Best Doctors in India for Cholesteatoma Treatment
Best Hospitals in India for Cholesteatoma Treatment
- City: Mumbai, India
Hospital Highlights:
- Fortis Hiranandani hospital was established in 2007.
- The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
- The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
- The hospital is NABH accredited.
- The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
- The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.
- City: Gurugram, India
Hospital Highlights:
- W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
- With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
- Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
- The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.
- City: Gurugram, India
Hospital Highlights:
- Paras hospital was established in 2006 and is the 250 bedded flagship hospital of Paras Healthcare.
- The is supported by a team of doctors of international and national repute.
- The hospital is NABH accredited and also the first hospital in the region to have a NABL accredited laboratory.
- The hospital provides specialty medical services in around 55 departments including Neurosciences, Joint Replacement, Mother & Child Care, Minimal Invasive Surgery, Gynecology and Obstetrics, Ophthalmology, Dermatology, Endocrinology, Rheumatology, Cosmetic and Plastic surgery.
- The hospital is equipped with state-of-the-art technologies.
- City: Kolkata, India
Hospital Highlights:
- Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
- The hospital is NABH accredited.
- This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
- The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
- The hospital also has a nephrology department with over 28 advanced dialysis units.
- City: Mumbai, India
Hospital Highlights:
- SL Raheja hospital is a 140-bed multi-specialty tertiary care hospital that is being managed by Fortis Healthcare Ltd.
- The hospital is a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs.
- L.Raheja Hospital, Mahim has one of the most effective ICU and Casualty care services.
- The hospital provides specialty medical services in Cardiology, Oncology, Neurology, Orthopedics, Mother & Child Care, and in Diabetes.
- City: Mumbai, India
Hospital Highlights:
- Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
- Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
- Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
- Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
- The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
- It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.
- City: Gurugram, India
Hospital Highlights:
- The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
- The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
- The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.
- City: Ahmedabad
Hospital Highlights:
- As a member of the Apollo Hospitals Group, Apollo Hospitals International Limited, Ahmedabad is one of the most popular and sought-after medical facilities in Gujarat.
- Through its 6 Centres of Excellence and various affiliated branches, which cover all specialties and subspecialties, the hospital provides the most advanced clinical services.
- Since its inception in 2003, the hospital has been providing each patient with the most up-to-date medical equipment and state-of-the-art technology.
- With more than 150 successful organ transplants, including liver and renal transplants, the facility has been able to build a strong and extensive organ transplant program.
- In addition to performing 600 surgeries and caring for over 1800 patients on an IP basis, the hospital sees more than 18,000 patients on average in the outpatient department.
- With one of the biggest cardiology teams in the area, the hospital provides state-of-the-art regional care treatment in Cardiac Sciences.
- Additionally, the hospital offers a broad range of Neuro Interventional techniques to help stroke patients recover more quickly.
- City: Noida, India
Hospital Highlights:
- Jaypee Hospital is the flagship hospital of the Jaypee Group.
- This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
- It holds the accreditation of the NABH and NABL.
- The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
- It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.
- City: Mumbai, India
Hospital Highlights:
- Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
- The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
- The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery
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