Best Doctors in India for Cholesteatoma Treatment
Best Hospitals in India for Cholesteatoma Treatment
Hospital Highlights:
- Apollo Hospitals is a private healthcare group in India, with its headquarters based in Chennai. Established in 1983 by Dr. Prathap C. Reddy, the group offers a wide range of medical treatments and services across various specialties.
- It is renowned for emphasizing innovation and utilizing cutting-edge medical technologies into patient treatment.
- Known as India’s first corporate hospital, Apollo Hospitals is often credited for pioneering the private healthcare revolution in the country.
- With clinics and hospitals located all throughout India, Apollo Hospitals is a nationwide healthcare organization. Its presence can also be found in foreign countries.
- Preventive health examinations, medical and surgical treatment, and diagnostic centres are just a few of the services that the Apollo group provides.
- The group has several centres of expertise, including Cardiac Sciences, Neurosciences, Orthopedics, Emergency Care, Cancer Care, and Organ Transplantation.
- City: Chennai, India
Hospital Highlights:
- RIMC is a multi-specialty hospital in a sprawling area of 36 acres located in Chromepet, Chennai, Tamil Nadu, India.
- The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
- RIMC is led and managed by world-renowned physicians committed to healthcare.
- RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
- Rela Institute is driven by patient needs, comfort and confidence.
- City: New Delhi, India
Hospital Highlights:
- Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
- Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.
- City: Bengaluru, India
Hospital Highlights:
- Established in 2007, the Apollo Hospitals Bangalore is a 300-bed multispecialty hospital situated in Bannerghatta Road, Bangalore.
- Equipped with the state-of-the-art technology, it is a leading hospital dedicated to providing healthcare needs to patients with compassion and expertise.
- It is the first hospital to have completed the highest number of Robot Assisted Heart Surgeries in India.
- Over the years, it has successfully conducted some of the rarest medical procedures such as spinal angiolipoma excision, autologous chondrocyte implantations, and tibial tuberosity shift with MPSL reconstruction.
- The Apollo Hospitals Bangalore has the reputation of performing the greatest series of airway stents in the country.
- Additionally, the hospital is known for providing comprehensive treatment in specialties such as gastroenterology, urology, gynecology, oncology, colorectal surgery, etc.
- The “The Minimal Access Surgery Centre” (MASC), one of Apollo Hospitals, Bangalore’s premier Centres of Excellence, is devoted to the use of minimally invasive surgical procedures.
- In 2013, THE WEEK-A C Nielsen, Best Hospital Survey ranked Apollo Hospitals Bangalore as the 2nd best multi-speciality hospital in Bangalore.
- City: Mumbai, India
Hospital Highlights:
- Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
- The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
- The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
- The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.
- City: Hyderabad, India
Hospital Highlights:
- CARE Hospitals were established in the year 2000, by CARE Group.
- The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
- The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
- The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
- The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.
- City: Mumbai, India
Hospital Highlights:
- Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and treatment services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
- This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
- Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.
- City: New Delhi, India
Hospital Highlights:
- Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
- The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
- Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
- The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.
- City: Chennai, India
Hospital Highlights:
- Located in Chennai, India, MGM Healthcare is a top multispecialty hospital that provides all medical services under one roof.
- Since its founding in 2019, MGM Healthcare has quickly become a leading national referral centre, creating several innovative flagship initiatives.
- MGM Healthcare combines next-generation medical and digital technologies to provide better patient results.
- With 12 centres of excellence, more than 400 inpatient beds, 100 intensive care unit beds, and 24/7 emergency care, MGM Healthcare leaves no chance in redefining the patient experience in Chennai.
- MGM Healthcare boasts 250+ expert doctors across 30+ departments, including Cardiology, Pulmonology, Neurology, Obstetrics & Gynaecology, and more.
- They house 12 specialized Centres of Excellence, including Neurosciences, Orthopaedics, and Multi-Organ Transplantation.
- Their team of doctors, nurses, and paramedics works together to give every patient individualized treatment.
Hospital Highlights:
- Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
- Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
- The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
- The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.
CHOLESTEATOMA
Cholesteatoma is a condition in which an abnormal, noncancerous skin growth occurs in the middle ear, behind the eardrum. It continues to grow in size, and therefore if left untreated, it might lead to hearing loss. The condition may be a birth defect, although it is also generally caused by repeated middle ear infections.
This condition also often develops as a cyst, or sac, that sheds layers of its old skin. When these dead skin cells accumulate, the growth can increase in size and destroy the delicate bones of the middle ear. This might affect the hearing, balance as well as function of the facial muscles.
Symptoms
Generally, a cholesteatoma causes symptoms only in a single ear. The signs can include any of the following:
- Constant sound inside your ear
- Ear infection
- Pain in the ear
- Dizziness or vertigo
- A feeling of fullness in one ear
- A fluid that smells bad and leaks from the ears
- Weakness in half of the face
- Trouble hearing in one ear
If you’ve suffered from a cholesteatoma for a long time and haven’t treated it, it might grow into other areas of your ear, like the part used for balance. It may even turn into an infection in your inner ear or even in the brain. This can lead to a pus-filled swelling in your brain or meningitis. Both are rare.
Causes
A cholesteatoma might occur due to multiple reasons:
- Cholesteatomas are generally caused by repeated middle-ear infections. If left untreated, infections from a long-established cholesteatoma might spread to the inner ear and the brain.
- Perforation of the eardrum, which can be caused by a trauma or an infection, might provide an opening for the skin of the outer surface of the eardrum, to grow through.
- Chronic ear infections, sinus infections, allergies, and colds might affect the Eustachian tube i.e. the tube connecting the back of your nose to your middle ear. This can keep it from equalizing air pressure on either side of your eardrum. This might cause a partial vacuum in your middle ear that may pull a section of your eardrum into it. This eardrum tissue can thus, turn into a cholesteatoma.
- Although rare, some people can also be born with a small remnant of skin that is trapped in the middle ear.
- As it grows larger, the cholesteatoma gets filled with sloughed-off skin cells, fluids, along with other wastes. This creates an ideal environment for infection. The growing cyst also increases pressure in your ear, which may lead to hearing loss. If it grows very large, it can destroy the surrounding bone, thus damaging the eardrum, and the bones inside your ear and near your brain, as well as your facial nerves. At this stage, it is possible that permanent hearing loss may occur.
Diagnosis
Your doctor is going to need to look inside your ear with an otoscope. This instrument has a magnifying glass with a light on it. This also tests how well you are able to hear sounds to check if your cholesteatoma has affected your hearing.
If your doctor thinks that you are having a cholesteatoma, then they are going to refer you to an ear, nose, or throat specialist. In order to look more closely at your cholesteatoma, your doctor will likely recommend the following tests:
CT Scan or Computerized Tomography
This is a series of X-ray images that are able to show a detailed image of the bones, soft tissues as well as blood vessels inside your ears. This test can let your doctor known if your cholesteatoma has grown into the bones of your ear, which may mess with your hearing and balance. Your doctor might want to do this scan if surgery is a better option for you.
MRI or Magnetic Resonance Imaging
If a CT scan is able to show your doctor something that requires a closer look, then an MRI is used if your doctor suspects an infection has spread to the brain.
Treatment
Surgery
Although there is no medicine that can make cholesteatoma go away, it is possible to remove it surgically. Surgery generally doesn’t require more than 2 to 3 hours, and you won’t need to stay in a hospital.
You’ll also receive medicine to make you sleep, and the removal can be done in either of two ways:
Mastoidectomy
Tympanoplasty
This can fix damage to your eardrum or the tympanic membrane. Your surgeon is going to use cartilage or muscle from another part of your ear for filling any holes in your eardrum.
Surgery also often helps with your hearing loss partially.
Cholesteatomas can sometimes be aggressive. They may return if not fully removed. It is therefore very important to see your doctor for regular follow-up visits.
Complications
If left untreated, a cholesteatoma is going to grow larger and cause complications. Complications can range from mild to severe.
The dead skin cells accumulating in the ear help in providing an ideal environment for bacteria as well as fungi to thrive. This means that the cyst can become infected, and thus cause inflammation as well as continual ear drainage.
Over time, this condition may also destroy the surrounding bone. It might cause damage to the eardrum, the bones inside the ear, the bones near the brain, as well as the nerves of the face. Permanent hearing loss might also occur if the bones within the ear are broken.
This cyst might even spread into the face if it continues to grow and this can lead to facial weakness.
Some other potential complications include:
- Swelling of the inner ear
- Paralysis of the facial muscles
- Chronic infection of the ear·
- Meningitis, which is a life-threatening brain infection
- Brain abscesses, or pus collecting in the brain