Otologist / Neurotologists

Specialized Care for Balance, Hearing, and Neurological Ear Disorders

Neuro Otology is a highly specialized branch of otolaryngology that focuses on the diagnosis and treatment of disorders involving the inner ear, auditory nerve, and the neural pathways that control hearing and balance. This field bridges the disciplines of ENT (Ear, Nose, Throat), neurology, and audiology, offering targeted evaluation and management of complex auditory and vestibular disorders.

At MicroCare ENT, our Neuro Otology division combines advanced diagnostic tools with multidisciplinary expertise to offer patients comprehensive care for disorders affecting both hearing and equilibrium.

What is Neuro Otology?

Neuro Otology is concerned with:

The inner ear structures (cochlea and vestibular system)

The vestibulocochlear nerve (cranial nerve VIII)

The central auditory and vestibular pathways in the brainstem and cortex

It deals with both peripheral (ear-related) and central (brain-related) causes of symptoms such as hearing loss, vertigo, tinnitus, and imbalance.

Conditions Managed Under Neuro Otology

Our neuro-otology experts diagnose and treat a wide range of conditions, including:

Vestibular Neuritis

Inflammation of the vestibular nerve leading to sudden vertigo, nausea, and imbalance.

Labyrinthitis

Infection or inflammation of the inner ear affecting both balance and hearing.

Benign Paroxysmal Positional Vertigo (BPPV)

A common cause of brief, spinning sensations triggered by head movements.

Ménière’s Disease

A chronic condition characterized by fluctuating hearing loss, tinnitus, vertigo, and a feeling of fullness in the ear.

Acoustic Neuroma (Vestibular Schwannoma)

A benign tumour on the vestibulocochlear nerve causing progressive hearing loss, imbalance, and facial nerve involvement.

Perilymph Fistula

An abnormal connection between the inner ear and middle ear that causes hearing changes and dizziness.

Superior Canal Dehiscence Syndrome

A rare condition involving a thinning or absence of bone over the superior semicircular canal, leading to vertigo and hearing abnormalities.

Central Vestibular Disorders

Neurological conditions affecting brain pathways that control balance and eye movements.

Sudden Sensorineural Hearing Loss (SSNHL)

Rapid loss of hearing due to damage to the inner ear or nerve pathways, considered a medical emergency.

Tinnitus with Neurological Causes

Persistent ringing in the ears caused by nerve irritation or central auditory dysfunction.

Diagnostic Services in Neuro Otology

At MicroCare ENT, we use advanced diagnostic tools to accurately pinpoint the cause of neuro-otologic symptoms:

Audiometry– To assess hearing sensitivity and type of hearing loss.

Videonystagmography (VNG)– To evaluate eye movements and detect inner ear imbalances.

Vestibular Evoked Myogenic Potentials (VEMP)– To assess the function of otolith organs involved in balance.

Auditory Brainstem Response (ABR)– A non-invasive test that evaluates the hearing nerve’s response to sound.

MRI & CT Imaging– To visualize nerve pathways, tumours, and structural abnormalities.

Posturography– Analyses body sway to assess balance control.

Electrocochleography (ECochG)– Used to detect conditions like Ménière’s disease.

Treatment Approaches in Neuro Otology

We offer both non-surgical and surgical treatments, depending on the condition:

Medical Therapy

Corticosteroids for inflammation or sudden hearing loss

Vestibular suppressants for vertigo episodes

Diuretics and salt restriction in Ménière’s disease

Antiviral or antibiotic therapy for infections

Vestibular Rehabilitation Therapy (VRT)

Customized balance training exercises to reduce dizziness and improve stability

Especially effective for BPPV, vestibular neuritis, and post-surgical recovery

Surgical Interventions

Microsurgery for Acoustic Neuroma

Endolymphatic sac decompression for severe Ménière’s

Labyrinthectomy in non-serviceable ears with intractable vertigo

Canal plugging for superior canal dehiscence

Cochlear Implants for advanced sensorineural hearing loss

Intratympanic Injections

Targeted steroid or gentamicin injections into the middle ear for treating Ménière’s and sudden hearing loss.

Symptoms That Warrant a Neuro-Otologic Evaluation

If you experience any of the following, it is advisable to consult a Neuro Otologist:

Repeated or persistent episodes of vertigo or imbalance

Unexplained hearing loss, especially sudden in onset

Tinnitus with or without hearing changes

Difficulty focusing or walking in the dark

Pressure or fullness in the ears with dizziness

Double vision or facial weakness accompanying ear symptoms

Why Choose MicroCare ENT for Neuro Otology?

✅ Expert Team: Led by ENT surgeons with subspecialty training in Neuro Otology
✅ Advanced Diagnostics: Comprehensive vestibular and auditory testing under one roof
✅ Integrated Care: Multidisciplinary collaboration with neurologists, audiologists, and physiotherapists
✅ Minimally Invasive Surgery: Expertise in endoscopic and microsurgical techniques
✅ Rehabilitation-Focused Approach: Personalized VRT programs for long-term stability
✅ International Protocols: Evidence-based treatment backed by global standards

Conclusion: Prioritizing Neurological Ear Health

Neuro Otologic disorders can profoundly affect one’s hearing, balance, and overall quality of life. Accurate diagnosis and early intervention are key to successful outcomes. At MicroCare ENT, we are committed to delivering excellence in Neuro Otology through compassionate care, advanced technology, and a patient-centred approach.

If you’re experiencing dizziness, hearing issues, or balance disturbances, schedule your consultation today with our Neuro Otology experts. Let us help you get back to a life of stability and clarity.

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