Otology and Neurotology

Otology is the subspecialty of ENT surgery that deals with diseases of the ear. This most often involves problems with the outer or middle ear including acute and chronic infections and hearing loss.

Neurotology deals specifically with diseases of the inner ear and associated neurological structures. This encompasses diseases of the balance system and problems with inner ear hearing. Many neurotologists also deal with problems of the skull base that are most commonly caused by benign tumours such as acoustic neuroma.

Care of patients with diseases of the ear can be either medical or surgical with ear surgery performed predominantly using a microscope. Patients often require different types of hearing assistive device and these range from hearing aids through to cochlear implants. Otologists and neurotologists work closely with audiologists, neurosurgeons and physiotherapists.

In the North West there is high quality provision of otology and neurotology and the region has a national and international reputation in this field.  The cochlear implant programme for the North West and Mersey is located at Manchester Royal Infirmary.

Conditions treated and procedures performed include:

  • Acoustic neuroma
  • Acute and chronic ear infections
  • Bone-anchored hearing aid (BAHA)
  • Cholesteatoma
  • Cochlear implantation
  • Facial nerve paralysis
  • Hearing loss
  • Middle ear implantation
  • Perforated ear drum
  • Tumours of the external, middle and inner ear
  • Vertigo and imbalance

British Society of Otology

British Skull Base Society