Among the most frequent diseases of the ear that cause deafness, the most frequent is undoubtedly otosclerosis. It is more frequent in adults and in women and is accompanied by tinnitus (ear noises) and its best solution is laser microsurgery , in which the abutment is replaced by a prosthesis.. In most cases, hearing recovery is excellent.
Chronic or suppurative otitis are also very frequent and, as the name suggests, there is discharge or discharge in the ear, often untreatable with medication. Sometimes they coexist with a benign ear tumor, the cholesteatoma , which must always be operated, because if it does not, it will continue to destroy the ear and could affect more important organs, in addition to hearing.. The tympanic perforations are also very frequent and must be repaired surgically, with a small intervention of microsurgery.
There are tumors of the auditory nerve called neurinomas , which occur with hearing loss, tinnitus and instability and, occasionally, with only one of these symptoms. Magnetic resonance imaging has contributed a great help to the diagnosis of these tumors when they are still small and, therefore, prevents that the progression can produce a more serious neurological symptomatology. There are several treatment options, although the only one that manages to remove the tumor is surgery. If the tumor, which is not carcinogenic, is diagnosed early, the patient's hearing can still be preserved, but if it grows and completely affects the auditory nerve, this is no longer possible and the surgery is more aimed at eliminating it and therefore , to avoid that its growth could cause greater damages, due to its intracranial growth.
Advances in treatment
The electronic implants in the ear have represented a very important advance, in the last decades. A child born deaf or an adult who has lost almost all hearing and can not help, even with a good hearing aid are optimal candidates to implant. In the case of the child, it is necessary to do it as soon as possible, in order to obtain a good result, and it would always require a postoperative speech-language aid, necessary for a good hearing recovery and a good language development. In adults who had previously heard, recovery is easier and would only require frequent use of the implant.
Hearing aids are usually indicated when there is no other possibility to recover hearing in a deaf patient. Although today the hearing aid can be replaced, in some cases, by the implanted hearing aid , for example, by aesthetics, since it is completely hidden under the skin. Also in cases of intolerance of the normal hearing aid, or in the cases of patients operated in which the conventional system can not adapt. The advantage, in addition to not being seen, is that the patient may be hearing while bathing, showering, playing sports or sleeping, as it does not carry any external device. On the other hand, it would always be compatible with a hearing aid, if necessary.