A 45-year-old Iraqi man, who was suffering from severe hearing loss for more than two decades, recently had his hearing restored with a successful double surgery at CK Birla Hospital in Gurugram. The patient had holes in the eardrums on both sides and complete loss of hearing on one side, a condition that made everyday communication almost impossible. Despite complications, doctors successfully performed bilateral tympanoplasty and implanted a bone conduction device, restoring hearing for the first time in 20 years.

Dr. Anish Gupta, Principal Consultant, entCK Birla Hospital, Gurugram said, “The 45-year-old patient, who had come from Iraq, was affected by holes in the eardrum on both sides for a long time. He had severe hearing loss on one side, making everyday communication extremely challenging. The nature of his condition created many complications, particularly since traditional solutions such as cochlear implants were not possible due to the duration and severity of his hearing loss. Instead, we opted for a customized solution combining tympanoplasty and bone conduction device implantation in a single surgical session, which presented its own unique challenges. Tympanoplasty and bone conduction device implantation are stepwise procedures, but we were determined to meet his needs. Performing these two surgeries together requires a high level of precision, as each procedure involves different incisions and techniques.”

The procedure involved bilateral tympanoplasty to repair the eardrums on both sides and placement of cartilage grafts on the side with severe hearing loss. The choice of cartilage was strategic, as it offers superior durability and flexibility, which is important to ensure a long-lasting repair in a patient with complex ear anatomy. On the same side with severe hearing loss, a bone conduction device was implanted, which retransmitted sound signals through skull vibrations to stimulate the functional inner ear on the opposite side, bypassing the damaged inner ear.

Dr. Gupta added, “This case was exceptionally challenging because we needed to graft the eardrum and implant a bone conduction device at the same time. This involved replacing the traditional incision in the form of an ‘S-shape’. This involved modifying the incision, allowing us to perform both procedures seamlessly in the same session because the incision and the position of the implant had to be distanced to prevent the implant from being pulled out at a later date. Needed

Since cochlear implants were not an option due to the patient’s long-term hearing loss, a bone conduction device became the most viable solution. This advanced technology allows sound signals to bypass the damaged auditory nerve and inner ear structures, sending signals directly to the opposite inner ear through vibrations of the skull, helping the patient regain the ability to hear. Is.

The multidisciplinary expertise, state-of-the-art technology and highly skilled team at CK Birla Hospital, Gurugram gave a new lease of life to the patient by restoring his hearing.

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