Dr. Bhadragiri Vageesh Padiyar
Otolaryngology (E.N.T)
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Patient's Query
Hello doctor,
I had middle ear surgery about a year ago. It was a revision stapedectomy, replacing the prosthesis. Earlier that year, I had tympanoplasty in the same ear. My hearing has been worse since the last surgery. I had a feeling that it would get worse, and a full hearing test recently confirmed this. The ear, nose, and throat (ENT) specialist said there was always a risk of this. He said the further loss was in the inner ear and it has not tolerated being open again, even though the surgery was of middle ear. Does this sound correct? The audiologist said the further loss seems to be in the middle ear conductivity, the opposite of what the ENT said. Also, I masturbated on the night of the surgery. Could this have affected the outcome somehow, middle or inner ear? Would you please give me your opinion on this? Thank you.
Hello,
Welcome to icliniq.com.
Thanks for writing in, and I understand your concern. From what I understand, you have a tympanoplasty, following which you underwent a stapedectomy surgery, from which the hearing has deteriorated even further. In my opinion, the final verdict of the hearing is consistently given by the pure tone audiometry test. If there has been a sensorineural loss post-surgery, the most common cause is the injury to the vestibule during the surgical procedure. Suppose there is a conductive gap in the audiogram. In that case, the hearing loss is purely due to a disconnected ossicle or displacement of the prosthesis, a common complication known following stapes surgery. You need not worry about what your ENT says but what the audiogram report says is important. If the test has been properly conducted, it can give a near accurate picture of the cause of the hearing loss. In addition, you can also get impedance audiometry done to check if there is displacement in the prosthesis or discontinuity in the ossicular chain. If the reports are inconclusive, I would suggest you get a high-resolution computed tomography (HRCT) of the temporal bone to ascertain where conduction problem is in. I hope this answers your query. Regards.
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Otolaryngology (E.N.T)
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