Micro Laryngeal Surgery
Neck Block Dissections
Turbinates of Nose- Resection Tonsillectomy
Myringoplasty is the closure of the perforation of pars tensa of the tympanic membrane. When myringoplasty is combined with ossicular reconstruction, it is called tympanoplasty. The operation is performed with the patient supine and face turned to one side. The graft material most commonly used for the surgery is temporalis fascia. The tragal cartilage and tragal perichondrium are also used as the graft by some surgeons.
Myringoplasty restores hearing loss in certain cases of tinnitus. The chances of re-infection and persistent discharge is less after surgery. Myringoplasty should not be performed if there is active discharge from the middle ear, or if the patient has uncontrolled nasal allergy, or when the other ear is dead and in children less than 3 years of age. Myringoplasty is often done under general anesthesia, but it can be done under local anesthesia also.
Thyroplasty is a procedure in which an implant is placed in the larynx (voice box) alongside the vocal cord. This implant pushes the vocal cord closer to the middle. Both vocal cords need to touch in the middle to have a strong voice. The implant allows a paralyzed or weak vocal cord to reach the midline.
Thyroplasty is done in patients who have a vocal cord paralysis or severe weakness. This procedure is done after the surgeon is sure that the paralysis will not recover. Unlike a vocal injection, these results are permanent and no further procedures are needed until the weakened vocal cord thins over time. Should it be needed, however, the implant is removable and the procedure fully reversible.
Thyroplasty is performed through a neck incision. This small (1 inch) incision is used to approach the larynx (voice box). A small hole of cartilage is removed from the outer larynx to allow the implant to be placed. The implant is then placed to the side of the vocal cord while the vocal cords are visualized from inside, to ensure that the vocal cord is in a good final position. When the position is confirmed, the hole in the cartilage is closed and the incision is closed. The patient will often have hoarse voice for a week as the swelling subsides.
Superficial parotidectomy a procedure in the management of benign parotid tumors – outcome of various complications and tumor recurrence.
The parotid gland is artificially divided into a superficial and deep lobe by the facial nerve that runs in a set plane in the middle of the gland. A superficial parotidectomy requires removal of the parotid gland superficial to the plane of the facial nerve. This is the most common type of parotid surgery.
Micro Laryngeal Surgery
Micro laryngeal surgery, also known as microscopic voice surgery, is a minimally invasive procedure that is performed to fix any kind of voice disorders and breathing issues related to the larynx. The larynx is our voice box located in front of the neck, which allows us to speak, breathe and swallow. The surgery is required to fix any issues that affect these functionalities of the larynx.
People who are suffering from conditions such as benign tumors, lesions and granulomas in the larynx can benefit from this surgical procedure as it can remove the abnormal growth of cells. There are many noncancerous conditions as well that can be cured with this operation, which are severe injury to the neck, a noncancerous growth on the vocal folds causing irritation and trauma, vocal overuse, coughing, etc.
A tonsillectomy is a surgical procedure to remove the tonsils. Tonsils are two small glands located in the back of your throat. Tonsils house white blood cells to help you fight infection, but sometimes the tonsils themselves become infected.
Tonsillitis is an infection of the tonsils that can make your tonsils swell and give you a sore throat. Frequent episodes of tonsillitis might be a reason you need to have a tonsillectomy. Other symptoms of tonsillitis include fever, trouble swallowing, and swollen glands around your neck. Your doctor may notice that your throat is red and your tonsils are covered in a whitish or yellow coating. Sometimes, the swelling can go away on its own. In other cases, antibiotics or a tonsillectomy might be necessary.
A tonsillectomy can also be a treatment for breathing problems, like heavy snoring and sleep apnea.
Tympanoplasty, also called eardrum repair, refers to surgery performed to reconstruct a perforated tympanic membrane (eardrum) or the small bones of the middle ear. Eardrum perforation may result from chronic infection or, less commonly, from trauma to the eardrum.
The purpose of tympanoplasty is to repair the perforated eardrum, and sometimes the middle ear bones (ossicles) that consist of the incus, malleus, and stapes. Tympanic membrane grafting may be required. If needed, grafts are usually taken from a vein or fascia (muscle sheath) tissue on the lobe of the ear. Synthetic materials may be used if patients have had previous surgeries and have limited graft availability.
Septoplasty is a surgical procedure to correct the shape of the septum of the nose. The goal of this procedure is to correct defects or deformities of the septum. The nasal septum is the separation between the two nostrils. In adults, the septum is composed partly of cartilage and partly of bone. Septal deviations are either congenital (present from birth) or develop as a result of an injury. Most people with deviated septa do not develop symptoms. It is typically only the most severely deformed septa that produce significant symptoms and require surgical intervention. However, many septoplasties are performed during rhinoplasty procedures, which are most often performed for cosmetic purposes.
During surgery, the patient’s own cartilage that has been removed can be reused to provide support for the nose if needed. External septum supports are not usually needed. Splints may be needed occasionally to support cartilage when extensive cutting has been done. External splints can be used to support the cartilage for the first few days of healing. Tefla gauze is inserted in the nostril to support the flaps and cartilage and to absorb any bleeding or mucus.
Thyroidectomy is a surgical procedure in which all or part of the thyroid gland is removed. The thyroid gland is located in the forward (anterior) part of the neck just under the skin and in front of the Adam’s apple. The thyroid is one of the body’s endocrine glands, which means that it secretes its products inside the body, into the blood or lymph. The thyroid produces several hormones that have two primary functions: they increase the synthesis of proteins in most of the body’s tissues, and they raise the level of the body’s oxygen consumption.
Stapedectomy is a surgical procedure in which the innermost bone (stapes) of the three bones (the stapes, the incus, and the malleus) of the middle ear is removed, and replaced with a small plastic tube surrounding a short length of stainless steel wire (a prosthesis).
A stapedectomy is performed to improve the movement of sound to the inner ear. It is done to treat progressive hearing loss caused by otosclerosis, a condition in which spongy bone hardens around the base of the stapes. This condition fixes the stapes to the opening of the inner ear, so that the stapes no longer vibrates properly. Otosclerosis can also affect the malleus, the incus, and the bone that surrounds the inner ear. As a result, the transmission of sound to the inner ear is disrupted. Untreated otosclerosis eventually results in total deafness, usually in both ears.
A cochlear implant is a small, complex electronic device used to treat severe to profound hearing loss. It is surgically implanted underneath the skin behind the patient’s ear.
A cochlear implant delivers useful auditory signals from the environment to the patient by electronically bypassing nonfunctional parts of the ear and directly stimulating the auditory nerve. Unlike a hearing aid, it does not merely amplify sound. Instead, an implant increases the amount of nervous response to sound. Although it does not restore normal hearing, the additional input provided by the implant often improves sound detection and increases speech understanding.
An ossiculoplasty is an operation to repair, reconstruct and improve the movement of the tiny bones of hearing in the middle ear. These bones may have become damaged or less mobile due to infection or disease such as long-standing middle ear infection (otitis media), or trauma such as a head injury.
The operation involves either reshaping the bones already there so that they work better or using tiny false replacements (prostheses). An incision (surgical cut) is made either in front or behind the ear to reach the area. The main benefit of having an ossiculoplasty is that it will hopefully improve your hearing.
Snoring is defined as noisy or rough breathing during sleep, caused by vibration of loose tissue in the upper airway. Surgical treatments for snoring include several different techniques for removing tissue from the back of the patient’s throat, reshaping the nasal passages or jaw, or preventing the tongue from blocking the airway during sleep.
The purpose of snoring surgery (Somnoplasty) is to improve or eliminate the medical and social consequences of heavy snoring. The major exception is surgery to correct a deviated septum or other obstruction in the nose, on the grounds that nasal surgery generally improves the patient’s breathing during the day as well as at night.