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.
AHRI The best dental institute in Gwalior provides the best laser treatment to its patients. Under the leadership of Dr. Rohit Agrawal, who himself is an acclaimed dentist having experience of more than a decade.
Lasers have come up as a boon in the field of dentistry. Now a wide range of dental problems like hypersensitivity, plaque, tooth decay, etc can be effectively treated with the help of lasers. Laser dentistry is comfortable, nominal at cost and time-saving as well.
It is hard to assume that even the most critical dental treatments can take place without any pain. Laser dentistry comprises this merit. Treatments by lasers are completely painless. Lasers are all about light beams-beam of light are transmitted while the treatment goes on. Due to this, there remains no chance of bleeding or swelling. Also, it is comparatively faster than conventional methods and therefore allows the wounds to heal quickly.
Laser dentistry has no scope of any subsequent infection even in the most critical surgeries. One more merit of lasers is the accuracy of operation. While performing any treatment procedure on a particular portion, the surroundings are not at all affected in any way.
AHRI Gwalior provides the best laser treatment to its patients. Under the leadership of Dr. Rohit Agrawal, who himself is an acclaimed dentist having experience of more than a decade; the center has been successfully conducting several dental surgeries and treatments through lasers. Treatment at AHRI is cheaper, advanced and accompanied by the best possible care. This blend of advancement with service makes AHRI the best dental institute in Gwalior.
Common cold comprises of runny nose, sore throat, congestion, and regular sneezing. It usually happens due to bacterial or viral attacks and can lead to critical infections if left untreated. In times of polluted and unhealthy lifestyle, such infections have become prominent and obvious. If you too suffer from regular complaints of common cold, follow this blog till the end as it comprises certain preventive measures against common cold advised by Dr. Rahul Agrawal best ENT specialist in Gwalior.
Dr. Rahul Agarwal is a highly qualified, acclaimed and the best ENT specialist in Gwalior. With an experience of more than a decade, he has a record of performing several highly critical surgeries successfully. He is the first doctor to bring CO2 laser surgeries for ENT in Gwalior.
Dr. Rahul suggests his patients to wash their hands frequently. Hands should be properly washed for 20-25 seconds. This removes germs that can enter the body through mouth or nose leading to a problem of cold and cough.
Many a time we fail to maintain hygiene at level of our hands especially while staying out at work. Dr. Rahul says that patients who frequently suffer from common cold should not touch their face, nose and eyes at all. These organs give viruses a clear passage into the body.
Dr. Rahul Agrawal asks all his patients to give away smoking. Smoking is a curse for patients suffering from respiratory issues of any kind including common cold and cough.
Common cold is contagious and hence a proper distance should be maintained from the infected person.
Immunity should be strengthened to fight against such viral infections. According to Dr. Rahul Agrawal, we must include in our diet fruits and vegetables rich in vitamins and minerals. Also, cycling, yoga or physical workout of any kind should be regularly practiced.
Following the above-mentioned tips by Dr. Rahul Agrawal you can naturally prevent the problems of common cold and can lead a healthier lifestyle.
Deafness becomes a curse for human beings. We all have been gifted with ears to hear and survive. Many patients remain depressed once they face issues in hearing. But is deafness incurable? Answer is No. Deafness can be cured successfully and quite comfortably. AHRI Best ENT Doctor in Gwalior has come up with a wide horizon of treatment methodologies that can return a patient to happy and healthy hearing.
Ear wax is a common reason for hearing loss as its blocks the ear passage. Accumulation of earwax can take place due to various reasons. Removal of this wax can be easily done with a suction tool.
If there exists a critical issue in the eardrums or bones, then surgery is suggested. Surgery in this case is not at all dangerous and can return extremely positive results.
Hearing aids become helpful if there is damage to inner ear. AHRI offers its patients easy to handle hearing aid devices and that too at cheaper rates.
Cochlear implants are a boon for people who have severe hearing loss from inner-ear damage and who are no longer helped by using hearing aids. It is an electronic device that electrically stimulates the cochlear nerve (the nerve for hearing).
We at AHRI offer our patients all hearing-related treatments which are safe and economic. Under the leadership of Dr. S R Agrawal and Dr. Rahul Agrawal, the hospital is well-established to test all types of hearing issues in adults as well as in newborns. Dr.SR Agarwal is one of the most acclaimed ENT surgeons in India who has been serving his patients for more than 50 years. Dr. Rahul Agrawal with an experience of more than 200 cases of successful surgeries is the best ENT doctor (surgeon) in Gwalior.
We at AHRI remain committed to ensuring excellent outcomes for patients through the effective use of technology, taking care of their satisfaction and safety as well it makes us Best ENT Doctor in Gwalior.
Sugar-bugs is a commonly observed dental issue in children of all age groups. It not only disturbs oral health of a child but also affects his speech, body language and other aspects of growth. Milk teeth have much thinner enamel (outer layer). Main reason of sugar-bugs is the bacteria in mouth.
Bacteria produce acids that damage tooth enamel that further results in unbearable pain and other oral infections. But the matter of fact is that such harmful conditions can be easily prevented. What we need is just a set of expert tips that can prevent our children from this health risk.
If you too want to guard your child against sugar-bugs, follow this blog till the end. Here, Dr. Shipra Agrawal has shared the best tips that will surely keep sugar-bugs away from children of all age groups. Dr. Agarwal is a practicing dentist at AHRI Gwalior and has been serving her patients for almost a decade.
It is quite necessary to ensure oral hygiene in children who are 1-3 years old. Their gums need to get wiped with a soft cloth twice a day, before first feed and after the last feed. Brushing should commence just after the first tooth grows. For this purpose, small and gentle brushes should be taken that is soft on baby’s tooth.
The kid must undergo a complete dental check-up as soon as he turns one. This check-up is essential to examine whether the gums are free from all infections or not. When the child turns two, his teeth need to get the varnish coating. Dental varnish is a fluoride-containing solution that prevents tooth decay. Children need to develop a regular habit of mouth-rinsing whenever they eat something.
Rinsing removes the food particles that get trapped in teeth and allow production of bacterial acids. As permanent teeth grow, they should get a sealant coating. Dental sealants not only prevent sugar-bugs but also ensure a strong configuration of permanent teeth.
Above mentioned tips by Dr. Shipra Agarwal (Dentist at AHRI Gwalior) is a result of a long experience and should be followed as golden rules to protect your kids from sugar-bugs.