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Author: admin | 26.03.2015 | Category: Relieve Tinnitus

Dr Kevin Soh has more than 23 years of experience in providing patients with Ear, Nose, Throat, Sinus care.
Our clinic provides a comprehensive range of ENT services for adults and children to cater to your needs. Children often have a significant level of Ear, Nose, Throat and Upper Respiratory problems.
Our centre strives to provide a conducive and friendly environment for both adult and paediatric patients ensuring a seamless delivery without compromising on care and standards.
The best treatment option is a microscopic ear examination and clearance of all the debri in the ear canal followed by the application of an appropriate anti-biotic or anti-fungal cream in addition to the use of appropriate ear drops.
Reconstructive middle ear surgery or Tympanoplasty is advised in patients with a ear drum perforation with intact cochlea function. However, patients with cholesteatoma need surgery to convert an unsafe ear to a safe ear to prevent intra-cranial complications.
If maximal medical therapy fails, a ventilation tube or gromet tube is inserted into the ear drum. Adhesive Otitis Media is more difficult to treat as the eustachian tube is not functioning well.
If the ossicles are not damaged, the end result is usually good should the cochlea not be damaged. Tinnitus is a very common problem that could afflict people with normal hearing or with hearing loss.

At CGH, our tinnitus management team runs a successful treatment programme known as the Tinnitus Evaluation-Rehabilitation Programme (TERP). The focus of the tinnitus service is to provide information on hearing physiology and to educate the patient on tinnitus information, tools and coping strategies. At the counselling session, the patient is given a questionnaire to answer and the answers are discussed.
Different types of coping strategies using environmental sounds, music therapy, non-wearable and wearable sound devices are explained. Patient who are unable to manage tinnitus despite initial counselling, will be offered the Tinnitus Retraining Therapy (TRT) concept. Over a six month treatment programme, the patient would have undergone a full ENT (Ear Nose Throat) evaluation by the Otologist, received counselling and gained insights on tinnitus, clarified expectations of recovery and developed sufficient coping strategies, addressing any emotional or sleep issues and received technical inputs on any wearable sound devices. For more information and details on the Tinnitus Service, please contact Changi General Hospital at 6850 3333. Because of their inability to vocalise , often the symptoms are neglected till they flare up into severe infections. Patients with tinnitus have much fear and anxiety and they are worried it is a sign of serious disease. This is a multi-disciplinary programme initiated in 2008 and aims to look at every aspect of the treatment process. An interview then takes place to find out the history of their tinnitus, localisation, intensity and temporal variability.

Detecting trigger factors and cognitive behavioural therapy, and how our brain’s interpretation of auditory signals is connected with our perception and thinking processes and how habituation works are explained. With our vision and mission instilled, we constantly strive hard in improving ourselves and elevate our services to offer the best ENT general and subspecialty care, for every ASCENT patient matters. Allergies vary in their manifestations depending on the organ system that has been affected. Pictures, models and diagrams are used to help the patient understand the auditory pathway in correlation with their audiometric results. All patients are given a three-month appointment to review the outcome of their tinnitus management. Patients can select a noise generator, hearing aids, music CDs, bedside sound device or use environmental sounds.
Depending on their profile and condition, the patient would be referred to the psychologist for evaluation.

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