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Ear Treatments


Eustachian Tube Dilation

Eustachian tube dilation is an endoscopic surgical procedure for the treatment of inadequate opening of the eustachian tube. Patients experiencing eustachian tube dysfunction may experience chronic pain, pressure, or a clogged sensation in the ear. A balloon catheter is placed in the eustachian tube and allowed to dilate for approximately two minutes. This allows the return of normal function to the eustachian tube. Dr. Brown is the first surgeon in Knoxville, TN to perform eustachian tube dilation.

 

Myringotomy Tubes

Although by age five, the majority of children in America will have experienced at least one ear infection, it is a myth that ear infections are limited to children. In fact, we have seen patients in their sixties and seventies who continue to have middle ear problems which require PE Tubes.

While most childhood ear infections resolve on their own, many require treatment with antibiotics or occassionally tubes. Sometimes, the infections lead to other disorders such as hearing loss, poor academic performance, auditory processing disorders, speech problems or development of more serious disorders such as cholesteatomas or meningitis.

When tubes are required, we usually place a small titanium tube, strong enough to remain open, but light enough to minimize any injury to the ear. Occasionally we will use a plastic, or fluroplastic tube. This is particularly true when using a long term tube(also called a permanent tube). Most tubes are designed to remain in place between six months and two years, with the average being about one year. Longer term tubes are designed to remain in place until removed. Although, occasionally they may extrude on their own.

Before Surgery

  • Do NOT eat or drink ANYTHING after midnight before surgery
  • Wear loose, comfortable clothing the day of your surgery.
  • Have someone with you to drive you home. You will not be allowed to drive for 24 hours after your surgery.
  • Do NOT take any medications with aspirin or blood thinners for TWO WEEKS before your surgery. Any other regular medications prescribed by your doctor for heart, diabetes, blood pressure, etc. are ok to take before surgery. Please bring these medications with you to the hospital on the day of surgery. TYLENOL is ok to take for pain before surgery.
  • Please call if you are unable the keep your scheduled appointment for surgery.
  • Please pre-admit before your surgery. This avoids timely delays in getting your blood work results before surgery.

After Surgery

  • Use ear drops only if directed by your doctor.
  • Expect some drainage from the ear for several days.
  • If the patient develops a fever over 102 degrees, call the office immediately.
  • Do not swim or get water in the ears until cleared by your doctor.
  • Wear ear plugs when going into a pool or while bathing. If you do not have ear plugs and water gets into the ears, use ear drops.
  • Schedule a post-op appointment for two weeks after the surgery.
  • If you experience any symptoms that are not listed that you feel are significant please call immediately.

Possible Complications
Potential complications include, but are not limited to:

  • Permanent or temporary hearing loss
  • Post operative bleeding or other drainage from the ear
  • Perforation or granulation of the eardrum requiring additional surgeries
  • Death, brain damage, temporary or permanent loss of an airway, paresthesias, neuralgias, neuropraxia.
  • Need for further or additional surgery.
  • Scarring, anomalous apppearance of the eardrum or middle ear structures including injury to the ossicles.
  • Injury, accidental burns or other injuries directly or not directly related to the procedure, infections at the site of the surgery or insertion of IVs.
  • Adverse or unforseen reactions to medications, drugs or or other agents commonly used for anesthesia or surgery.
Ear Drum Repair
Hearing Aids, Cochlear Implants, and Audiology

HEARING AID SERVICES:

  • Selection and Fitting of Hearing Instruments
  • Servicing/Repair Work
  • Demonstrations in Office
  • Tinnitus Masking Devices
  • Wireless Connectivity & Bluetooth Devices
  • Multiple Hearing Aid Brands
  • Hearing Aid Information for Patients and/or Family Members
Learn More

A cochlear implant (CI) is a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf or severely hard of hearing. The cochlear implant is often referred to as a bionic ear.

As of December 2010, approximately 219,000 people worldwide have received cochlear implants; in the United States, roughly 42,600 adults and 28,400 children are recipients. The vast majority are in developed countries due to the high cost of the device, surgery and post-implantation therapy. A small but growing segment of recipients have bilateral implants (one implant in each cochlea).

Cochlear implants can restore hearing in patients suffering deafness due to loss of sensory hair cells in their cochlea. In those patients, they can often restore sufficient hearing to allow unaided understanding of speech in a quiet background, but the restored, electrical hearing is much less rich than natural hearing, and offers only very limited appreciation of musical melody, or speech understanding in noisy environments.

OTHER SERVICES:
  • Audiologic Evaluations Adult & Pediatric (3 years and older)
  • Tympanometry
  • Otoacoustic Emissions (OAE) Screenings
  • Custom Earmolds for MP3 & iPod Music Devices
  • Cochlear Implants
  • Candidacy Evaluations
  • Initial Activations
  • Tune-ups & Troubleshooting
  • BAHA Demonstrations
  • Custom Earmolds
  • Swim Plugs – Adult & Pediatric
  • Musicians’ Earplugs
  • Hunters’ Earplugs & Electronic Devices