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Neuro Otology Clinic


This center provides a specialist service for the Diagnosis, Investigation, Management and Rehabilitation of Complex Auditory and Vestibular Disorders, Including Skull Base Surgery. The department houses state-of-the-art assessment and management of balance disorders, including a dedicated Balance Clinic.

The clinic benefits from a multidisciplinary team including Otolaryngologist, Audiologist, a Specialist Nurse, a Cognitive Behavioural Therapist and a Speech and Language Therapist and provides an Integrated Rehabilitation Management.

As part of a team with neurosurgeons, the center has developed expertise in surgical diseases and disorders of the cranial nerves and skull base.

Advanced training in Lateral Skull Base Surgery

Skull Base Surgery

Dr. Bhavin Parikh had an exclusive training in lateral skull base surgeries (like complicated facial nerve surgeries, transtemporal approaches to posterior cranial fossa tumors and microvascular decompression of lower cranial nerves) at one of the best centre in the world at Hospital Nord, Aix Mareille University, Marseille, France under Professor Jacques Magnan. He has coauthored a well known book on "Functional Surgery of Cerebellopontine angle by Minimally Invasive Retrosigmoid Approach" by Jacques Magnan, Bhavin Parikh, Hidemi Miyazaki, Jaypee Brothers, New Delhi, First edition released in April 2013 at European Academy of Neurootology meet in Nice, France, which has got huge response from ENT surgeons as well as Neurosurgeons all over the world.

Indications for Patient Referral

Referrals are made to the Vestibular Function Testing Laboratory for patients with vertigo and balance problems and to the Audiometric Testing Laboratory for patients with hearing deficiencies.

Ear / Hearing Disorders

  • Progressive hearing loss (from early hearing loss to profound deafness)
  • Sudden hearing loss
  • Otosclerosis
  • Chronic ear infections (draining, cholesteatoma, ear canal infections)
  • Tumors of the ear canal or middle ear

Balance Disorders

  • Positional vertigo
  • Meniere’s disease
  • Vestibular neuronitis
  • Migraine related vertigo
  • Superior canal dehiscence
  • All other causes of imbalance and dizziness

Facial Nerve Disorders

  • Facial nerve paralysis
  • Bell’s palsy
  • Ramsay–Hunt syndrome
  • Facial nerve grafting for traumatic facial palsy

Skull Base Tumors

  • Acoustic tumors (vestibular schwannomas)
  • Meningiomas
  • All tumors affecting the ear, temporal bone, or posterior fossa.

Functional diseases of Cranial Nerves

  • Hemifacial Spasm
  • Trigeminal Neuralgia
  • Vestibular Neuritis

Some of the specific services we offer are listed here

  • Complicated and revision cases of microear surgery are done under VII nerve monitoring
  • Brainstem evoked potential equipment for newborn hearing screening
  • Cochlear implants
  • Hearing aid evaluation and dispensing

NIM 3.0 Nerve Monitoring Systems

Nerve monitoring systems-Enables-Ear Surgery,Cochlear Implants,Acoustic Neuroma,Thyroid and Parathyroid Surgeries

Intraoperative NIM nerve monitoring systems enable surgeons to identify, confirm, and monitor motor nerve function to help reduce the risk of nerve damage during various procedures, including chronic Ear Surgery, Cochlear Implants, Acoustic Neuroma, Thyroid and Parathyroid Surgeries.

Brain Stem Response Audiometry

Brain Stem Response Audiometry

A CME with live surgical workshop was organized on "Functional Neuro-otology - A Masterclass" by master of this field, Professor Jacques Magnan, a renowned lateral skull base surgeon of Europe in association with Dr. Bhavin Parikh on June 6th and 7th 2015 in Vadodara. It was one of its kind dedicated surgical workshop on Functional Disorders of Various Cranial Nerves with Functional Endoscope Assisted Surgeries of Cerebellopontine angle.