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.
While depending upon a range of factors, the minimum cost for Tympanoplasty in Thailand is USD 2200. In Thailand, Tympanoplasty is conducted across many multispecialty hospitals.
Tympanoplasty package cost in Thailand has different inclusions and exclusions. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. 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 Thailand.
Tympanoplasty in Thailand is offered by multiple hospitals across the country. Some of the best hospitals for Tympanoplasty in Thailand include the following:
After discharge from the hospital, the patient has to stay for another 10 days in the country for complete recovery. This time frame is important to ensure that the surgery was successful and the patient is fit to fly back.
One of the topmost destinations for Tympanoplasty is Thailand. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. Some of the other popular destinations for Tympanoplasty include the following:
|United Arab Emirates||USD 5500|
|United Kingdom||USD 4000|
There are certain expenses additional to the Tympanoplasty cost that the patient may have to pay for. These are the chanrges for daily meals and hotel stay outside the hospital. The per day cost in this case may start from USD 50 per person.
Some of the best cities in Thailand which offer Tympanoplasty are:
The patient has to spend about 2 days in the hospital after Tympanoplasty for proper recovery and to get clearance for discharge. This phase is important to ensure that the patient is recovering well and is clinically stable. During this time, several tests are performed before the patient is deemed suitable for discharge.
There are more than 6 hospitals that offer Tympanoplasty in Thailand. The above listed hospitals are approved to perform the surgery and have proper infrastructure to handle Tympanoplasty patients. Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.
The Thai healthcare system has abundance of resources, from technological, human resources and financial resources. The private healthcare and public healthcare work in tandem to create the strong healthcare infrastructure in Thailand. The quality of healthcare and its standards are maintained by the Institute of Hospital Quality Improvement and Accreditation (HQIA) as it gives Thai HA Accreditation to healthcare organisations in Thailand. Also, Thai public hospitals and private hospitals' service delivery is kept in check by this body.
The hospitals in Thailand are renowned for their clinical care and personal touch they bring to every patients' well being. Multispecialty hospitals translates into the option of having several medical and surgical specialties under one roof which gives a lot of choice to medical travelers. It is the presence of world renownded specialist doctors in the Thailand multispecialty hospitals which adds to the value these healthcare organisations bring to patients. The famous multispecialty hospitals in Thailand are:
Thailand has been an attractive health tourism destination for a long time which has many positives going for it. One of the advantages that Thailand hospitals have is the International patient services in most of the top hospitals. You will get all assistance as a medical traveler within the hospital such as concierge services, embassy and airport transfer assistance, international insurance coordination, interpreters and medical coordinators. Another plus point of getting your treatment done in Thailand is the wide range of treatment options available, right from aesthetic procedures to tertiary care.
Thailand has always been considered to be a one of the top medical destinations in the world. Their doctors and surgeons are considered to be on par with the world's best medical specialists. Thai doctors are experienced and skilled in what they do. Thailand doctors and medical professionals are a notch above the rest as they follow innovative practices and are providing quality care. The experience of Thai doctors with innumerable international patients have refined their craft.
Once you have decided that you wish to come to Thailand for medical purposes, documents come into the picture. Travel documents, medical documents and ready finances are needed for your Thailand visit We are listing the documents here for your ease:
There are many reasons that make Thailand a medical tourism hub. Numerous tourist attractions, best medical treatment at economical prices make Thailand a complete package. Some of the popular procedures available in Thailand are as follows:
Planning an international travel is incomplete without the necessary immunisations and vaccinations. You must protect yourself from any disease you may contract before you board the flight to Thailand. We are outlining the vaccinations recommended by CDC and WHO. Yellow Fever, Japanese Encephalitis, Measles, Mumps and Rubella (MMR), TDAP (Tetanus, Diphtheria and Pertussis), Chickenpox, Shingles, Pneumonia, Influenza, Rabies, Meningitis, Polio, Hepatitis A, Hepatitis B, Typhoid and Cholera.
Healthcare infrastructure in Thailand is well equipped with the latest technological advancements. Whether you are a patient or a co traveller you can approach the center for International patients to get access to travel, transfer and accomodation needs. Emergency services and integrated medical suppport services are available at Thailand hospitals. There are a variety of medical facilities available in Thailand hospitals such as radiology services, operating theaters, Intensive care units, cardiac care units, diagnostic laboratory and pharmacies.
The tourist attractions in Thailand when seen in conjunction with the medical facilities ensure Thailand is seen as an important medical tourism destination. Thailand is a bargain as a medical tourist destination and this reflects in the fact that the cost of your travel plus treatment in Thailand is still lower than what you will spend to get treatment done in many other countries. The many medical tourism destination in Thailand have a strong foundation of natural beauty, history, culture and the best of healthcare. Phuket and Bangkok are the topmost destinations in medical tourism in Thailand.
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