Surgical hearing improvement by middle and external ear surgery Hearing improvements can be achieved surgically in several ways, e.g. by closing a perforation of the tympanic membrane, ossiculoplasty etc.
Implant surgery for severe hearing loss or deafness (incl. postoperative rehabilitation) Hearing impairment due to a sensorineural hearing loss should be overcome to improve communication and everyday life. In this way, bone-anchored hearing aids (BAHAs) and implantable hearing systems (Vibrant Soundbridge MedEL) are applied. Deafness in children and adults can be treated with good success by means of a cochlear implant. After cochlear implantation, a specialized rehab programme has to be performed to learn to listen and to speak. Our patients can do so at the CI Hearing Therapy Centre (CIH).
Removal of acoustic neuromas and skull base surgery - incl. neuromonitoring Benign tumours of the auditory nerve can be diagnosed by MRI scanning. Not all of these tumours have to be operated on which is dependent on their localization and growth pattern. The surgical removal of the tumours should be considered with regard to the complaints of the patient (e.g. vertigo attacks and a weakness of the facial nerve). The surgical approach depends on the localization of the tumour. The operation should be performed under neurophysiological, intraoperative monitoring of the cranial nerves VII, VIII to preserve them.
Surgical therapy in Meniere's disease and vertigo Vertigo ("dizziness") is the leading symptom of a disorder of the vestibular system. Some types of vertigo can be treated by medical/training therpay. Attack-like or continuous vertigo can be well treated by surgery. There are several surgical options available for patients with vertigo. They include saccotomy and vestibular neurectomy (for Meniere's disease), microvascular decompression for the neurovascular compression syndrome of the VIIIth nerve and posterior canal occlusion in reoccuring canalolithiasis.
Plastic/aesthetic and reconstructive surgery The facial skin and the head and neck region in general can be changed by inborn, acquired, posttraumatic deformities or by ageing. These changes can be frequently corrected by surgical measures. These surgical measures include the septorhinoplasty for the nose, the frontal sinus reconstruction, the otoplasty, eye lid correction and the face lift technique.
Micro-endoscopic surgery of the nose and the paranasal sinuses The nose and the paranasal sinuses are affected by frequent infections, a chronic rhinitis or so-called nasal polyps when the airflow is impaired. This can be based on a septal deviation,chronic sinusitis or a hyperplasia of the nasal turbinates. The reconstruction of the nasal airway and the removal of chronically inflamed tissue is achieved by laser-assisted micro-surgery within the nasal cavity to normalize the airflow again.
Surgery of diseases of the pharynx/larynx, incl. laser-assisted cancer therapy Benign and malignant (i.e. cancer) tumours of the head & Neck region begin with minor clinical symptoms, i.e. dysphagia, blood spitting, hoarsenes or a painless swelling of the neck. CT and MRI scanning provide a rational basis for therapy. Laser-assisted micro-endosurgery and - if required - larger tumour excisions eradicate the disease.