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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hearing Problem With History Of Mastiodectomy And Tympanoplasty

In January I had a mastoidectomy and tympanoplasty to fix a cholesteatoma and have been having issues with it since, and recently they ve been getting worse. I ve tried to get another appointment with my ENT set up sooner but the earliest they can do is July 22. I ve also exhausted all other avenues of obtaining information (physicians, urgent care, ER, google, etc). Over the past week the amount of conductive hearing loss I have in my ear went through the roof, along with the tinnitus. I have to get negative pressure in my ear (sniffing) to be able to hear well, and my hearing fluctuates every time I breathe out through my nose (I can hear the sound of moving air when I exhale which also causes my hearing to drop whenever I am putting positive pressure on my ear, and every time I inhale my hearing gets momentarily better, with a clicking/popping noise occurring on inhalation). When my ear gets physically pressed in (light pressure from finger on the outside of the ear above ear canal for example), hearing gets better, when pressure is no longer applied it sounds like the sound scotch tape makes when pulled off of something and hearing drops again. I can also hear what I believe is the muscles in my jaw oscillating at somewhere between 5-15 Hz when I have my jaw shut, and moving the jaw laterally also causes fluctuation in hearing. There is also consistent pain in my ear and in the mastoid (not very much but enough to notice). I can t find any patient information regarding any of this (prosthetic is Kurz TTP VARIAC partial - I am assuming I still have a stapes to work with), when I go to urgent care or ER they can t diagnose it as they have very limited experience with prosthetics, and they tell me to make an appointment with my ENT, and the appointments are always months out. Thanks for any information or any direction I should be taking with this!
Mon, 15 Sep 2014
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ENT Specialist 's  Response
hello,thanks for your query,i appericiate u, for giving all the details in systematic anyway. first thing ,post tympanoplasty with mastoidectomy secondary to cholesteatoma do have hearing impairement.as your ossicles are primary site for erosion, prosthesis will not help in gaining the hearing, it will be a cause and site(prosthesis) for secondary cholesteatoma (recurrence). slight pain with ringing is common with post operative patients, because choleastatoma is bone eroding disease, where one will remove all the disease to protect you from its life threatnening complications. you should be realistic in accepting the hearing loss.you need not to be worried about your hearing because your operated surgeon had already discussed about hearing loss.hope i have answered your query. all the best. take care,
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Suggest Treatment For Hearing Problem With History Of Mastiodectomy And Tympanoplasty

hello,thanks for your query,i appericiate u, for giving all the details in systematic anyway. first thing ,post tympanoplasty with mastoidectomy secondary to cholesteatoma do have hearing impairement.as your ossicles are primary site for erosion, prosthesis will not help in gaining the hearing, it will be a cause and site(prosthesis) for secondary cholesteatoma (recurrence). slight pain with ringing is common with post operative patients, because choleastatoma is bone eroding disease, where one will remove all the disease to protect you from its life threatnening complications. you should be realistic in accepting the hearing loss.you need not to be worried about your hearing because your operated surgeon had already discussed about hearing loss.hope i have answered your query. all the best. take care,