The peripheral and central components of our auditory system can be broadly divided into two groups. The outer, middle, and inner ears are all part of peripheral hearing. The eardrum, auricle, and ear canal make up the outer ear. Malleus, incus, and stapes are located in the middle ear. The term “ossicles” refers to all three of these tiny bones. The stapes connects to the inner ear, whereas the malleus attaches to the eardrum, which links to the outer ear. The auditory nerve connects the cochlea in the inner ear, which is then connected to the brain’s hearing centre. The cochlea is made up of a number of unique fluids that are crucial to the hearing mechanism. The auditory nerve and an extraordinarily complicated passage from the brain stem to the auditory cortex make up the central hearing system.
The auricle gathers sound waves or merely environmental vibrations and directs them into the ear canals. The eardrum is vibrated by these sound waves. These eardrum vibrations are now transmitted to the middle ear’s ossicles. The cochlea in the inner ear receives vibrations from here.
A large variety of these vibrations can be detected by the cochlea’s millions of hair cells. While low-pitched vibrations excite hair cells in the top section of the cochlea, high-pitched noises only affect the lower area. Each hair cell produces nerve impulses after determining the frequency or pitch of a sound, which are then promptly transmitted down the auditory nerve.
The hearing centre of the brain is called the auditory cortex. Here, a few of these vibrations are transformed into audible sound. This entire process is completed in a split second.
An electronic medical device called a cochlear implant takes the place of the inner ear’s destroyed function. Cochlear implants replace the function of injured inner ear (cochlea) elements in order to transmit sound impulses to the brain, as contrast to hearing aids which amplify sounds.
The most crucial factor is early diagnosis. As soon as feasible, management of a deaf and mute youngster should be instituted. If a cochlear implant is placed before age 3, the likelihood of success increases. With increasing child age, success rate declines.
How we hear?
The eardrum vibrations caused by sound waves move the chain of tiny bones (the ossicles – malleus, incus and stapes) in the middle ear transferring the sound vibrations into the cochlea of the inner ear. This is where the streams of nerve impulses are converted into meaningful sound.
Parts of ear:
Outer Ear :
Middle Ear: Converts sound waves in to vibrations.
Inner Ear (Cochlea): converts vibrations into electrical impulse. Theses electrical impulse travel to brain via nerve of hearing (Cochlear nerve)
What is cause of Hearing Loss in children?
As the cases of children being unable to hear pile up in Gwalior, it is necessary to know what causes the loss of hearing at such an early age. In children hearing loss can be congenital (from birth) or acquired (after birth). Acquired can be due to various infections or trauma, etc.
Hearing loss can also be classified as per language development as follows
Pre-lingual –hearing loss developed before child could start speaking, it can be either congenital (from birth) or acquired (after birth).
Post-lingual – hearing loss developed after child started speaking. It means it is acquired.
Cause of hearing loss is any defect in the transmission of sound through the ear. It can be
Conductive – Caused by defect in middle or external part of ear. It can usually be treated by some medications. Less frequently a surgery is required to correct this type of hearing loss
Sensory-neural – Caused by defect in nerve of hearing or cochlea. Mild to moderate hearing loss can be treated by hearing aid whereas severe to profound hearing loss requires Cochlear Implant surgery
Burden of Hearing loss?
In US Significant bilateral hearing loss is present in ~1 to 3 per 1000 newborn infants in the well-baby nursery population, and in ~2 to 4 per 100 infants in the intensive care unit population.
In India, 63 million people (6.3%) suffer from significant auditory loss. Four in every 1000 children suffer from severe to profound hearing loss. The estimated prevalence of childhood onset deafness to be 2%
How to assess Hearing loss in a new born?
Detection of infant hearing loss requires universal screening of all infants. Screening by high-risk registry alone (eg, family history of deafness) can only identify ~50% of newborns with significant congenital hearing loss. Reliance on physician observation and/or parental recognition has not been successful in the past in detecting significant hearing loss especially in the first year of life.
Tests for screening include otoacoustic emissions (OAE) and auditory brainstem response (ABR / BERA). Both test are noninvasive, quick, and easy to perform, although each assesses hearing differently. Aim is to initiate necessary intervention by 6 months of age.
Cochlear implants may be placed in one ear (unilateral) or both ears (bilateral). Cochlear implants in both ears have started to be used more often to treat bilateral severe hearing loss — particularly for infants and children who are learning to speak and process language. An ordinary hearing aid just makes sound louder whereas a cochlear implant improves the ability to understand speech. When a person struggles to understand speech, even with appropriately fitted hearing aids, a cochlear implant should be considered.
If you suffer through a major hearing loss and experience poor hearing, miss half or more of spoken words, without lip reading, even when wearing hearing aids or dependent majorly on lip reading then cochlear implant will serve you as a boon.
AHRI offers the best cochlear implant in Gwalior. Under the supervision of Dr. Rahul Agarwal who himself contains a remarkable experience of conducting 300+ cochlear implant surgeries, audiology team at AHRI stands as the best in the region.
With a team of highly qualified and well-experienced doctors, the institute offers diagnostic evaluations to people having speech, hearing, language, and communication difficulties. It is committed to ensuring excellent outcomes for the patients by the effective use of technology, taking care of their satisfaction and safety as well. Being pioneered in Madhya Pradesh, the audiology vertical at AHRI Gwalior provides the best cochlear implant accompanied by the best possible care, and that too at nominal expenses.
Monsoon is the season of several ear infections. Moisture gives home to various bacterial and fungal attacks damaging the ears, nose and throat. But there remains nothing to worry much about, Just a few care tips are overmuch to keep such infections at bay.
Proper ear hygiene is a must in monsoon. Keep your ears clean and avoid entering any dusty or dirty things into them like unclean fingers, earphones, etc.
Ears in monsoon should be kept dry. Wipe them properly with a cotton cloth, especially after a bath or face wash.
Ear wax is a common problem during monsoon. If you detect ear wax, visit your doctor instead of cleaning it with cotton buds as it can get pushed deep into ears by the buds.
Throat infections can also cause various ear problems. Gargling with salt water ensures an infection-free throat and healthy ears as well.
Visit an ENT specialist once in three months to get your ears examined completely.
No ear infection starts suddenly, few symptoms indicate the existence of some issue in ear. It can be severe pain, temporary hearing loss, ear discharge, swelling or itching etc. If you too come across any of these symptoms, visit your doctor immediately.
AHRI Gwalior is the best ENT center in Gwalior. We at AHRI treat our patients with all the latest equipment and technological advancements. We also ensure the best possible care at affordable costs. Service with professionalism is the blend that makes AHRI the best ENT hospital in Gwalior
AHRI provides the best treatment for strep throat in Gwalior. Under the leadership of two highly experienced and well-qualified ENT specialists Dr. SR Agarwal and Dr. Rahul Agarwal, the team stands the best in the city. Instead of temporary treatments, doctors at AHRI help their patients achieve permanent relief.
Strep throat is a bacterial infection that leads to swelling in throat accompanied by pain and high fever. It is observed in patients of all age groups but children between 6-15 years have relatively higher chances of catching this infection.
Strep throat is communicable and can easily spread by coughing or sneezing. Besides sneezing or coughing, It can be spread by sharing food with the infected person. It is accompanied by a few prominent symptoms like red throat, headache, neck-swelling and high fever.
Saltwater gargle and warm liquid consumption help in reducing effects of strep-throat. But these remedies should be adopted along with proper medical treatment.
The ENT vertical at AHRI Gwalior has an extremely qualified squad of professionals with years of knowledge to satisfy all ear, nose, neck and head-related healthcare requirements. The vertical in its best capacity utilizes all the technological advancements and aims to facilitate its patients with utmost care.
Proper ear care is extremely important for ensuring healthy and safe hearing. Amid such a busy lifestyle that is exclusively exposed to noisy gadgets, it is quite useful to adopt a few ear care tips. These tips are easy-to-follow and safe.
If you are habitual of enjoying loud concerts or reside in a noisy location, use earplugs as much as possible. These earplugs are easily available in market at a much cheaper cost.
Listening to music at very high volumes is also dangerous and causes long-term hearing as well as neurological ailments. So, if you listen to your beloved music piece or enjoy watching favorite TV shows, make sure that volume of the device is moderate.
Being on phone calls for long hours is too very critical. This can become a reason for reduced hearing along with migraine and dizziness. Whenever you attend a call, ensure that the time does not beyond 15 minutes. If it becomes longer than this, keep your phone on speaker mode.
Overuse of earphones prohibits the exit of ear wax and pushes it inwards. Earwax accumulation causes tinnitus or ringing in ears.
After bath or face-wash wipe your ears with a clean cotton cloth. Regular entry of moisture in large amounts can damage the eardrums.
Visit your ENT specialist for a frequent ear check-up. If you are allergic then such supervision becomes relatively more important, especially during rainy season.
Inculcate the above-mentioned tips as habits in your daily life and keep all ear-related issues at bay for your whole life.
E N T cancers are quite common all across the globe and become extremely dangerous if not treated at early stages. Such cancers mostly attack the soft tissues of the throat and head region. Nasopharyngeal or nose cancer is commonly detected in men, thyroid cancer in women and lymphoid in both. ENT cancers have some specific and prominent symptoms. This blog contains a comprehensive introduction to such symptoms by Dr. S R Agrawal. Dr. S R Agrawal is the best ENT specialist in Gwalior currently heading the ENT wing at AHRI. Dr. Agarwal is one of the most acclaimed ENT surgeons in India who has been serving his patients for over five decades. Pioneered in almost all the verticals of ENT treatments, Dr. S R Agarwal holds experience in conducting over 100+ successful surgeries.
Dr. S R Agrawal observed lumps in necks of patients suffering from ENT cancers. These lumps are common in ENT cancers of all types. Most lumps developing in neck are not cancer-causing but if such a lump sustains for more than two weeks, it must get medically examined. Besides this nosebleeds also occur in nose cancer usually when the bleeding takes place continuously but in small quantities.
According to Dr. S R Agrawal, ulcers or severe swelling in mouth that is not recovered within a week can also be a sign of ENT cancer. Hoarseness of voice takes place in case of cancer in the voice box. Besides voice box, it can be a symptom of thyroid cancer as well. Difficulty in swallowing or a sense of obstruction in the throat comes out to be an indication of throat cancer.
Severe pain or blockage in ear can take place due to the cancer of nose. It is a rarely observed symptom and can be present in case of tumor in nose or throat.
AHRI Gwalior provides the best treatment for ENT cancers. Surgery, Radiotherapy and chemotherapy are the main treatment techniques at AHRI. Exact methodology of treatment is decided by the team depending upon the need and type of cancer. In nasopharyngeal cancer, Radiotherapy and Chemotherapy are adopted. For thyroid cancer surgery is done to eliminate lymph nodes present in neck. In the case of lymphoma, chemotherapy takes place.
AHRI Gwalior in its best capacity utilizes all the technological advancements and aims to facilitate its patients with utmost care and compassion.
Cosmetic gynecology has become quite popular in recent years. This helps the women to overcome several adverse effects of childbirth and aging. Along with this it also helps women feel confident about their physical appearance. As this field is quite modern and has developed recently, there remain several confusions regarding the process of treatment involved. If you too want to undergo cosmetic gynecology but are unaware of its several merits, hold on and follow this blog till the end.
This blog has come up with suggestions and proper guidance on cosmetic gynecology by Dr. Sonali Agarwal. Dr Sonali Agarwal is an expert in IVF and the best gynecologist in Gwalior for treating infertility. With an experience of 10+ years, she has a record of conducting several critical surgeries successfully including endoscopic surgeries and various high-risk pregnancies. Currently, she is serving at the gynecology and obstetrics wing, Agarwal Healthcare and Research Institute, Gwalior.
Here in this blog, Dr. Sonali Agarwal not only educates you about what cosmetic gynecology is in actuality but also informs you about its several benefits. According to Dr. Agarwal, cosmetic gynecology can be broadly categorized into four dimensions-vaginoplasty, labiaplasty, hymenoplasty and thermiva.
Vaginal width increases at the time of childbirth or regular sexual intercourse. Vaginoplasty helps in regaining that lost vaginal elasticity. Dr. Sonali Aggarwal says that she has observed this issue especially among the women beyond 40. Vaginoplasty involves the reconstruction of damaged tissues of vaginal cavity which tightens vagina and brings it to its natural or original state.
This involves removal of extra skin present in inner and outer labia. According to Dr. Sonali Agarwal, major technique involved in this treatment is the laser. Labiaplasty is quite helpful in increasing sexual comfort as well.
Hymenoplasty, otherwise called hymenorrhaphy, is the corrective fix, rebuilding, or development of a lady’s hymen. Dr. Sonali says that it is the most controversial treatment in the field of cosmetic gynecology as it deals with virginity of a lady that has several religious convictions if the lady is unmarried. Apart from this, this procedure is extremely helpful in restoring the hymen that can be broken or torn on various occasions during a lady’s life, regardless of whether brought about by tampon addition, work out, or sex.
It is a non-surgical approach to vaginal treatment. Dr. Agarwal says that thermiva has been introduced as a boon for the ladies who do not want their vagina to be treated with a knife.
Here a cosmetic gynecologist uses controlled radiofrequency energy to generate low amount of heat that is further applied to vaginal region being treated. This heat helps in tightening the portion it is applied on.
Cosmetic gynecology is helping women through several merits. If you too want to seek several benefits of cosmetic gynecology then visit cosmetic gynecology vertical at AHRI Gwalior. The cosmetic gynecology vertical at AHRI Gwalior is the best spot for undergoing the above-mentioned treatment procedures in the Gwalior-Chambal division. The vertical consists of a well-trained medical staff, under the supervision of Dr. Sonali Agrawal. The team is well-equipped to encounter all the fields of women’s wellness. Based on all the required advancements and the latest technological support, the department ensures a well-equipped treatment methodology as well. With all such specialized treatments accompanied by the appropriate assistance, care and compassion, under one ceiling, and that too at affordable cost, AHRI stands as the best cosmetic gynecology center in Gwalior.
The ear canal produces cerumen, a light brown or yellow-colored fluid also known as ear wax. It is a waxy oil that protects the ear from foreign particles, dust and microbes, protecting ear canal skin against irritation caused by water as well. Normally, the excess wax finds its way out of the ear canal, into ear opening and then gets washed away. Ear wax when produced more than necessary blocks the ear. It is the most common reason for temporary hearing loss but AHRI provides best treatment for ear wax.
Excess ear wax generation does not become cause of hearing loss automatically. When this wax is pushed deeper by cotton swabs, pins or any other equipment, it creates blockage leading to hearing loss. Continuous usage of earphones is also a major cause of ear wax problems as it prohibits the wax to wash out.
Symptoms of ear wax are quite easily noticeable;
Partial hearing loss in one or both ears
Buzzing in ear
Fullness in ear
Drainage from ear
Fever, coughing and dizziness in severe cases
If you come across any of the above signs, visit your doctor as soon as possible.
AHRI Gwalior provides the best treatment for ear wax issues. Treatments at AHRI Gwalior are safe, economic and patient friendly. The hospital is facilitated enough to test all types of hearing issues in adults as well as in newborns.
AHRI consists of maintained labs and pathologies under the supervision of trained professionals. It is committed to ensuring excellent outcomes for patients by the effective use of technology, taking care of their satisfaction and safety as well.
The ENT vertical at AHRI Gwalior provides an extremely qualified and well-experienced squad of professionals. We at AHRI aim to satisfy all ear, nose and throat-related issues with utmost professionalism. AHRI is the best ENT center in Gwalior providing world-class treatment to its patients at much cheaper rates.
The institute is competent enough to deal with all kinds of emergency and non-emergency services including most critical surgeries as well. Agarwal’s ENT center in Gwalior features a well-established team of experts in audiology, cochlear implant surgery, and rehabilitation to provide essential health care for sensitive issues.
ENT team at AHRI works under the two highly acclaimed and best ent surgeons in Gwalior, Dr. S R Agarwal and Dr. Rahul Agarwal. Dr. SR Agarwal is one of the best ENT surgeons in India who has been serving his patients for more than 50 years. Pioneered in almost all the verticals related to ENT treatments, Dr. S R Agarwal holds experience in conducting over 100 successful surgeries.
Dr. Rahul Agrawal became the youngest ENT surgeon in India to perform Cochlear Implant Surgery. He performed his 1st Cochlear Implant Surgery on 21st July’2010 at Agrawal Hospital and Research Institute, Gwalior. The patient was a 3-year-old child, deaf and mute from birth. Dr. Rahul Agrawal has experience of more than 200 cases of successful cochlear Implant surgeries.
ENT wing at AHRI is well equipped with all the latest technological advancements and state-of-the-art infrastructure. Addressing medical needs of every patient is our prime goal. The vertical in its best capacity utilizes technology and aims to facilitate its patients with utmost care and compassion.