As otologists/neurotologists, our physicians specialize in surgery for hearing disorders, ear disease, balance difficulties and other associated problems.   Often these surgeries are performed using a microscope in order to operate on these delicate structures.

Your surgeon will discuss possible surgical treatment in detail, including anticipated outcomes, risks, complications, and alternatives.  Please feel free to ask questions and share your concerns.

See below for pre- and post-operative instructions.  Printable PDFs are included under each heading.

Preoperative Instructions

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These are general preoperative instructions that are appropriate for most surgeries performed by our physicians.  Please check with your surgeon as to any specific instructions which apply to your surgery.

  1. Do not eat or drink anything (including water) before surgery, according to the following guidelines:

If you have anything to eat or drink after these deadlines your surgery will be cancelled.

Adults:  8 hrs before surgery

Newborn to 6 months: 4 hrs (3 hrs clear liquids) before surgery

                          clear liquids = apple juice, water

6 months to 36 months: 6 hrs (4 hrs clear liquids) before surgery

Children over 3 yrs:  8 hrs (4 hrs clear liquids) before surgery

Note: If you take prescription medications daily, discuss with your surgeon whether or not you should take that morning’s dose with a sip of water.

  1. 14 days prior to surgery stop taking non-steroidal anti-inflammatory medicines such as ibuprofen (e.g., Motrin, Advil, Aleve); over-the-counter or prescription weight-loss or appetite suppressant medications; or any herbal medicines (e.g., St. John’s Wort, echinacea, etc.). 7 days prior to your surgery stop Aspirin and all medicines containing Aspirin.
  1. Do not bring valuables or wear jewelry, make-up, or nail polish. Wear comfortable, loose clothing.
  1. It is advisable that you wash your hair before surgery because in some cases you will not be allowed to do so for several days after surgery.
  1. If you develop cold or flu symptoms (sore throat, fever, diarrhea, etc.) prior to your surgery, call our office right away.
  1. You must have a responsible adult drive you home. We suggest someone stay with you for 24 hours after surgery.
  1. If you have any questions or concerns before the day of surgery, please feel free to call the office.

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  1. Do not eat or drink anything (including water) before surgery, according to the following guidelines:

If you have anything to eat or drink after these deadlines your surgery will be cancelled.

Adults:  8 hrs before surgery

Newborn to 6 months: 4 hrs (3 hrs clear liquids) before surgery

                          clear liquids = apple juice, water

6 months to 36 months: 6 hrs (4 hrs clear liquids) before surgery

Children over 3 yrs:  8 hrs (4 hrs clear liquids) before surgery

Note: If you take prescription medications daily, discuss with your surgeon whether or not you should take that morning’s dose with a sip of water.

  1. 14 days prior to surgery stop taking Aspirin and medicines containing aspirin, non-steroidal anti-inflammatory medicines such as ibuprofen (e.g., Motrin, Advil, Aleve); over-the-counter or prescription weight-loss or appetite suppressant medications; or any herbal medicines (e.g., St. John’s Wort, echinacea, etc.).
  1. Do not bring valuables or wear jewelry, make-up, or nail polish. Wear comfortable, loose clothing.
  1. It is advisable that you wash your hair before surgery because in some cases you will not be allowed to do so for several days after surgery.
  1. If you develop cold or flu symptoms (sore throat, fever, diarrhea, etc.) prior to your surgery, call our office right away.
  1. You must have a responsible adult drive you home. We suggest someone stay with you for 24 hours after surgery.
  1. If you have any questions or concerns before the day of surgery, please feel free to call the office.

Download PDF Version

This list may NOT be all inclusive, please ask about any medications you are unsure of.

Non-steroidal anti-inflammatory’s (NSAID’s)

  • Ibuprofen
  • Diclofenac
  • Lodine
  • Naproxen
  • Toradol
  • Motrin
  • Etodolac
  • Meloxicam
  • Nuprin
  • Voltaren
  • Daypro
  • Aleve
  • Feldene
  • Meclofenamte
  • Orudis
  • Vioxx
  • Advil
  • Fenoprofen
  • Midol
  • PediaCare Fever
  • Arthrotec
  • Genpril
  • Mobic
  • Piroxicam
  • Celebrex
  • Indomethacin
  • Nambumetone
  • Relafen
  • Clinoril
  • Ketoprofen
  • Nalfon
  • Sulindac

ALL Over the Counter (OTC) or Prescription Weight-loss or appetite suppressant’s

Including but not limited to:

  • Fen-Fen
  • Hydroxycut
  • Zantrex
  • Alli

Herbal Medications including Multivitamins

  • St. John’s Wort
  • Gingko biloba
  • Milk thistle
  • Echinacea
  • Ginseng
  • Vitamin E
  • Fish Oils/Omega 3’s
  • Glucosamine/Chondroitin
  • Cinnamon
  • Garlic

LIST OF MEDICATIONS TO STOP 7 DAYS PRIOR TO SURGERY

Aspirin or medications that contain Aspirin

  • Aspirin
  • Alka Seltzer
  • Excedrin
  • Asprimox
  • Arthritis Pain Reliever
  • Genaprin
  • Bayer
  • Heparin
  • Bufferin
  • Norgesic
  • Ecotrin
  • Percodan
  • Aggrenox
  • Pepto-Bismol

 

Postoperative Instructions

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A surgical incision has been made in the eardrum and a tube inserted into the incision to ventilate (allow air in) the middle ear space.

Some drainage from the ear may be expected for the first 48 hours after surgery.  If the ear continues to drain after that, notify our office.

Also notify us if the patient’s hearing seems to be worse after surgery than before.

You will be given a prescription for ear drops.  Use as directed, 3-4 drops twice a day for
□ 3 days □ 7 days, beginning the day after surgery.

You may wash your hair and swim but must not allow any water into the ears.  Docs ProPlugs are available at the office or a cotton ball with petroleum jelly (Vaseline) pressed into it may be used to keep water out during bathing.

If the tube falls out on its own, note the date and report it on your next office visit.

We would like to see you in the office in approximately six weeks.  If the appointment date and time already selected for you is not convenient, please call the office in the next day or two to reschedule.

Questions? If you have any questions or concerns before your next visit, call us at 317-842-4901 or toll free 800-818-3277.  For emergencies after hours, our answering service will contact the doctor for you.

Download PDF Version

It is very important that you not blow your nose for 3 to 4 weeks following the procedure so you do not displace the patch.

You may wash your hair and swim but must not allow any water into the ears for 6 weeks.  Docs ProPlugs are available at the office, or a cotton ball with petroleum jelly (Vaseline) pressed into it may be used to keep water out during bathing.

Some drainage may be expected for the first 48 hours after surgery.  If you experience drainage longer than that or foul odor from the ear, contact our office.

We would like to see you in the office in approximately 6 weeks.  If the appointment date and time already selected for you is not convenient, please call the office in the next day or two to reschedule.

Download PDF Version

  1. Remove the cup dressing the morning after your surgery. Remove all gauze and the cotton ball only. Change the cotton ball 2-3 times per day until the drainage slows. Start the ear drops the morning after the surgery.
  1. Keep the incision dry for 3 days following surgery.
  1. Do not push the packing into or pull it out of the ear canal. This packing will be removed at your first postoperative appointment.
  1. Start the prescription antibiotic pills the day you go home. Be sure to finish the entire amount of this medication prescribed. Notify our office if you have any swelling, hives, itching, or other signs of allergies to the medication.
  1. Discomfort may be relieved by taking acetaminophen (Tylenol). If your pain is not relieved by this, you may use the prescription pain medication.
  1. To reduce swelling, sleep with your head elevated on two pillows.
  1. Unless you are instructed otherwise, you may wash your hair after 3-4 days. However, keep your ear dry by protecting it with a cotton ball mashed with petroleum jelly (e.g., Vaseline) until told to stop by your doctor.
  1. Notify our office of any signs of a cold or fever.
  1. DO NOT blow your nose or “pop” your ears for at least four (4) weeks. Sneeze or cough with your mouth open.
  1. Do not lift anything that requires straining (e.g., 25 lbs. or more) for four (4) weeks. Walking or light exercise is okay once you feel able.
  1. You will typically need to be off work for 2-5 days, depending on your operation and the nature of your duties.
  1. Unless otherwise directed, do not travel by airplane for three (3) weeks after surgery.
  1. It is common to experience muffled hearing, ringing, and occasional popping, crackling, and brief pain in your ear after surgery. You may hear some strange sounds and noises at first. Hearing may take 6-8 weeks to improve.
  1. You will be given an appointment for a check-up in the office a few days from now. If this time or day is not convenient for you, please let us know as soon as possible by calling (317) 842-4901. If you have any questions before then, please don’t hesitate to call our office.
  1. In an emergency you may reach the doctor after hours by calling the office phone number, (317) 842-4901 or toll free (800) 818-3277. The answering service will contact the doctor for you.

Download PDF Version

  1. Dressing change: Buy a new box of cotton balls from the drugstore. The morning following surgery, remove the old cotton from the ear.  Wash your hands well.  Lightly place the new cotton in the ear.  Change this cotton 2-3 times each day, as there is often some bloody drainage for 3-4 days.  Once the drainage has stopped, you may leave the cotton out.
  1. Start the prescription antibiotic the day you go home. Be sure to finish all the entire amount of this medication prescribed. Notify our office if you have any swelling, hives, itching, or other signs of allergies to the medication.
  1. Unless you are instructed otherwise, you may wash your hair after 3-4 days. However, for the first 3 weeks to keep water out protect the ear with cotton mashed with petroleum jelly (e.g., Vaseline).
  1. Do not blow your nose or “pop” your ears for four (4) weeks. Sneeze with your mouth open. Do not lift anything that requires straining for four (4) weeks.  Walking or light exercise is okay once you feel able.
  1. Notify our office of any signs of a cold.
  1. It is common to experience occasional popping, crackling, and brief pain in your ear after surgery. You may hear some strange sounds and noises at first. Hearing may take several weeks to improve.
  1. Discomfort may be relieved by taking acetaminophen (Tylenol). Do not use products containing aspirin (for example, Excedrin) or ibuprofen (such as Motrin). If your pain is not relieved by acetaminophen, you may use the prescription pain medication.
  1. To reduce swelling, sleep with your head elevated on two pillows.
  1. You will typically need to be off work for 2-5 days, depending on your operation. The doctor will tell you at discharge how long you should stay off work.
  1. If you find 2-3 stitches in your ear lobe or behind the ear, this is because a small piece of fat or tissue was removed for a graft. Leave the stitches in place; they will dissolve or be removed at your first office visit.
  1. You will be given an appointment for a check-up in the office for 7-10 days after surgery. If this time or day is not convenient for you, please let us know as soon as possible by calling (317) 842-4901. If you have any questions before then, please don’t hesitate to call our office.
  1. Unless otherwise directed, do not travel by airplane for three (3) weeks after surgery
  1. In an emergency you may reach the doctor after hours by calling the office phone number, (317) 842-4901. The answering service will contact the doctor for you.

Download PDF Version

  1. Remove the cup dressing the morning after your surgery. Remove all gauze and the cotton ball only. Change the cotton ball 2-3 times per day until the drainage slows. Start the ear drops the morning after the surgery.
  1. Keep the incision dry for 3 days following surgery.
  1. Do not push the packing into or pull it out of the ear canal. This packing will be removed at your first postoperative appointment.
  1. Start the prescription antibiotic pills the day you go home. Be sure to finish the entire amount of this medication prescribed. Notify our office if you have any swelling, hives, itching, or other signs of allergies to the medication.
  1. Discomfort may be relieved by taking acetaminophen (Tylenol). If your pain is not relieved by this, you may use the prescription pain medication.
  1. To reduce swelling, sleep with your head elevated on two pillows.
  1. Unless you are instructed otherwise, you may wash your hair after 3-4 days. However, keep your ear dry by protecting it with a cotton ball mashed with petroleum jelly (e.g., Vaseline) until told to stop by your doctor.
  1. Notify our office of any signs of a cold or fever.
  1. DO NOT blow your nose or “pop” your ears for at least four (4) weeks. Sneeze or cough with your mouth open.
  1. Do not lift anything that requires straining (e.g., 25 lbs. or more) for four (4) weeks. Walking or light exercise is okay once you feel able.
  1. You will typically need to be off work for 2-5 days, depending on your operation and the nature of your duties.
  1. Unless otherwise directed, do not travel by airplane for three (3) weeks after surgery.
  1. It is common to experience muffled hearing, ringing, and occasional popping, crackling, and brief pain in your ear after surgery. You may hear some strange sounds and noises at first. Hearing may take 6-8 weeks to improve.
  1. You will be given an appointment for a check-up in the office a few days from now. If this time or day is not convenient for you, please let us know as soon as possible by calling (317) 842-4901. If you have any questions before then, please don’t hesitate to call our office.
  1. In an emergency you may reach the doctor after hours by calling the office phone number, (317) 842-4901 or toll free (800) 818-3277. The answering service will contact the doctor for you.

Download PDF Version

  1. Dressing change: Buy a new box of cotton balls from the drugstore. The morning following surgery, remove the old cotton from the ear.  Wash your hands well.  Lightly place the new cotton in the ear.  Change this cotton 2-3 times each day, as there is often some bloody drainage for 3-4 days.  Once the drainage has stopped, you may leave the cotton out.
  1. Start the prescription antibiotic the day you go home. Be sure to finish all the entire amount of this medication prescribed. Notify our office if you have any swelling, hives, itching, or other signs of allergies to the medication.
  1. Unless you are instructed otherwise, you may wash your hair after 3-4 days. However, for the first 3 weeks to keep water out protect the ear with cotton mashed with petroleum jelly (e.g., Vaseline).
  1. Do not blow your nose or “pop” your ears for four (4) weeks. Sneeze with your mouth open. Do not lift anything that requires straining for four (4) weeks.  Walking or light exercise is okay once you feel able.
  1. Notify our office of any signs of a cold.
  1. It is common to experience occasional popping, crackling, and brief pain in your ear after surgery. You may hear some strange sounds and noises at first. Hearing may take several weeks to improve.
  1. Discomfort may be relieved by taking acetaminophen (Tylenol). Do not use products containing aspirin (for example, Excedrin) or ibuprofen (such as Motrin). If your pain is not relieved by acetaminophen, you may use the prescription pain medication.
  1. To reduce swelling, sleep with your head elevated on two pillows.
  1. You will typically need to be off work for 2-5 days, depending on your operation. The doctor will tell you at discharge how long you should stay off work.
  1. If you find 2-3 stitches in your ear lobe or behind the ear, this is because a small piece of fat or tissue was removed for a graft. Leave the stitches in place; they will dissolve or be removed at your first office visit.
  1. You will be given an appointment for a check-up in the office for 7-10 days after surgery. If this time or day is not convenient for you, please let us know as soon as possible by calling (317) 842-4901. If you have any questions before then, please don’t hesitate to call our office.
  1. Unless otherwise directed, do not travel by airplane for three (3) weeks after surgery
  1. In an emergency you may reach the doctor after hours by calling the office phone number, (317) 842-4901. The answering service will contact the doctor for you.

Download PDF Version

Medications

  1. You will be given a prescription for Gentamicin drops, which are ONLY available at the following pharmacies:
Custom Med PharmacyWellspring PharmacyFamily PharmaCare Center
Eagle Creek PlazaCommunity North HospitalWest Lafayette
5510 Lafayette Road, Suite 260Indianapolis, IN  462547150 Clearvista Parkway, Suite 1900Indianapolis, IN  46256500 Sagamore Parkway,  West, Suite 5W
Phone 317-803-3436Phone 317-621-5273West Lafayette, IN 47906
(NOTE:  This provider does not accept insurance plans)Phone 765-497-7000

 

  1. Also purchase a new package of cotton balls at the drugstore for dressing changes. Do not use cotton from an open package, as it may not be sufficiently clean.
  1. Beginning the day following your initial procedure, administer the Gentamicin three times a day—once in the morning, once in the afternoon, and once before bedtime—following these instructions:
  • Lay on your back with your head turned to the side so the ear being treated is up.
  • Place three (3) drops of Gentamicin into the ear. Lie with your head still turned to the side for 15 minutes.
  • Following the administration of the drops, lightly place fresh cotton in the ear.
  1. You will be seen in the office once a week to test your hearing and undergo other tests to evaluate the effectiveness of the therapy. At these visits you will be instructed whether or not to continue using these drops. Usual duration of treatment is two to four weeks.
  1. If oral medications are prescribed, take them as directed and be sure to finish all of the medication.

What else to expect 

  • It is common to experience occasional popping and crackling noises after surgery, as well as some discomfort, which may be relieved by taking acetaminophen (Tylenol). Do not use products containing aspirin, such as Excedrin.  If your pain is not controlled by acetaminophen, you may use the prescription pain medicine.
  • Unless you are instructed otherwise at discharge, you may wash your hair after three to four days. However, for the first three weeks after surgery, protect the ear with a cotton ball coated with petroleum jelly.
  • You will typically need to be off work for one to three weeks depending on whether other procedures were also done at the time of your Chemical Perfusion. The doctor will tell you at discharge how long you should stay off work.

Questions? If you have any questions or concerns between office visits, call us at 317-842-4901 or toll free 800-818-3277.  After hours, our answering service will contact the doctor for you.

Download PDF Version

Medications

  1. You will be given a prescription for Dexamethasone drops, which are available ONLY at the following pharmacies:
Custom Med PharmacyWellspring PharmacyFamily PharmaCare Center
Eagle Creek PlazaCommunity North HospitalWest Lafayette
5510 Lafayette Road, Suite 260Indianapolis, IN  462547150 Clearvista Parkway, Suite 1900Indianapolis, IN  46256500 Sagamore Parkway,  West, Suite 5W
Phone 317-803-3436Phone 317-621-5273West Lafayette, IN 47906
(NOTE:  This provider does not accept insurance plans)Phone 765-497-7000

and also a prescription for Ciprodex drops, which can be obtained at any pharmacy.

  1. Also purchase a new package of cotton balls at the drugstore for dressing changes. Do not use cotton from an open package, as it may not be sufficiently clean.
  1. Beginning the day following your initial procedure, administer the Dexamethasone three times a day—once in the morning, once in the afternoon, and once before bedtime—following these instructions:
  • Lay on your back with your head turned to the side so the ear being treated is up.
  • Place three (3) drops of Dexamethasone into the ear. Lie with your head still turned to the side for 15 minutes.

NOTE:  After the evening administration of Dexamethosone, immediately add three (3) drops of Ciprodex to the same ear and lie with your head turned to the side for 15 minutes.

  • Following the administration of the drops, lightly place fresh cotton in the ear.
  1. You will be seen in the office once a week to test your hearing and undergo other tests to evaluate the effectiveness of the therapy. At these visits you will be instructed whether or not to continue using these drops. Usual duration of treatment is two to four weeks.
  1. If oral medications are prescribed, take them as directed and be sure to finish all of the medication.

What else to expect 

  • It is common to experience occasional popping and crackling noises after surgery, as well as some discomfort, which may be relieved by taking acetaminophen (Tylenol). Do not use products containing aspirin, such as Excedrin.  If your pain is not controlled by acetaminophen, you may use the prescription pain medicine.
  • Unless you are instructed otherwise at discharge, you may wash your hair after three to four days. However, for the first three weeks after surgery, protect the ear with a cotton ball coated with petroleum jelly.
  • You will typically not need to be off work longer than the day of surgery unless other procedures were also done at the time of your Chemical Perfusion. The doctor will tell you at discharge how long you should stay off work.

Questions?  If you have any questions or concerns between office visits, call us at 317-842-4901 or toll free 800-818-3277.  After hours, our answering service will contact the doctor for you.

Download PDF Version

  1. Remove the outer bandage two (2) days following surgery. There will be a dressing under the bandage that will be removed by the surgeon at the first postop appointment. If there is any additional special care of the incision needed, you will be given instructions by your surgeon.
  1. Start the prescription antibiotic the day you go home. Be sure to finish the entire amount of this medication prescribed. Notify our office if you have any swelling, hives, itching, or other signs of allergies to the medication.
  1. Discomfort may be relieved by taking acetaminophen (Tylenol). Do not use products containing aspirin (for example, Excedrin) or ibuprofen (such as Motrin). If your pain is not relieved by acetaminophen, you may use the prescription pain medication.
  1. Keep the incision and wound dry for the first two weeks following surgery. Hair may be washed with special precautions to keep the incision dry.
  1. Notify our office if you experience any of the following:
  • Redness, swelling, or drainage from your incision
  • Pain, cramping, or swelling in your legs
  • A persistent fever over 101.5 degrees F
  • Severe headache or neck stiffness
  • Any other concerns or problems that may arise
  1. You will be given an appointment for a check-up in the office a few days from now. If this time or day is not convenient for you, please let us know as soon as possible by calling (317) 842-4901. If you have any questions before then, please don’t hesitate to call our office.
  1. In an emergency you may reach the doctor after hours by calling the office phone number, (317) 842-4901. The answering service will contact the doctor for you.

Download PDF Version

  1. DO NOT blow your nose for four (4) weeks following surgery. If you sneeze or cough, do so with your mouth open.
  1. Light activity is encouraged, including walking (no running). Avoid any heaving lifting (over 10 pounds), straining, or bending for at least four (4) weeks following surgery.
  1. Unless otherwise directed, do not travel by airplane for three (3) weeks after surgery.
  1. Keep your head elevated as much as possible. Sleep and rest on 2 to 3 pillows as much as possible.
  1. Keep your incision(s) dry for seven (7) days. After a week, you may gently wash the incision(s) but then dry them gently and completely with a towel or hair dryer.
  1. If you wear eyeglasses, either remove the glasses’ earpiece on the operated side or make certain that it does not rest on the incision behind your ear for the first week.
  1. Do not drive before your first postoperative visit. If you had a cochlear implant, do not drive until after you finish all the pain medicine and no longer feel dizzy.
  1. Mild headache, dizziness, and neck stiffness are common after surgery.
  1. Please call the Midwest Ear Institute immediately at the numbers above if you are experiencing:
  • Redness, swelling, or drainage from your incision
  • Clear drainage from your nose or from the ear incision
  • Pain, cramping, or swelling in your legs
  • A persistent fever over 101.5 degrees
  • Severe headache or neck stiffness
  • Facial weakness
  1. If necessary, any special care (incision, eye, other) will be explained by your surgeon.
  1. You will be given an appointment for a check-up in the office three (3) weeks from the date of surgery unless your surgeon instructs you otherwise. Please call the Midwest Ear Institute right away if this appointment date and time is not convenient for you.
  1. Please call if any other problems arise.