Professor Paul Fagan
Investing in Sydney

Tertiary level otologist and skull base surgeon. The hallmark of the practice is of a caring approach where surgical management is usually considered only if necessary, and plenty of time is spent investigating, managing and explaining your condition. Dr flanagan is a dual fellowship trained otologist and skull base surgeon specialising in the management of ear disease, surgical correction of hearing including cochlear implantation and bone anchored hearing aids, and the management of complex skull base tumours including acoustic neuromas. A member of the st vincent's department of otorhinolaryngology, head and neck and skull base surgery. High resolution video equipement is used to help display patholgies of the ear, nose and throat.

The service includes fitting of hearing aids, cochlear implant and implantable hearing assist assessment and management. Essential to the correct active of the middle ear is the function of the Eustachian tube, a tube connecting the middle ear to the nasopharynx. This term usually applies to a situation where a patient has a severe to profound sensorineural (nerve) hearing loss in one ear, and imminent conventional hearing in the other ear. There are advantages and disadvantages of both: o A Bi Cranky hearing help is especially effective if the good hearing ear has a degree of hearing loss, and obviously does not require surgery. The size seen in the second image needs accessible observation, and consideration of hasty intervention. Certainly tumors at the size seen in the third image require interventional management soon after diagnosis. One of the most challenging aspects of surgery, especially in larger tumors is preservation of the facial nerve while optimizing entire removal of the tumor. Currently there is no infection, but is associated with a important conductive hearing loss. This diagnoses are strongly considered when examination of ear is normal, there has been insignificant in the way of preceding ear infections, and with the presence of a conductive hearing loss. When hearing aids defeat their effectiveness, consideration of cochlear implantation should be made. The assessment and management of dizziness is a multidisciplinary challenge, but treatment of the vestibular dysfunction centers around vestibular rehabilitation. A cochlear implant is a device where an electrode is placed into the inner ear, traditionally old to manage bilateral severe sensorineural hearing loss. Often formal balance assessment and testing is also conducted. In adults the general principle is to implant the worst hearing ear first, and to implant the second ear when the beginning implanted ear has been optimized. This is especially the case where there is important tinnitus. In addition to a conscientious history, documentation of sensorineural (nerve) hearing loss is essential to assist ratify the presence of Meniere’s Disease. Audiology and selective balance function tests can assist in assessing severity of disease and aptitude to compensate to the symptoms. Another urgent factor in avoiding destructive procedures if possible, is in the presence of or chance of developing bilateral disease. From a hearing rehabilitation and often control of tinnitus, a hearing help is recommended. Allergy and its relation to Meniere’s disease. A documented hearing loss is a prerequisite in the diagnosis of Meniere’s disease Initially a low tone loss is seen. The patients age and cardiovascular status is important, as is a history of preceding episodes of vertigo or any symptoms related to the ear. Patients often describe their attacks occurring in clusters, a number of times a day for a scanty weeks at a time. Imbalance arising from abnormalities of the peripheral vestibular system are usually the result of a slowly progressive unilateral lesions, or the bilateral loss of vestibular function.