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.
The cost of Tympanoplasty in Tunisia may differ from one medical facility to the other. Some of the best hospitals for Tympanoplasty offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. There are many things that may increase the cost of Tympanoplasty in Tunisia, including prolonged hospital stay and complications after the procedure.
There are many hospitals that perform Tympanoplasty in Tunisia. The following are some of the most renowned hospitals for Tympanoplasty in Tunisia:
After Tympanoplasty in Tunisia, the patient is supposed to stay in guest house for another 10 days. This is important to ensure that the surgery was successful. During this time, control and follow-up tests take place to check for medical fitness.
Tunisia is undoubtedly one of the best countries for Tympanoplasty in the world. It offers the best medical expertise and good patient experience at an affordable cost. However, there are other countries as mentioned below that are popular for Tympanoplasty as well:
|United Arab Emirates||USD 5500|
|United Kingdom||USD 4000|
Apart from the Tympanoplasty cost, the patient may have to pay for additional daily expenses such as for guest house after discharge and meals. The extra charges may start from USD 50 per person.
Some of the best cities in Tunisia which offer Tympanoplasty are:
The average duration of stay at the hospital after Tympanoplasty is about 2 days for proper care and monitoring. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.
There are more than 1 hospitals that offer Tympanoplasty in Tunisia. The above mentioned clinics have the required infrastructure and a dedicated unit where patients can be treated. Additionally, these hospitals are known to comply with the international standards as well as local legal requirements for the treatment of patients.
We bring to you the popular multispecialty hospitals in Tunisia:
It is widely known that hospitals and clinics in Tunisia function with unmatched service delivery and bring a personal touch to the treatment of patients. The finesse and efficiency with which multispecialty hospitals in Tunisia diagnose and treat health conditions is admirable. You must opt for healthcare in Tunisia because of the cutting edge infrastructure of its hospitals and clinics.
The cutting edge infrastructure of the healthcare institutions in Tunisia is a good reason for you to opt for healthcare in Tunisia. Do get your healthcare from Tunisia as the healthcare institutions here comprise of well qualified and talented medical, surgical, paramedical and administrative personnel. Healthcare from Tunisia is a great choice as the treatments are competitively priced, waiting periods are less and there is a comprehensive approach to healthcare from consultations to follow ups or rehabilitation. The cleanliness standards of the healthcare organisations in Tunisia in addition to the country being completely safe and secure gives you a good reason to opt for healthcare in Tunisia.
When it comes to performing procedures effectively, the doctors in Tunisia are able to do so with great results as their long term practical training and vast experience enables them to function well under pressure for long hours. In their quest to learn and apply that knowledge to treat patients satisfactorily, the doctors in Tunisia get the best of education and upgrade their qualifications throughout their career. The doctors in Tunisia are not just well educated and experienced but good managers. This becomes especially relevant when as a patient you find they are in charge as they liaison with doctors, healthcareprofessionals and as the head of the team that is treating you. It must be put forth that the doctors in the Tunisian healthcare system are good in people skills and thus great at managing relationships with fellow doctors and healthcare professionals and in leading teams.
The essential documents that you need to carry when traveling to Tunisia for your medical treatment are as follows:
Please ensure that the documents you carry to Tunisia must cover the requirements of the journey from your country of origin to your treatment and the journey back home. A visa is an important document when you are planning an important medical travel to Tunisia. The Government of Tunisia is easing the visa application as it is introducing an online visa application process. Both the medical visa invitation letter from the hospital you are being referred to in Tunisia and the treatment recommendation from the hospital in your home country are essential for medical travel preparation.
The popular procedures available in Tunisia are as follows:
Of the many popular procedures available in Tunisia, the Spine and Orthopaedic treatments are a big draw. Breast Cancer treatment in Tunisia is constantly pushing to new frontiers of success everyday and is a good reason for the innumerable medical travellers coming to Tunisia. The gynecological procedures such as fibroid removal surgery are done on a regular basis in Tunisia and is one among the various popular procedures regularly performed in the hospitals here.
Please find below the vaccinations that are important for you to take before your travel to Tunisia:
Two bodies vis a vis, WHO: World Health Organisation and CDC: The Centers for Disease Control and Prevention, the US agency have suggested that you get vaccinated before heading to Tunisia and these vaccinations are of two kinds, recommended and routine vaccines. When you are traveling to Tunisia, there are some vaccines that help you be proactively protected from ailments and are considered mandatory or routine and there are others that are suggested for certain potential hazards like Hepatitis A, Hepatitis B, Typhoid and Rabies. It is always wise to get vaccinated before going on your medical travel to Tunisia whether recommended by any health agency or not.
There are many additional facilities provided by the hospitals in Tunisia which enhance your medical travel experience. The hospitals in Tunisia give many additional facilities to the medical tourists as mentioned here for you:
We have outlined for you the various additional facilities that are there in the hospitals in Tunisia. Good health options like dietitians, physiotherapists and prayer rooms for those religious souls are present in the hospitals in Tunisia.
There are many great medical tourism destinations in Tunisia which is because of a combination of wonderful tourist places and excellent medical infrastructure. We bring to you the many medical tourism destinations in Tunisia:
The liberal economy, strong focus on healthcare, close ties with European union and Arab countries, a growing tourism industry has lead to Tunisia ranking 38 among the 46 global destinations on the 2020-21 Medical Tourism Index. Tunisia is on the fast track to growth as a sought after medical tourism destination because it provides excellent healthcare at competitive prices, an easy to get medical visa and warm hospitality shown by the people in Tunisia.
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