Personal Details : a*** ,29 Male, Jamnagar
Last Seen : 31 Mins Ago
Views : 11
Disease: Balance Disorder
Past Activitie: Hearing is at 25 db AC and 17 db BC and SNHL at high frequencies. Whilstling sound in operated ear. And clicking when i yaw and swallow. I am having imbalance after stapedotomy with 4.25mm piston. Now i m taking vertin 48 mg and nutrophil 800mg
Reply:
Reply:

  Whistling sound in the operated ear is common and normal in immediate post operative period. Clicking sound while yawning n swallowing is mostly due to TM joint not related to this condition most probably.

vertigo is a known complication after stapedotomy, probable cause can be labyrinthitis, due to a pressure change in the middle ear, exposure to loud sounds or improper size of the piston. Usually its short lasting and improves with medications like vertin and stametil after some time. Piston size varies from patient to the patient it can range from 3.75 to 5mm. The required size of the piston is measured in every patient at the time of surgery and then the piston is resized & placed. In rare cases where the size of the piston is inappropriate, patient experiences vertigo in the postoperative period which does not respond to medications in those cases the piston removal is required.

CT findings are normal.

advice: continue antivertigo medications.

*follow up with ENT if vertigo doesnt respond.

Replied by: RAJEEV KUMAR VERMA MBBS,MS,,,MS,,
Reply: <p>&nbsp; Whistling sound in the operated ear is common and normal in immediate <g class="gr_ gr_427 gr-alert gr_spell gr_inline_cards gr_run_anim ContextualSpelling ins-del" data-gr-id="427" id="427">post operative</g> period. Clicking sound while yawning n swallowing is mostly due to TM joint not related to this condition most probably.</p><p>vertigo is a known complication after stapedotomy, probable cause can be labyrinthitis,&nbsp;due to a pressure change in the middle&nbsp;ear, exposure to loud sounds or improper size of the piston. Usually its short lasting and improves with medications like&nbsp;<g class="gr_ gr_738 gr-alert gr_spell gr_inline_cards gr_run_anim ContextualSpelling ins-del multiReplace" data-gr-id="738" id="738">vertin</g>&nbsp;and&nbsp;<g class="gr_ gr_739 gr-alert gr_spell gr_inline_cards gr_run_anim ContextualSpelling ins-del multiReplace" data-gr-id="739" id="739">stametil</g>&nbsp;after some time. Piston size varies from patient to the patient it can range from 3.75 to 5mm. The required size of the piston is measured in every patient at the time of surgery and then&nbsp;the piston is resized &amp; placed. In rare cases where the size of the piston is inappropriate, patient&nbsp;experiences vertigo in the postoperative&nbsp;period which does not respond to medications in those cases the piston removal is required.</p><p>CT findings are normal.</p><p>advice: continue antivertigo medications.</p><p>*follow up with ENT if vertigo <g class="gr_ gr_3548 gr-alert gr_spell gr_inline_cards gr_run_anim ContextualSpelling ins-del multiReplace" data-gr-id="3548" id="3548">doesnt</g>&nbsp;respond.</p><p></p><p></p>

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