Otology is a branch of medicine which studies normal/pathological anatomy and physiology of the ear (hearing and vestibular sensory systems and related structures and functions) as well as its diseases, diagnosis and treatment. The Ear’s Disease Department under the leadership of Professor Diab Khassan has been effectively treating all kinds of the ear diseases including ear infections, cholesteatomas, Otosclerosis, tumours and facial nerve diseases, profoundly deaf and congenital ear malformation.

Surgical treatment of the Otosclerosis

Otosclerosis is a familial hereditary disease that affects the ear, frequently involving both sides. It is a disease of the labyrinthine capsule characterized by bony resorption and subsequent formation of new bone.

Otosclerosis is characterised by progressive hearing loss, usually conductive or mixed type, which is either associated with or without tinnitus (ringing or buzzing in the ear) and balance can be affected slightly. It is mainly seen in adults predominantly in women. In case the patient has hearing loss of conductive type, we perform Stapedoplasty allowing recovery of auditory function.

Otitis media, cholesteatomas: various types of surgery

Otitis media (Latin for "inflammation of the middle ear") is the medical term for middle ear infection. The types of Otitis media are Acute otitis media, Otitis media with effusion, Chronic suppurative otitis media and Adhesive otitis media. Acute otitis media, Otitis media with effusion are more common for children while Chronic suppurative otitis media is common for adults.

We perform the sanitation ear simultaneously with tympanoplasty in case of Chronic suppurative otitis media with cholesteatomas.

Surgical treatment of the Paragangliomas

About 97% are benign and cured by surgical removal. Paragangliomas are still sometimes called glomus tumors and chemodectomas, but paraganglioma is the currently accepted and preferred term. There are three types in the head & neck - Glomus tympanicum and Glomus jugulare, Carotid paraganglioma (carotid body tumor) & Vagal paragangliomas. We perform surgical remove paragangliomas of lateral skull base type A, B, and C (with neck expansion).

Paralysis of the facial nerve

Paralysis of the facial nerve is a cause of significant functional and aesthetic compromise. Functional concerns primarily involve adequate protection of the eye, with a real risk of exposure keratitis if not properly addressed. In addition, swallowing, drooling, and speech difficulties may arise. Microsurgical repair of the damaged facial nerve (7th cranial nerve) is the most effective procedure for restoring motor function (voluntary movement) of the face. Reconstruction is indicated in patients who have experienced acute disruption or transection of the nerve from an accident, trauma, resection during extirpation of tumors, or inadvertent division during surgery. The ultimate goal of reanimation surgery is to restore spontaneous animation and a balanced natural smile. The most critical factor in achieving good post-operative facial function is early identification and repair.

Microtia (pinna) and congenital malformation of the external auditory canal reconstruction

Microtia is a congenital deformity where the pinna (external ear) is underdeveloped. A completely undeveloped pinna is referred to as anotia. Because microtia and anotia have the same origin, it can be referred to as microtia-anotia. Aural atresia is the underdevelopment of the middle ear and canal and usually occurs in conjunction with microtia. Atresia occurs because patients with microtia may not have an external opening to the ear canal, though. However, the cochlea & other inner ear structures are usually present. Candidacy for atresia surgery is based on the hearing test (audiogram) & CT scan imaging. Specialists of our department perform surgical treatment of isolated middle ear malformations (patients with normal eardrum and non-progressive conductive hearing loss).

Cochlear Implants (CI): cases of normal, malformed and ossified cochlea

A cochlear implant (CI) is a surgically implanted electronic device that provides a sense of sound to a person who is profoundly deaf or severely hard of hearing. Cochlear implants are often called bionic ears. Cochlear implants may help provide hearing in patients that are deaf because of damage to sensory hair cells in their cochleas. In those patients, the implants often can enable sufficient hearing for better understanding of speech. Newer devices and processing-strategies allow recipients to hear better in noise, enjoy music, and even use their implant processors while swimming.

Meniere's disease

Ménière's disease is a disorder of the inner ear that can affect hearing and balance to a varying degree. It is characterized by episodes of vertigo, low-pitched tinnitus, and hearing loss. The hearing loss is fluctuating rather than permanent, meaning that it comes and goes, alternating between ears for some time, then becomes permanent with no return to normal function. The cause of Ménière's disease is believed to be linked to endolymphatic hydrops, an excess of fluid in the inner ear. Endolymphatic sac drainage is most efficiently type of surgery treatment that performs in Ear’s Disease Department

Cadaveric temporal bone dissection course

This 5 day course is designed for ENT consultants, otology fellows, and residents to improve surgical skills. The course has a clinical and a practical part, i.e. dissection in the temporal bone laboratory. The course of the temporal bone dissection as close to the actual methods of the ear surgery. Progression through the dissection will be performed under close supervision of trainers and paced at an appropriate level to the participant. The extent of dissection, and other procedures, carried out by each individual trainee tailored to their level of experience. The course will be given in English or Russian languages. Course director - Prof. Diab Khassan

Dental department at our Center provides a wide range of dental services for adults and children, including all types of therapeutic, surgical, orthodontic, prosthodontic and preventive dentistry. Treatment is carried out in accordance with recognized international standards and techniques.

We perform :

• General dentistry
  • Check up examinations
  • X-rays and iCat scans
  • Filling
  • Restorations
  • Implants
  • Veneers
• Surgical treatment
  • Tooth extraction, including wisdom teeth
  • Implats
  • Bone crafting
  • Sinus augmentation
  • Cystectomy
  • Apicoectomy
• Cosmetic dentistry
  • Tooth whitening
  • Composite fillings
  • Crowns
  • Implants
  • Veneers
• Cleaning and prevention
• Endodontics
• Special pediatric dentistry programs

Accurate and objective data from diagnostic studies and tests for hearing loss people are highly important for effective treatment. The team of our department works in collaboration with the Otology department, Otoneurology department, ENT pediatric department. It helps to determine the exact diagnosis and prescribe optimal treatment for adults and children. We use the most advanced technology and up-to-date equipment for conducting the hearing tests.

We perform the following tests to evaluate hearing for children and adults:

• Hearing study whispered and spoken speech;
• Tuning fork;
• Tone threshold audiometry;
• Tonal over-threshold audiometry;
• Tonal audiometry, in a free sound field, including with a hearing aid or a cochlear implant;
• Tests of the middle ear;
• Speech audiometry in headphones; in a free sound field, including a hearing aid or a cochlear implant, impedance testing, an otoacoustic emission (OAE) study;
• Surdopedagogical testing, including a hearing aid or a cochlear implant;
• Testing of the amplitude-frequency characteristics of hearing aids

We also conduct:

• Consulting on electro-acoustic hearing correction;
• Testing of the amplitude-frequency characteristics of the hearing aids of patients (identification of compliance of the frequency response of the device with the patient's residual hearing);
• Setting up different hearing aids;
• Selection of a wide range of digital hearing aids from leading domestic and foreign manufacturers: OTICON (Denmark), WIDEX (Denmark), BERNAFON (Switzerland), SIEMENS (Germany), Phonak (Switzerland), ReSound (Denmark), etc.;
• Manufacture of individual earmolds Sharpening of hearing aid;
• Adaptive work after electro-acoustic correction of hearing;
• Surgery in patients undergoing cochlear implant surgery;
• Determination of indications to electro-acoustic correction of hearing by implantable hearing aids;
• Tuning implantable hearing aids.

Pedagogical work with the child is aimed at overcoming speech disorders as:

• Disturbance of sound reproduction (incorrect articulation of sounds, omissions, permutations of sounds);
• Breaking the syllabic structure of words;
• Lexical shortcomings: poor vocabulary, violations of the variable use of words, misunderstanding of the meaning and meaning of the word;
• Wrong grammatical formulation of a statement;
• Difficulties in mastering the ways of word formation; violations of detailed phrase speech;
• Melodic intonation shortcomings: deviations in the voice delivery, violation of strength, height, voice timbre, violations in the expressive means of speech;
• Poverty of expressive means of speech;
• Communication disorder.

Our research work is carried out in the following areas:

• Morphofunctional state of the middle and inner ear in patients after cochlear implantation;
• Optimization of audiological test of young patients with sensorineural hearing loss;
• Critical parameters of auditory implantation systems;
• Rehabilitation of patients with hearing impairment using various technical means of rehabilitation;
• Development and introduction of objective methods of diagnostics of auditory function impairment;
• Development of clinical recommendations for physicians on profile “surdology-otorhinolaryngology’ in the Russian Federation;
• Clinical evaluation of implantable and non-implantable technical means of rehabilitation of persons with hearing impairment;
• Clinical study of drugs, rehabilitation tools that are being prepared for use on the territory of the Russian Federation.

Our department is stuffed by a multidisciplinary team of medical and rehabilitation specialists include physicians, physiotherapists, massage therapists, physiologists and professional cosmetologists. Our team approach and dedicated staff deliver the best resources possible to our patients.

We perform :

• Combined physical-pharmacological methods of treatment for ENT patients:
• Laser therapy;
• Magnetic therapy;
• Electrotherapy;
• Aeroiontherapy;
• Cryotherapy;
• Photophoresis;
• Afferent methods of treatment;
• Light therapy;
• All types of massage;
• Water therapy;
• Gerudo therapy;

Cosmetology division performs:

• Anti-aging programme of biocorrection;
• Rejuvenating treatment of face, neck and body;
• Methods of laser cosmetology;
• All kind of contouring injections;
• Botulinotherapy.