At Home with Chris Jessen 2018 - 107

MEET THE EXPERT
Mr Abhi Parikh MS,
FRCS (ORL-HNS),
PhD, is a consultant
ENT surgeon
working at
St Mary's Hospital,
Imperial College
Healthcare NHS
Trust, in London
Mr Abhi Parikh is a consultant ear, nose
and throat (ENT) surgeon working at
St Mary's Hospital, Imperial College
Healthcare NHS Trust. Middle-ear
surgery is his expertise, dealing with
hearing loss and infections. He trained
at the Royal National Throat, Nose and
Ear Hospital in London.
His research into nasal polyps was
awarded a PhD from the University
of London, and Mr Parikh manages
patients presenting with various
sinus problems and polyps in several
private clinics across London.

CONDITIONS where surgery can be an option

1

GLUE EAR
Collection of fluid in the middle
ear, behind an intact ear drum, is
termed 'glue' ear. This leads to a
hearing loss and the condition is seen
frequently in children. More often than
not, the fluid drains, given time.
However, if the fluid does not
disappear after approximately three
months, and the hearing loss impedes
communication, a grommet will be
inserted. A small cut is made in the
ear drum during a procedure called
'myringotomy', and the fluid is
aspirated using suction. A grommet
is then inserted through the cut. The
procedure is performed under a
general anaesthetic.

2

HOLE IN THE EAR DRUM
(PERFORATION)
Hearing loss due to a perforated
ear drum is dependent on its size. It
also means taking precautions during
showering or swimming, to prevent
water entering and 'soiling' the middle
ear. This could cause an infection.
If the hearing loss causes problems
with communication or to avoid
recurrent ear infections, and to take
part in water sports, surgery can be
performed. This procedure, called
'myringoplasty', is performed under
a general anaesthetic and the success
rate is approximately 90%.

3

OTOSCLEROSIS
In this condition, the third bone
of the middle ear (stapes) is
affected. Its movement is restricted
due to stiffness in the area where it
communicates with the sensory organ

transmitted via the hearing (cochlear)
nerve to the brain, leading to our
perception of sound.

Middle-ear hearing loss

This type of hearing loss is caused when
something hinders the transmission of
sound waves to the inner ear. For
example, a middle-ear infection would
cause swelling within the middle ear,
and fluid accumulation would hinder the
sound waves. The consequent hearing
loss lasts until the middle ear infection is
treated, and the fluid drains.
However, there are certain more
serious conditions, such as an ear-drum
perforation, where the conductive
hearing loss is persistent unless helped

by either surgery to the ear, or by the
use of a hearing aid.

Diagnosis of middle-ear
hearing loss

If you are having problems hearing, you
should consult a specialist. A history of
ear symptoms followed by a thorough
examination is essential. This includes
otoscopy, an examination with a
microscope. Microsuction is also used
when needed to clean the ear canal of
wax or debris. This provides a clear view
of the ear drum. Sometimes, all
that is needed is this simple wax
microsuction to quickly resolve the
hearing-loss problem!
The hearing sssessment is done with

Ear
s
problem

of hearing, the
cochlea. This
stiffness causes a
hearing loss. With
time it can affect
both ears, and cause a
significant problem with
communication.
Treatment options include the use
of a hearing aid, or surgery, called a
stapedectomy. This involves removing
part of the stapes, and replacing it
with an artificial prosthesis. The
procedure is done under a general
anaesthetic and the success rate is
about 90%. However, the procedure
carries a 2% risk of developing
deafness in the operated ear, so the
patient should carefully consider
before making their decision.

4

CHOLESTEATOMA
With this condition, skin
accumulates in the middle
ear. As it progresses, various important
structures in and around the middle
ear are gradually eaten away and
erosion of the small bones in the
middle ear causes a hearing loss.
Infection can also lead to a foulsmelling discharge.
Other important adjacent structures
that can be affected include the nerve
responsible for moving the face
muscles (facial nerve), balance system,
brain coverings (meninges), and the
brain itself, leading to complications.
Surgical treatment, called 'mastoid
exploration', is done under a general
anaesthetic. It's sometimes important
to have a check-up a year later to rule
out a recurrence of the condition.

a hearing test or pure tone audiogram.
This gives a far more accurate estimate
of the type and degree of the patient's
hearing loss so that the very best
treatment options can be discussed
and implemented.

FOR MORE INFORMATION
Call 020 7224 2455
Visit londonentconsultant.co.uk
Email londonentconsultant
@gmail.com


https://www.londonentconsultant.co.uk/

Table of Contents for the Digital Edition of At Home with Chris Jessen 2018

At Home with Chris Jessen 2018 - 1
At Home with Chris Jessen 2018 - 2
At Home with Chris Jessen 2018 - 3
At Home with Chris Jessen 2018 - 4
At Home with Chris Jessen 2018 - 5
At Home with Chris Jessen 2018 - 6
At Home with Chris Jessen 2018 - 7
At Home with Chris Jessen 2018 - 8
At Home with Chris Jessen 2018 - 9
At Home with Chris Jessen 2018 - 10
At Home with Chris Jessen 2018 - 11
At Home with Chris Jessen 2018 - 12
At Home with Chris Jessen 2018 - 13
At Home with Chris Jessen 2018 - 14
At Home with Chris Jessen 2018 - 15
At Home with Chris Jessen 2018 - 16
At Home with Chris Jessen 2018 - 17
At Home with Chris Jessen 2018 - 18
At Home with Chris Jessen 2018 - 19
At Home with Chris Jessen 2018 - 20
At Home with Chris Jessen 2018 - 21
At Home with Chris Jessen 2018 - 22
At Home with Chris Jessen 2018 - 23
At Home with Chris Jessen 2018 - 24
At Home with Chris Jessen 2018 - 25
At Home with Chris Jessen 2018 - 26
At Home with Chris Jessen 2018 - 27
At Home with Chris Jessen 2018 - 28
At Home with Chris Jessen 2018 - 29
At Home with Chris Jessen 2018 - 30
At Home with Chris Jessen 2018 - 31
At Home with Chris Jessen 2018 - 32
At Home with Chris Jessen 2018 - 33
At Home with Chris Jessen 2018 - 34
At Home with Chris Jessen 2018 - 35
At Home with Chris Jessen 2018 - 36
At Home with Chris Jessen 2018 - 37
At Home with Chris Jessen 2018 - 38
At Home with Chris Jessen 2018 - 39
At Home with Chris Jessen 2018 - 40
At Home with Chris Jessen 2018 - 41
At Home with Chris Jessen 2018 - 42
At Home with Chris Jessen 2018 - 43
At Home with Chris Jessen 2018 - 44
At Home with Chris Jessen 2018 - 45
At Home with Chris Jessen 2018 - 46
At Home with Chris Jessen 2018 - 47
At Home with Chris Jessen 2018 - 48
At Home with Chris Jessen 2018 - 49
At Home with Chris Jessen 2018 - 50
At Home with Chris Jessen 2018 - 51
At Home with Chris Jessen 2018 - 52
At Home with Chris Jessen 2018 - 53
At Home with Chris Jessen 2018 - 54
At Home with Chris Jessen 2018 - 55
At Home with Chris Jessen 2018 - 56
At Home with Chris Jessen 2018 - 57
At Home with Chris Jessen 2018 - 58
At Home with Chris Jessen 2018 - 59
At Home with Chris Jessen 2018 - 60
At Home with Chris Jessen 2018 - 61
At Home with Chris Jessen 2018 - 62
At Home with Chris Jessen 2018 - 63
At Home with Chris Jessen 2018 - 64
At Home with Chris Jessen 2018 - 65
At Home with Chris Jessen 2018 - 66
At Home with Chris Jessen 2018 - 67
At Home with Chris Jessen 2018 - 68
At Home with Chris Jessen 2018 - 69
At Home with Chris Jessen 2018 - 70
At Home with Chris Jessen 2018 - 71
At Home with Chris Jessen 2018 - 72
At Home with Chris Jessen 2018 - 73
At Home with Chris Jessen 2018 - 74
At Home with Chris Jessen 2018 - 75
At Home with Chris Jessen 2018 - 76
At Home with Chris Jessen 2018 - 77
At Home with Chris Jessen 2018 - 78
At Home with Chris Jessen 2018 - 79
At Home with Chris Jessen 2018 - 80
At Home with Chris Jessen 2018 - 81
At Home with Chris Jessen 2018 - 82
At Home with Chris Jessen 2018 - 83
At Home with Chris Jessen 2018 - 84
At Home with Chris Jessen 2018 - 85
At Home with Chris Jessen 2018 - 86
At Home with Chris Jessen 2018 - 87
At Home with Chris Jessen 2018 - 88
At Home with Chris Jessen 2018 - 89
At Home with Chris Jessen 2018 - 90
At Home with Chris Jessen 2018 - 91
At Home with Chris Jessen 2018 - 92
At Home with Chris Jessen 2018 - 93
At Home with Chris Jessen 2018 - 94
At Home with Chris Jessen 2018 - 95
At Home with Chris Jessen 2018 - 96
At Home with Chris Jessen 2018 - 97
At Home with Chris Jessen 2018 - 98
At Home with Chris Jessen 2018 - 99
At Home with Chris Jessen 2018 - 100
At Home with Chris Jessen 2018 - 101
At Home with Chris Jessen 2018 - 102
At Home with Chris Jessen 2018 - 103
At Home with Chris Jessen 2018 - 104
At Home with Chris Jessen 2018 - 105
At Home with Chris Jessen 2018 - 106
At Home with Chris Jessen 2018 - 107
At Home with Chris Jessen 2018 - 108
At Home with Chris Jessen 2018 - 109
At Home with Chris Jessen 2018 - 110
At Home with Chris Jessen 2018 - 111
At Home with Chris Jessen 2018 - 112
At Home with Chris Jessen 2018 - 113
At Home with Chris Jessen 2018 - 114
At Home with Chris Jessen 2018 - 115
At Home with Chris Jessen 2018 - 116
At Home with Chris Jessen 2018 - 117
At Home with Chris Jessen 2018 - 118
At Home with Chris Jessen 2018 - 119
At Home with Chris Jessen 2018 - 120
At Home with Chris Jessen 2018 - 121
At Home with Chris Jessen 2018 - 122
At Home with Chris Jessen 2018 - 123
At Home with Chris Jessen 2018 - 124
At Home with Chris Jessen 2018 - 125
At Home with Chris Jessen 2018 - 126
At Home with Chris Jessen 2018 - 127
At Home with Chris Jessen 2018 - 128
At Home with Chris Jessen 2018 - 129
At Home with Chris Jessen 2018 - 130
At Home with Chris Jessen 2018 - 131
At Home with Chris Jessen 2018 - 132
At Home with Chris Jessen 2018 - 133
At Home with Chris Jessen 2018 - 134
At Home with Chris Jessen 2018 - 135
At Home with Chris Jessen 2018 - 136
At Home with Chris Jessen 2018 - 137
At Home with Chris Jessen 2018 - 138
At Home with Chris Jessen 2018 - 139
At Home with Chris Jessen 2018 - 140
At Home with Chris Jessen 2018 - 141
At Home with Chris Jessen 2018 - 142
At Home with Chris Jessen 2018 - 143
At Home with Chris Jessen 2018 - 144
At Home with Chris Jessen 2018 - 145
At Home with Chris Jessen 2018 - 146
At Home with Chris Jessen 2018 - 147
At Home with Chris Jessen 2018 - 148
At Home with Chris Jessen 2018 - 149
At Home with Chris Jessen 2018 - 150
At Home with Chris Jessen 2018 - 151
At Home with Chris Jessen 2018 - 152
At Home with Chris Jessen 2018 - 153
At Home with Chris Jessen 2018 - 154
At Home with Chris Jessen 2018 - 155
At Home with Chris Jessen 2018 - 156
At Home with Chris Jessen 2018 - 157
At Home with Chris Jessen 2018 - 158
At Home with Chris Jessen 2018 - 159
At Home with Chris Jessen 2018 - 160
At Home with Chris Jessen 2018 - 161
At Home with Chris Jessen 2018 - 162
At Home with Chris Jessen 2018 - 163
At Home with Chris Jessen 2018 - 164
At Home with Chris Jessen 2018 - 165
At Home with Chris Jessen 2018 - 166
At Home with Chris Jessen 2018 - 167
At Home with Chris Jessen 2018 - 168
At Home with Chris Jessen 2018 - 169
At Home with Chris Jessen 2018 - 170
At Home with Chris Jessen 2018 - 171
At Home with Chris Jessen 2018 - 172
At Home with Chris Jessen 2018 - 173
At Home with Chris Jessen 2018 - 174
At Home with Chris Jessen 2018 - 175
At Home with Chris Jessen 2018 - 176
At Home with Chris Jessen 2018 - 177
At Home with Chris Jessen 2018 - 178
At Home with Chris Jessen 2018 - 179
At Home with Chris Jessen 2018 - 180
At Home with Chris Jessen 2018 - 181
At Home with Chris Jessen 2018 - 182
At Home with Chris Jessen 2018 - 183
At Home with Chris Jessen 2018 - 184
At Home with Chris Jessen 2018 - 185
At Home with Chris Jessen 2018 - 186
At Home with Chris Jessen 2018 - 187
At Home with Chris Jessen 2018 - 188
At Home with Chris Jessen 2018 - 189
At Home with Chris Jessen 2018 - 190
At Home with Chris Jessen 2018 - 191
At Home with Chris Jessen 2018 - 192
At Home with Chris Jessen 2018 - 193
At Home with Chris Jessen 2018 - 194
At Home with Chris Jessen 2018 - 195
At Home with Chris Jessen 2018 - 196
At Home with Chris Jessen 2018 - 197
At Home with Chris Jessen 2018 - 198
At Home with Chris Jessen 2018 - 199
At Home with Chris Jessen 2018 - 200
At Home with Chris Jessen 2018 - 201
At Home with Chris Jessen 2018 - 202
At Home with Chris Jessen 2018 - 203
At Home with Chris Jessen 2018 - 204
At Home with Chris Jessen 2018 - 205
At Home with Chris Jessen 2018 - 206
At Home with Chris Jessen 2018 - 207
At Home with Chris Jessen 2018 - 208
At Home with Chris Jessen 2018 - 209
At Home with Chris Jessen 2018 - 210
At Home with Chris Jessen 2018 - 211
At Home with Chris Jessen 2018 - 212
At Home with Chris Jessen 2018 - 213
At Home with Chris Jessen 2018 - 214
At Home with Chris Jessen 2018 - 215
At Home with Chris Jessen 2018 - 216
At Home with Chris Jessen 2018 - 217
At Home with Chris Jessen 2018 - 218
At Home with Chris Jessen 2018 - 219
At Home with Chris Jessen 2018 - 220
At Home with Chris Jessen 2018 - 221
At Home with Chris Jessen 2018 - 222
At Home with Chris Jessen 2018 - 223
At Home with Chris Jessen 2018 - 224
At Home with Chris Jessen 2018 - 225
At Home with Chris Jessen 2018 - 226
At Home with Chris Jessen 2018 - 227
At Home with Chris Jessen 2018 - 228
At Home with Chris Jessen 2018 - 229
At Home with Chris Jessen 2018 - 230
At Home with Chris Jessen 2018 - 231
At Home with Chris Jessen 2018 - 232
At Home with Chris Jessen 2018 - 233
At Home with Chris Jessen 2018 - 234
At Home with Chris Jessen 2018 - 235
At Home with Chris Jessen 2018 - 236
At Home with Chris Jessen 2018 - 237
At Home with Chris Jessen 2018 - 238
At Home with Chris Jessen 2018 - 239
At Home with Chris Jessen 2018 - 240
At Home with Chris Jessen 2018 - 241
At Home with Chris Jessen 2018 - 242
At Home with Chris Jessen 2018 - 243
At Home with Chris Jessen 2018 - 244
At Home with Chris Jessen 2018 - 245
At Home with Chris Jessen 2018 - 246
At Home with Chris Jessen 2018 - 247
At Home with Chris Jessen 2018 - 248
At Home with Chris Jessen 2018 - 249
At Home with Chris Jessen 2018 - 250
At Home with Chris Jessen 2018 - 251
At Home with Chris Jessen 2018 - 252
http://europe.nxtbook.com/emp/AtHome/athomewithchrisjessen2018
http://europe.nxtbook.com/emp/AtHome/athomewithsarahbeenyautumn2017
http://europe.nxtbook.com/emp/AtHome/athomewithlorrainekelly2017
http://europe.nxtbook.com/emp/AtHome/athomeparentingwithJoFrost2017
http://europe.nxtbook.com/emp/AtHome/SarahBeenySpring2017
http://europe.nxtbook.com/emp/AtHome/AskTheDoctorWithDrJessenFebruary2017
http://europe.nxtbook.com/emp/AtHome/AtHomeWithTessDaly2016
http://europe.nxtbook.com/emp/Careers/YourBusinessWithJamesCaan2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithGloriaHunnifordOctober2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithSarahBeenyAutumn2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithLorraineKelly2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithJoFrostJune2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithSarahBeenySpring2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithDrChristianJessen2016
http://europe.nxtbook.com/emp/AtHome/AthomeWithTessDaly2015
http://europe.nxtbook.com/emp/AtHome/YourBusinessWithJamesCaanAutumn2015
http://europe.nxtbook.com/emp/AtHome/AthomeWithSarahBeeny2015
http://europe.nxtbook.com/emp/AtHome/AthomeWithGloriaHunniford2015
http://europe.nxtbook.com/emp/AtHome/AtHomeLorraineKelly2015
http://europe.nxtbook.com/emp/AtHome/JoFrost15
http://europe.nxtbook.com/emp/AtHome/SarahBennyMay2015
http://europe.nxtbook.com/emp/AtHome/OrthopaedicSupplementMarch2015
http://europe.nxtbook.com/emp/AtHome/DrChristianJessenFeb2015
http://europe.nxtbook.com/emp/AtHome/athomewithtessdaly
http://europe.nxtbook.com/emp/AtHome/jobsandcareers2014
http://europe.nxtbook.com/emp/AtHome/yourbusinesswithjamescaan
http://europe.nxtbook.com/emp/AtHome/athomewithsarahbeeny
http://europe.nxtbook.com/emp/AtHome/parentingjofrost
http://europe.nxtbook.com/emp/AtHome/drchristianjessen
http://europe.nxtbook.com/emp/AtHome/Athomelorrainekelly
http://europe.nxtbook.com/emp/AtHome/Athomesarahbeeny
http://europe.nxtbook.com/emp/AtHome/Cheers_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Christmas_New_year_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Exclusive_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Jo_Frost_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Carol_Vorderman_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Christian_Jessen_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_Beeny_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Lorraine_Kelly_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_James_Martin_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Jo_Frost_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Dr_Chris_Steele_Sept_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Sally_Gunnell_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_Beeny_Aug_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Lorraine-Kelly_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Christian_Jessen_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_James_Martin_2011
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_beeny_winter_2011
http://europe.nxtbook.com/emp/AtHome/Lorraine_Kelly_Nov_2011
http://europe.nxtbook.com/emp/AtHome/At_Home_Marco_Pierre_White_2011
http://europe.nxtbook.com/emp/AtHome/AtHome/Jo_Frost_July_2011
http://europe.nxtbook.com/emp/AtHome/Lorraine_Kelly_June_2011/Lorraine_Kelly_June_2011
http://europe.nxtbook.com/emp/AtHome/Sarah_Beeny_May_2011
http://www.nxtbookMEDIA.com