Clinical Services Stanley Ear Nose Throat & Sinus Centre

  • Ear Infection (Otitis)

    Otitis Externa

    Normal Ear
    Otitis Externa Furunculosis
    • Otitis Externa is common in Singapore in view of the hot humid climate.
    • The best treatment option is a microscopic ear examination and clearance of all the debri in the ear canal followed by the application of an appropriate anti-biotic or anti-fungal cream in addition to the use of appropriate ear drops.
    Otomycosis (Fungus)
    Microscopic Ear Procedure to clean debri and pus
  • Chronic Otitis Media

    Chronic Suppurative Otitis Media (SOM)
    Subtotal Ear Drum Pertoration
    • Chronic middle ear infection leads to a persistent tympanic membrane perforation.
    • Reconstructive middle ear surgery or Tympanoplasty is advised in patients with a ear drum perforation with intact cochlea function.
    • However, patients with cholesteatoma need surgery to convert an unsafe ear to a safe ear to prevent intra-cranial complications.
    CSOM Attic Choleasteatoma
  • Serous Otitis Media

    Serous Otitis Media
    Serous Otitis Media
    • Serous Otitis Media is usually the result of eustachian tube obstruction from allergies or nose / sinus infection.
    • In Singapore, nasopharyngeal carcinoma has to be ruled out in adult cases.
    • If maximal medical therapy fails, a ventilation tube or gromet tube is inserted into the ear drum.
    • These can be short-term gromet or long-term T tubes.
    Short-Term Tube
    Long-Term T Tube
  • Adhesive Otitis Media

    Adhensive Otitis Media
    • Adhesive Otitis Media is more difficult to treat as the eustachian tube is not functioning well.
    • A hearing instrument may assist in improving hearing.
    • Reconstructive surgery is difficult with unpredictive results.
  • Tympanic Membrane Perforations

    Traumatic Perforated Ear Drum
    • Traumatic ear drum perforations usually heal spontaneously with time.
    • Measures to prevent infection as in keeping the ears dry is all that is necessary.
    • If the ossicles are not damaged, the end result is usually good should the cochlea not be damaged.
    • Rarely is reconstructive surgery necessary .

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