Monday, January 28, 2013

Testimonial After Endoscopic Adenoidectomy + Myringotomy with grommet insertion

My 5 year old son had hearing problem since over 2 years.   We had visited at least 5 ENT doctors in well known hospitals,  got tons of tests done and not much help.  
Last doctor identified that it was because of Eustachian Tube Dysfunction but his treatment with nasal sprays gave only temporary relief and hearing problems reoccured within a month.  Hearing problem was severely affecting his learning abilities and speech.  
We were totally disappointed and felling helpless.  Thats when we found info about Dr. Kumaresh as the "Best ENT Specialist" in bangalore.  On the first visit we felt we have found the right doctor.  He listened to what we said and explained everything in detail.  
He was the first doctor who asked us repeatedly if we had any doubts till we said we are all clear.  
He suggested Myringotomy with grommet insertion and also prescribed for a x-ray to rule out Adenoid hypertrophy. He is the most tech savvy doctor we had met, he shared a lots of links/videos about my son's condition/surgery.  X-ray confirmed that he had Adenoid hypertrophy and that was the reason for his ETD.  He did the surgery and son was back to normal next day.  Since then son's hearing is completely normal and we think he will improve his speech very soon. 
We can never forget Dr. Kumaresh.  - Kxxxx Kxxx

Thursday, January 10, 2013

Avoid using "Ear Buds" for cleaning wax or for itching in the ears

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Understand that ear wax is a sticky stuff that traps anything foreign that flies, crawls, or is blown into the ear canals. Dirt, tiny bits of plant material, small insects, bacteria, and so forth are immobilized by wax. The primary purpose of ear wax is to protect your ear canal and ear drum from such foreign materials.
Having said this how do you clean your ears? For one do not put anything inside the ears, ear wax migrates out of the canal all by itself and does not need your help.
Secondly use either a baby oil to the ears of kids once every fortnight and for adults use either baby oil, clove oil or commercially available wax solvents and your ears should be clean.
Warning: People who have a history of middle ear infections or a hole in the ear drum should NOT try these remedies, nor should they allow a physician to irrigate their ears. Do not self-medicate with persistent symptoms; the problem may be unrelated to wax and may be more serious.
Many patients who present with wax problems are regular users of ear-buds. Ear-buds, safety-pins and hair-pins, when used carelessly can push wax into the deeper parts of the ear-canal where wax is not formed. In such a situation, there would be further impaction of the wax. Hearing loss occurs when wax completely blocks the ear canal. Even a small amount of wax, if wedged between the ear drum and the ear canal wall, reduces the ability of the ear drum to conduct sound. Also, the skin of the ear canal and the eardrum is very thin and fragile and is easily injured. Ear wax can cause pain, infection, deafness and cough.
If removal is needed the best way is removal under direct vision by a specialist.
Irrigation or "syringing" is a standard method of wax removal. While this is a conventional and accepted method of ear wax removal, it has many disadvantages compared to removal under direct vision.
I recommend against using ear buds as well as putting other things into your ear such as hair pins. This can be dangerous because you run the risk of perforating the ear drum, as well as jamming wax deeper inside. It does not matter whether you are using the local or the International brand, the result is the same. In fact using the local ones being sold on the road side will make you dearer by few more rupees because the bud is made from discarded patient used cotton from the Govt. hospitals.
Unfortunately, I still get lots of patients who continue using ear buds, I had a 3 year child whose parents had used ear buds and had made a hole in the ear drum!!!. I also had a patient who had ear bud track in his ear and brain fluid was coming out. Another disadvantage is prolonged ear bud use can narrow your ear canal. A photo of one patient whom I saw yesterday is included here.

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