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Ear & Balance

State-of-the-art care for patients with ear, balance, and lateral skull base disorders — delivered by a specialised multidisciplinary team.

The Otology-Neurotology division aims to deliver state-of-the-art care for patients with ear, balance and lateral skull base disorders. Our specialized physicians work closely with audiologists, rehabilitation therapists and other professionals to formulate the best diagnosis, medical and surgical treatment of hearing and balance disorders.

Millions of people worldwide experience dizziness/vertigo, balance problems and hearing loss. These can be quite debilitating, affecting people's sense of well-being, profession and livelihood. Symptoms are difficult to describe by the patient and quite challenging to diagnose and treat. 65% of persons over 65 years of age experience vertigo or balance disorders, often on a daily basis. In the primary care setting, 70% of elderly patients present with dizziness/vertigo as a chief complaint. Over 30% of adults have experienced at least one episode of vertigo requiring a visit to the doctor. Vertigo and balance disorders can result in serious patient falls, resulting in fractures, intracranial bleeding and sometimes death. Vertigo and dizziness can also be the presenting symptoms of more serious diseases, such as stroke and brain hemorrhage. In the USA alone, the estimated cost of medical care for patients with dizziness and balance disorders exceeds one billion dollars yearly.

According to the WHO, 360 million people worldwide have disabling hearing loss, half of which are avoidable. One in Five Americans Age 12 and Older Experiences Hearing Loss Severe Enough to Hinder Communication. The rates of hearing loss worldwide have nearly doubled in the past 30 years. These conditions often start in childhood, where communication skills and overall development are greatly affected if not diagnosed and treated early. Causes and treatments vary greatly.

Service Offerings

  • Medical evaluation and management of hearing loss, including hearing screening, medications and hearing aid amplification, surgical procedures when indicated
  • Cochlear implantation, insertion of BAHA (bone anchored hearing aids), implantable hearing aids
  • Medical management of ear infections, myringotomy and insertion of ear tubes
  • Medical management of dizziness, vertigo and balance disorders through medications and vestibular rehabilitation for all causes of vertigo; occasionally surgical management is indicated
  • Tinnitus evaluation and management
  • Audiograms, tympanograms, ABR, electronystagmography, VEMP, dynamic posturography, rotatory chair testing and rehabilitation
  • Balance rehabilitation
  • Management of sudden hearing loss (medical management, intra-tympanic injections)
  • Mastoidectomy for acute/chronic otomastoiditis, for cholesteatoma and other conditions
  • Tympanoplasty with or without ossicular reconstruction
  • Management of labyrinthitis
  • Management of otosclerosis (stapedectomy)
  • Intra-tympanic injections for hearing loss, tinnitus and vertigo conditions
  • Medical and surgical management of Meniere's disease, including endolymphatic sac decompression, vestibular nerve section, labyrinthectomy and intra-tympanic injections
  • Surgery for acoustic neuroma / vestibular schwannoma
  • Surgical management of glomus tumors (tympanicum and jugulare)
  • Surgical management of lateral skull base CSF leaks
  • Surgical management of lateral skull base tumors, such as carcinomas, sarcomas and others
  • Using image guided surgery
  • Petrous apicectomy for cholesterol granuloma, cholesteatoma and other conditions
  • Facial nerve decompression for paralysis
  • Removal of facial nerve tumors (schwannomas, hemangiomas, others), facial nerve rehabilitation (surgical: nerve grafts; medical: rehabilitation)
  • Electronystagmography
  • VEMP
  • ABR
  • Hearing aid equipment
  • Cochlear implant programming software