Myringotomy is used to relieve symptoms, to reestablish hearing, for fluid collection to investigate for organisms in the laboratory, or to insert ear tubes. Simplicity pertains only to the comfort of the patient. For the ear specialist, mastery in myringotomies requires considerable time practice in the laboratory and in the use of the microscope. The procedure is done under local anesthesia.

A surgical incision created at the base of the ear and tympanic membrane is called Myringotomy / Tympanotomy. The fluid in the ear canal is suctioned out, and a small tube is put in place to allow future drainage. The Myringotomy tube is of polyethylene or Teflon tube nature and is about 3/8 inch long and 1/16 inch diameter with a rim on one end. Sometimes a shorter tube with a flange on both sides may be used. Ear tubes inserted during Myringotomy are not usually removed after the surgery. The eardrum heals around the tympanostomy tube, securing them in place. The tubes usually fall out or are removed by an ear surgeon.

Myringotomy with the insertion of Tympanostomy tubes are used to treat conditions such as chronic middle-ear effusion, otitis media, and eustachian tube dysfunction. Myringotomy is the recommended treatment if the fluid collection lasts longer than three months and does not respond to drug treatment, a condition also called glue ear. Myringotomy with or without the insertion of tympanic tubes is not recommended for initial treatment of compromised children with middle ear inflammation with effusion. A bilateral Myringotomy is the usual ear tube surgery, which is done on both ears.

Ossiculoplasty:
Infection or chronic retraction of the tympanic membrane can damage middle ear A surgical procedure called Ossiculoplasty is intended to repair the damaged bones of ear (the ossicles) with carefully designed artificial bones made out of titanium. The aim of the surgery is to improve the hearing. The success of the surgery depends on the severity of the damage to the ear bones and the type of artificial bone of hearing
The procedure is usually performed down the ear canal under general anesthesia. At times an incision is made behind the ear and a cartilage is taken from inside the ear to support the eardrum after bone replacement.
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