Show Surgery In loss Lo of Hearing There ure Hr two types type of ot hearing loss lose that ma may be benefited by sur- sur r. r Kery gery The most cl common type of 01 hearing hearing hear ing losi 1081 fi I. by blocking of cf the tube between the throat and ear b by enlarged adenoid tissue This may show how up at an en earl early age je any may ma account for lack luck of adequate adequate ade nde quate progress In school chool The adenoid tissue may J need tobe to tobe tobe be removed by surgery and may need to be followed with ray x-ray or 01 radium Irradiation i iThe r i The Tb second less lell I common and more spectacular type of hearing loss lose if ii clinical the cause of which unknown Is fa This ThI runs run In and may m. m may mf miss mfg a generation or so 10 T s type of deafness la is caused by bra a boD bony growth In the middle ear that prevents motion of the bones bonet of the tb ear er On OD this thIa account sounds cannot reach the th Inner luer ear Removing Re Re- Removing moving this bony bon growth is fa Im sible Ible ca g Irreparable inoperable damage nor cordon rd doea own medicine medi F cite cine ti help p. p A. A a Candidate a fo for must be carefully careful screened b by an ID t tune uni une ne who who has hu the tiona of the th ear earl who carefully examines examinee the ear note noes and IDd tJI throat t of the an any aD jr history his tory tort of or allergy A r I J JA A careful examination doD of the j. j he wing ring la Is then tileD done dR using ulna an aD t II aud III tI uti kiln 1 I ui It fM l conduction and willi it mi au tea tt and tuning kl test t-jui t. t fd tot bo outi titan tIm latter lutter tells tell the condition condi tion of the nerve nerve nerve of of hearing Ml tl 1 the nerve of ot hearing Is la nut not In condition for all sounds lound then the oJ expectation of ot hearing improvement improvement improve improve- ment Is la scant to nil Nor can hearing hear hear- Inn ing be Improved adequately if the theair theaIr theair air conduction loss Ions is I. too great r If the patients patient's hearing los logs is I. within the accepted range a e a physical physical phI cal cat examination to see gee If II tho tho patient la is able to withstand the surgical procedure which Is I. somewhat formidable If It If the patient is physically fit for operation hospitalization is ire re reo Under either a general or basal baal anaesthetic the operation on the poorer hearing ear earls Is started by doing a radical Then a n w window Is made mude Into the Inner ear to replace the one blocked by bone A skin flap flan Is I. placed over the new window through which sound wave waves will reach the Inner ear ear This prevents infection Po Post t operative dizziness Is I. usually usual usual- I ly severe evere enough to cause the patient unhappiness and Is elated with nausea or or This passes and the patient is allow allowed d' d to be out out of I. I bed on the third or fourth day However he heIs heIs hela Is la unsteady for tor days day to weeks Careful attention Is the tb post operative care When the thel cavi cavity la 1 d dry and d the skin ld flap well wel l attached tl were there ere la U little danKer danger of Infection patient may even go 10 swimming In a swarm warm pool If th the thA usual swimming requirements requirement are met Cold Cold welter In the ear 1 will wm produce ore dizziness cUssing After AIm eI eight bt to twelve m months nth the Improvement obtained la is usually Daun permanent P except for tor the normal drop roP In hearing as one grows growl w. w older t On well wen selected patients the percentage of Improvement ement to what la IS called ailed serviceable hearing la is shout about five seventy fl to eighty percent percent per per- cent This Ilai means mean that the hearing la r. equal or Of superior to hearing by a hear lIer aid an and nd much more natural |