People from all age groups can get affected by ear disorders and hearing impairment problems. In the United States, a survey revealed that under the age of 65, over 60 per cent of the population suffers from problems related to hearing loss. However, almost 25 per cent of people aged above 65 experience a significant loss of hearing. Thankfully, different types of ENT surgeries are available to treat problems related to the ear.
Most often, people are diagnosed with problems related to the eardrum, or tympanum, and the infection in the cells of the mastoid bone. The tympanum is the thin membranous structure present between the outer and the middle ear. It vibrates when sound waves hit on it and this enables us to hear.
A repair surgery called tympanoplasty is required to treat a perforation or hole in the eardrum. The middle ear is sterile but due to rupture of the eardrum, an infection can also occur. It may also be required for repairing of tiny bones present behind the eardrum or ossicles in the mastoid bone. This repair is known as mastoidectomy.
Tympanoplasty and mastoidectomy are therefore conducted together in many cases. This procedure is known as tympano-mastoidectomy.
There are several reasons that may cause loss of hearing, including the following:
An ear infection that has grown very severe and left untreated for long
The injury suffered by the ear
Ear subjected to excessive levels of noise
Hearing loss as a result of age
Some of the common symptoms of a puncture in eardrum include the following:
Sharp pain in the ear that disappears abruptly
Excessive pressure, which will suddenly disappear with the rupture and pus formation in the ear
Loss of hearing
Type 1 tympanoplasty or myringoplasty is the surgery that ensures restoration of the eardrum that got perforated with drafting
Type II tympanoplasty addresses membrane perforations with erosion in the bone malleus. Grafting is done on the incus bone or in the remains of the malleus.
Type III tympanoplasty is meant for destruction of two ossicles and intact and mobile stapes bone. A graft is placed on the stapes and it provides protection for the total assembly.
Type IV tympanoplasty is useful for cases of ossicular destruction, which has all or part of the arch of stapes included. A graft is placed around the mobile stapes footplate
Type V tympanoplasty is useful when the footplate of the stapes bone is fixed.
For treating Cholesteatoma, tympanoplasty can be combined with stapedectomy and mastoidectomy and in many cases, a second operation is required to ensure the infection is totally eradicated.
The tympanoplasty surgery is performed with intravenous sedation and local anaesthesia. An incision is made into the ear canal section and from the bony ear canal, the remaining eardrum is elevated and lifted forward. Under the operating microscope, the ear structures can be seen clearly. An incision behind the ear is made if the hole is very large or far forward. It ensures that the entire outer ear is forwarded, giving better access to the perforation.
The perforated remnant part is rotated forward after the hole is exposed and now the ossicles are inspected. Scar tissue and bands can surround the bones and they are removed with a laser or micro hooks. Now the ossicular chain is pressed to check its mobility and functionality. If it is found to be mobile, then the rest of the surgery aims at repairing the defect of the drum.
From the tragus, which is the cartilaginous lobe of skin in front of the ear, or from the back of the ear,
If the bones in the ear suffer from erosion, then ossicular reconstruction is advised. At times it can be determined before surgery but in other cases, erosion is visible only when the ear is completely opened under the microscope. The reconstruction can happen at the time of the eardrum construction. Bone erosion can happen at the tip of the incus or anvil. A discontinuity between stapes and the incus has to be resolved.
A small piece of bone or cartilage can be inserted from some other part of the body of the patient if the gap between the two cones mentioned above is small. But if the gap is large, then the anvil bone is removed and remodelled to give a shape of a tooth with the help of the operating microscope. After reshaping the prosthesis, it is placed between the malleus and the stapes and ossicular chain continuity is then re-established.
In some other ossicular construction, the malleus can get fixated by bony ingrowth or scar tissue to the ear’s lateral wall. The plastic-type or
Usually, a patient is discharged within two to three hours of the surgery. Along with a mild pain reliever, some antibiotics are also administered. After 10 days, the patient is again expected to visit so that packing can be removed and graft success can be checked.
Patients are advised to keep water away from the surgical site and avoid blowing of the nose. If the patient is suffering from cold and allergies, then decongestants are prescribed. Within 5 to 6 days, the patients can resume a normal life. After 3 weeks of the surgery, the packing is removed under the operating microscope and at this point, the grafting success can be completely determined.
Care must be taken by the patient to soak the ear canal with antibiotics to keep infection at bay. Shearing forces of excessive tension should not be felt by the graft. The surgeon will advise the patient to avoid activities that alter the tympanic pressure, including using a straw to drink or blowing of the nose. Finally, a hearing test is performed after 4 to 6 weeks of the surgery.
Different hospitals have different pricing policy when it comes to the cost of Tympanoplasty in Spain. The top hospitals for Tympanoplasty in Spain covers all the expenses related to the pre-surgery investigations of the candidate. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Tympanoplasty in Spain.
There are many hospitals across the country that offer Tympanoplasty to international patients. The top hospitals for Tympanoplasty in Spain include the following:
Upon discharge from the hospital after Tympanoplasty in Spain, the patients are advised to stay for about 10 days for recovery. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.
One of the topmost destinations for Tympanoplasty is Spain. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. Some of the other destinations that are popular for Tympanoplasty include the following:
|United Arab Emirates||USD 5500|
|United Kingdom||USD 4000|
There are certain additional cost that the patient has to pay apart from the Tympanoplasty cost. The per day extra expenses in Spain per person are about USD 50 per person.
The following are some of the best cities for Tympanoplasty in Spain:
The average duration of stay at the hospital after Tympanoplasty is about 2 days for proper care and monitoring. The doctors team review the patient's recovery during this time with the help of blood tests and imaging scans. Once they feel that everything is on track, the patient is discharged.
There are more than 8 hospitals that offer Tympanoplasty in Spain. The above listed hospitals are approved to perform the surgery and have proper infrastructure to handle Tympanoplasty patients. Additionally, these hospitals are known to comply with the international standards as well as local legal requirements for the treatment of patients.
The healthcare accredition in Spain is streamlined to maintain strict quality control over the hospital functions. There are many healthcare parameters on which hospitals in Spain have proven their mettle time and time again. Joint Commission International is an international accrediting agency which is giving the quality stamp of approval to hospitals in Spain. The final evaluation done by the experienced and skilled healthcare professionals working in the accredition body can be vouched for owing to their high competence.
There is a good number of popular multispecialty hospital groups in Spain that are servicing patients from different hues and backgrounds for a long time. As the name suggests multispecialty hospitals encompass treatment being provided to patients across specialties. We list here some of the best multispecialty hospitals in Spain.
The multispecialty hospitals in Spain have a wide coverage of treatments possible making it easier for any patient to get multiple issues covered at any one hospital itself.
Spain has absolutely exceptional health infrastructure which is upgraded with the latest technologies. The doctors in Spain are skilled and competent and are adept at treating any ailment or injury which you maybe suffering from. There is uni payer healthcare system in Spain that translates to having universal coverage of costs (except those of prescription drugs). You should opt for healthcare in Spain as Spain makes for a good combination of places with a lot of tourist potential and great healthcare facilities.
The doctors in Spain have been educated at the best educational institutions in the world. The practical experience of the doctors in Spain has ensured that their medical and surgical skills are refined. The doctors in Spain are great at adapting to and in application of new techniques and technologies. Language is also not a barrier as it is easy to find doctors in Spain who speak english.
As you decide to travel to Spain, start by creating an essential document checklist. At no point during your journey and treatment in Spain should the documents be a reason for any hindrance. Travel documents that are essential are financial means proof like bank statement, sponsorship letter, treatment payment proof or proof of your government covering the costs, employment documents (as per status) and passport, visa, roundtrip ticket, travel medical insurance, accomodation proof and civil status proof. Also, you must carry your medical documents such as medical reports, letter from the doctor/hospital referring you for treatment, correspondence between the doctor/hospital that referred you and the one where you are going to get treated and test reports.
A premier medical tourism destination, Spain is frequented by medical travelers all year round. Spain is synonymous with sporting culture which means that certain fields like sports medicine and orthopaedics are a natural consequence. With an advanced health ecosystem, all kinds of procedures are done in Spain but we are listing some of the focus areas here. Plastic surgery, elective surgery, dentistry, eye care, bariatric surgery, orthopaedic procedures, spine surgery, sports medicine related procedures and fertility treatments.
The vaccinations before you head to Spain as a medical traveller are not just essential but mandatory as well. Some health conditions mandate taking vaccinations on a regular basis such as Diphtheria-Tetanus-Pertussis, Flu (Influenza), Measles-Mumps-Rubella (MMR), Polio and Chickenpox (Varicella). Then there are vaccines that are considered for certain specific set of travellers such as for Hepatitis A, Hepatitis B and Measles only. Please get vaccinated for Meningitis, Shingles, Pneumonia, Covid19 and Rabies before traveling to Spain.
In Spain, hospitals provide additional facilities that make the treatment procedures seamless for travellers. In line with this endeavour, international patient services are available in major hospitals in Spain. You can avail private health insurance in hospitals in Spain which will make it easier for someone who is visiting Spain as a medical tourist. Hospitals in Spain provide many additional facilities as well such as:
Spain is well known for its various medical tourism destinations such as
Barcelona has advanced child healthcare hospital facilities whereas Madrid is known for general health and reproductive healthcare. Medical tourism is a key focus area in Spain and investments are being planned and implemented to bring this about. Medical infrastructure in Spain is highly developed and is being regularly upgraded with the latest technologies.
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