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Ear Conditions

Ear Conditions

Comprehensive Ear Conditions Treatment by Our ENT Specialist in Singapore

At our clinic, Dr. Gan Eng Cern, a highly experienced ENT specialist in Singapore, provides expert diagnosis and treatment for a wide range of ear conditions. Whether you’re experiencing sudden hearing loss, persistent ear pain, or balance problems, our Singapore ENT clinic is equipped to help.

Function of the Ear

  • Detect, transmit and transduce sound
  • Maintain our sense of balance

Common Ear Conditions

Ear Infections: Otitis Media and Otitis External

Ear infections are among the most common conditions treated by an ENT specialist in Singapore. There are two main types:

 

Otitis Media (Middle Ear Infection)

Otitis media occurs when fluid builds up behind the eardrum, often following a cold or sinus infection. This is one of the most frequent reasons patients visit our ENT specialist clinic in Singapore. Symptoms include ear pain, hearing loss, and sometimes fever. In children, recurrent otitis media can affect speech and language development, making early intervention crucial.

Our ENT specialist in Singapore uses advanced diagnostic tools to assess the severity and recommend appropriate treatment, ranging from watchful waiting to antibiotics or surgical intervention (tympanostomy tubes) when necessary.

 

Otitis Externa (Swimmer’s Ear)

Otitis externa is an infection of the outer ear canal, commonly caused by water exposure or trauma. Patients often describe intense ear pain that worsens when the ear is touched. As an ENT specialist in Singapore, Dr. Gan provides prompt relief through ear cleaning, topical antibiotics, and pain management. Prevention tips include keeping ears dry and avoiding insertion of foreign objects.

Hearing Loss: Conductive and Sensorineura

Hearing loss affects millions of people worldwide and is a condition that an experienced ENT specialist in Singapore sees regularly. Understanding the type of hearing loss is essential for determining the best treatment approach.

Conductive Hearing Loss

Conductive hearing loss occurs when sound waves cannot reach the inner ear due to problems in the outer or middle ear. Common causes include earwax impaction, fluid in the middle ear, or damage to the tiny bones (ossicles) in the middle ear. The good news is that conductive hearing loss is often treatable. Our ENT specialist in Singapore can remove earwax safely, treat infections, or recommend surgery to repair damaged structures.

Sensorineural Hearing Loss

Sensorineural hearing loss results from damage to the inner ear (cochlea) or the nerve pathway to the brain. This type of hearing loss can be caused by aging, noise exposure, genetics, or certain medications. While sensorineural hearing loss cannot always be reversed, an ENT specialist in Singapore can recommend hearing aids, cochlear implants, or other assistive devices to improve communication and quality of life.

 

Why See Our ENT Specialist in Singapore?

Early detection of hearing loss is crucial. Our clinic offers comprehensive audiometric testing to identify the type and degree of hearing loss, allowing us to create a personalized treatment plan.

Tinnitus: Ringing, Buzzing, and Other Ear Noises

Tinnitus is the perception of sound in the ears when no external sound is present. Patients often describe it as ringing, buzzing, hissing, or roaring. While tinnitus is not a disease itself, it can be a symptom of an underlying condition that an ENT specialist in Singapore should evaluate.

Common causes of tinnitus include hearing loss, exposure to loud noise, earwax impaction, middle ear infection, and certain medications. In some cases, tinnitus can be associated with more serious conditions like Meniere’s disease or acoustic neuromas, which is why professional evaluation by an ENT specialist in Singapore is important.

 

Tinnitus Management Strategies

While there is no single cure for chronic tinnitus, our ENT specialist in Singapore offers several management approaches:

  • Sound Therapy: Using background noise or white noise to mask tinnitus
  • Hearing Aids: Amplifying external sounds to reduce the perception of tinnitus
  • Tinnitus Retraining Therapy (TRT): Counseling to help patients adapt to tinnitus
  • Medication: Treating underlying conditions that may be causing tinnitus
  • Lifestyle Modifications: Reducing stress, limiting caffeine and alcohol, and protecting ears from loud noise

Vertigo and Dizziness: Balance Disorders

Vertigo and dizziness are common complaints that bring patients to our ENT specialist clinic in Singapore. These symptoms can significantly impact daily life, affecting work, driving, and overall well-being.

 

Common Causes of Vertigo

Vertigo—the sensation that the room is spinning—often originates in the inner ear. Common causes include:

  • Benign Paroxysmal Positional Vertigo (BPPV): Caused by calcium carbonate crystals in the inner ear becoming dislodged. This is the most common cause of vertigo and is highly treatable by an ENT specialist in Singapore.
  • Vestibular Neuritis: Inflammation of the vestibular nerve, usually following a viral infection
  • Meniere’s Disease: A disorder characterized by vertigo, hearing loss, tinnitus, and ear fullness
  • Labyrinthitis: Infection or inflammation of the inner ear

 

Diagnosis and Treatment

Our ENT specialist in Singapore uses specialized tests such as videonystagmography (VNG) and caloric testing to diagnose balance disorders. Treatment varies depending on the cause and may include:

  • Canalith repositioning procedures (like the Epley maneuver) for BPPV
  • Vestibular rehabilitation exercises
  • Medications to reduce nausea and dizziness
  • Lifestyle modifications and dietary changes
  • Surgery in severe cases

Earwax Impaction: Safe Removal by an ENT Specialist

Earwax (cerumen) is a natural substance that protects and lubricates the ear canal. However, excessive earwax buildup can cause hearing loss, ear pain, tinnitus, and dizziness. Many patients attempt to remove earwax at home using cotton swabs or other objects, which often pushes the wax deeper into the canal or causes injury.

Our ENT specialist in Singapore recommends professional earwax removal to prevent complications. We use safe, gentle techniques including:

  • Cerumen Curette: A specialized instrument to gently remove impacted wax
  • Suction: Low-pressure suction to extract wax safely
  • Irrigation: Warm water irrigation (when appropriate) to flush out wax

If you experience hearing loss or ear discomfort related to earwax, visit our ENT specialist in Singapore for safe and effective removal.

Perforated Eardrum: Causes and Treatment

A perforated eardrum (tympanic membrane perforation) is a hole or tear in the thin tissue that separates the outer ear from the middle ear. This condition can result from trauma, infection, or sudden pressure changes, and is best evaluated by an ENT specialist in Singapore.

 

Symptoms of a Perforated Eardrum

  • Sudden ear pain followed by drainage
  • Hearing loss
  • Tinnitus
  • Vertigo or dizziness
  • Ear drainage (may be clear, bloody, or purulent)

 

Treatment Options

Many small perforations heal on their own within a few weeks. However, larger perforations or those that don’t heal may require surgical repair (tympanoplasty) by an ENT specialist in Singapore. Our clinic provides comprehensive care from diagnosis through recovery.

Ear Lumps and Bumps: When to See an ENT Specialist

Lumps or bumps around the ear can be concerning for patients. While most are benign, it’s important to have them evaluated by an ENT specialist in Singapore to rule out serious conditions.

 

Common Benign Ear Lumps

  • Cysts: Fluid-filled sacs that are usually harmless
  • Lipomas: Fatty tumors that are benign and slow-growing
  • Keloids: Overgrowth of scar tissue, often following ear piercing
  • Exostosis: Bony growths in the ear canal, often related to cold water exposure

Our ENT specialist in Singapore will perform a thorough examination and may recommend imaging or biopsy if needed to ensure the lump is benign. Most benign lumps don’t require treatment unless they cause discomfort or hearing problems.

Meniere’s Disease: A Chronic Inner Ear Disorder

Meniere’s disease is a chronic condition of the inner ear that affects balance and hearing. Patients typically experience episodes of severe vertigo, hearing loss, tinnitus, and a feeling of fullness in the affected ear. If you experience these symptoms, consult an ENT specialist in Singapore for proper diagnosis and management.

 

Meniere’s Disease Management

While there is no cure for Meniere’s disease, our ENT specialist in Singapore can help manage symptoms through:

  • Dietary modifications (low-salt diet)
  • Medications to control vertigo and nausea
  • Vestibular rehabilitation
  • Intratympanic injections in severe cases
  • Surgery when conservative measures fail

Impacted earwax

This occurs when earwax builds up and blocks the ear canal. Symptoms can include earache, a feeling of fullness in the ear, tinnitus (ringing in the ears), and hearing loss. Gentle methods are usually employed for its removal.

Hearing loss

Characterised by a partial or total inability to hear sounds, hearing loss can be caused by various factors such as age, noise exposure, genetics, impacted earwax and certain medical conditions. Seeking timely treatment is important to manage its impact on daily life.

Ear infections

Ear infections are common, particularly in children, and can be caused by bacteria or viruses affecting the middle ear (otitis media) or the outer ear canal (otitis externa). Symptoms often include ear pain, fever, and sometimes fluid discharge.

Tinnitus

This is the perception of noise or ringing in the ears when no external sound is present. It can be a symptom of underlying ear conditions or other health problems and can range from a mild annoyance to a debilitating issue.

Hole in the ear drum (Tympanic membrane perforation)

As the name suggests, this tear or rupture in the thin membrane separating the ear canal from the middle ear can result from infection, injury, or sudden pressure changes. This condition may lead to pain, hearing loss, and increased risk of infection.

Ear Lumps & Bumps

Arising in or around the ear for various reasons, ear lumps & bumps can include cysts, skin tags, or even more serious growths. Any new or persistent lump should be examined by a healthcare professional to determine the cause and appropriate management.

Foreign objects in the ear

Small items can sometimes become lodged in the ear canal, particularly in children. This can cause pain, irritation, and potentially damage the eardrum. Prompt and careful removal by a medical professional is necessary.

Giddiness and vertigo

These sensations of dizziness or a spinning feeling can be linked to inner ear conditions affecting balance. Vertigo can be quite debilitating and often requires specific assessment and treatment to identify and manage the underlying cause.

We Provide Comprehensive Assessment and Management of :

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  • sinuse_img
  • Figure 1 - Aural Toilet (Ear cleaning under microscope guidance)

  • Figure 2 - Parts of the Ear

Symptoms of Ear Conditions

Causes of Ear Conditions

Many factors can contribute to the development of ear conditions. Understanding these causes can aid in seeking appropriate treatments:

Infections: Viral and bacterial infections are common culprits, leading to conditions like middle ear infections (otitis media) and outer ear infections (otitis externa or swimmer’s ear).

Trauma: Injury to the ear, such as a blow to the head, sudden pressure changes (e.g., during air travel or diving), or inserting objects into the ear canal, can cause problems like eardrum perforation or hearing loss.

Genetics: Some ear conditions, including certain types of hearing loss, have a genetic predisposition and can run in families.

Age-related degeneration: Presbycusis, or age-related hearing loss, is a common condition that develops gradually over time as the structures in the inner ear deteriorate.

Lifestyle factors: Exposure to loud noises over prolonged periods is a significant cause of noise-induced hearing loss. Poor ear hygiene can also contribute to conditions like earwax impaction and outer ear infections.

Underlying medical conditions: Certain medical conditions, such as allergies, autoimmune disorders, and Meniere’s disease, can also affect ear health and function.

Treatment Options for Ear Conditions

Various treatment options are available for ear conditions, tailored to the specific diagnosis and severity:

  1. Non-surgical treatments: These may include:
  • Medications such as antibiotics or antifungals for infections.
  • Ear drops to treat outer ear infections or soften earwax.
  • Hearing aids to amplify sound for those with hearing loss.
  • Tinnitus management strategies, including sound therapy and counselling.
  • Balance rehabilitation exercises for certain balance disorders.
  • Ear microscuctioning for treatment of impacted earwax and outer ear infection
  1. Surgical treatments: Surgery may be considered for more complex ear conditions when non-surgical methods are insufficient. Examples include:
  • Myringotomy with grommet insertion for recurrent middle ear infections.
  • Tympanoplasty to repair a perforated eardrum.
  • Stapedectomy for otosclerosis, a cause of conductive hearing loss.
  • Cochlear implantation for severe to profound hearing conditions.
  • Surgery to remove ear lumps, bumps, or foreign objects.

Prevention for Ear Conditions

Adopting healthy habits can help maintain good ear health and reduce the risk of certain ear conditions:

  • Practice proper ear hygiene, cleaning only the outer ear and avoiding inserting objects deep into the ear canal.
  • Protect your ears from loud noises by using earplugs or earmuffs in noisy environments.
  • Get regular hearing checks, especially if you are exposed to loud noise or have a family history of hearing loss. Early detection allows for timely treatment.
  • Ensure you are up-to-date with vaccinations, which can help prevent some ear infections.
  • Manage allergies effectively, as they can sometimes contribute to ear problems.
  • Avoid smoking, as it can negatively impact overall ear health.

When to See An ENT for Ear Conditions?

It’s crucial to consult an Ear, Nose, and Throat (ENT) specialist if you experience persistent or concerning ear symptoms. Seek professional evaluation if you notice:

  • Persistent earache or discomfort.
  • Sudden or progressive hearing loss.
  • Dizziness or vertigo that interferes with daily activities.
  • Fluid or pus draining from your ear.
  • A sudden onset of tinnitus, especially if accompanied by hearing loss or dizziness.
  • A noticeable lump or bump in or around your ear.
  • Foreign objects lodged in the ear that you cannot safely remove.

Certain warning signs require immediate medical attention. Seek urgent care if you experience:

  • Sudden, complete hearing loss in one or both ears.
  • Severe ear pain accompanied by a high fever or stiff neck.
  • Facial weakness or drooping on the same side as the affected ear.
  • Significant head trauma followed by ear bleeding or hearing loss.
  • Severe dizziness or vertigo accompanied by nausea, vomiting, or difficulty walking.

These symptoms could indicate serious underlying ear conditions requiring prompt diagnosis and treatment to prevent long-term complications and ensure the best possible outcome for your ear health treatment. Don’t hesitate to seek immediate medical help if you experience any of these critical warning signs.

Dr Gan is an experienced ENT specialist in Singapore providing comprehensive management for a wide variety of Ear, Nose, and Throat as well as Head & Neck conditions. He has a special interest in treating various nose and sinus conditions, including snoring and Obstructive Sleep Apnoea (OSA). If you’re seeking a sensitive nose remedy or exploring options for a sinusitis cure in Singapore, Dr Gan offers treatment and care for these and other related issues.

Dr Gan provides comprehensive management of a broad array of Ear, Nose, and Throat as well as Head & Neck conditions. He has a special interest in treating various nose and sinus conditions, including snoring and Obstructive Sleep Apnoea (OSA)

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Dr Gan Eng Cern — ENT Specialist Singapore
Gold Award 2020
Best in Singapore
FAMS (ORL)
Senior ENT Specialist

Dr Gan Eng Cern

Ear, Nose & Throat Specialist · Rhinology & Endoscopic Skull Base Surgery

MBBS (Australia) MRCS (Edinburgh) MMed (ORL) Singapore FAMS (ORL)

Dr Gan is a fellowship-trained ENT specialist with deep expertise in rhinology and endoscopic skull base surgery. He completed subspecialty training at St Paul's Sinus Centre, University of British Columbia, Vancouver — a globally recognised centre for nose and sinus care. He has served as Senior Clinical Lecturer at NUS Yong Loo Lin School of Medicine and has published research in international peer-reviewed ENT journals.

Rhinology Fellowship — UBC Vancouver
Senior Lecturer — NUS Yong Loo Lin
7 Professional Awards
20+ Years ENT Experience
Published ENT Researcher
Speaks: English 中文 Bahasa Melayu Hokkien

Medisave & Insurance Accepted

Nasal endoscopy (nose scope) is typically Medisave-claimable. Our team will guide you through your insurance coverage, Medisave usage, and claim eligibility before your procedure to ensure a smooth experience.

Practical ENT articles written or medically reviewed by Dr Gan Eng Cern

Expert articles on sinus, sleep apnoea, ear and throat conditions — written by Dr Gan Eng Cern.

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Visit Dr Gan's ENT Clinic in Novena

Address

38 Irrawaddy Road, #08-45, Mount Elizabeth Novena Hospital, Singapore 329563

Hours

Mon–Fri: 9.00am–5.00pm · Sat: 8.30am–12.00pm · Sun & PH: Closed

Contact

Call: +65 6253 7296
WhatsApp: +65 9058 2480
Email: enquiry@drganent.com

Getting Here

Accessible from Novena MRT Station (North-South Line). On-site car park available.

Appointments

Patients may contact the clinic directly by phone or WhatsApp to arrange an ENT consultation. A referral is generally not required for a direct appointment.

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