Right middle ear implant for sensorineural hearing loss with the Envoy Esteem



Saturday, July 14, 2012

Revision

The appointment with Dr. S went well in terms of him getting to the bottom of why my ear just doesn't seem "right". The probable outcome is not what I expected, but it is what I want if it means getting the full potential out of my ear.
He took a look into my ear with his microscope and also did a tympanogram of his own. The tymp was normal, meaning there is not fluid in my ear. He also noticed a dry ear while looking with his scope. What he did see was bone cement on the inside of the ear drum and adhesions, both of which are likely restricting my ear's full potential to hear.
The answer? A revision of some sort. Putting me under general anesthesia and peeling back the ear drum, scraping it clean and removing the adhesions during the exploration of the ear. Dr. S said if he can do it he'd like to. Envoy typically won't allow a surgeon to do a revision unless they have at least 25 Esteems implanted. He's around 15. I don't really know what this means for me. I'd like him to do the surgery also, but will do whatever Envoy says since they pay for a revision.
For now, I've been prescribed Flonase (steroid nasal decongestant) to see if that will help alleviate any of the fullness in my ear. I'm supposed to get in touch with Dr. S in about 6 weeks to let him know how the Flonase is working, then go from there with plans to do or not do the revision.

Honestly, I'm just glad that I have a legit reason to not be hearing well and why my hearing has been sounding distorted! I'm still having trouble increasing my volume from C 3. I try to go to 4 and louder, higher pitched noises just sound whistley, like it's on the verge of feedback. But, definately still a big improvement since the last adjustment!

It sounds like the revision rate is getting somewhere up around the 5% mark now. I wonder if this will make Envoy think of different ways to do the approach to the surgery? Or if those that are getting revisions have some common denominator that makes the revisions necessary?

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