Expert Ear Surgery & Skull Base Care at China's Premier ENT Specialty Hospital
The Department of Otology and Skull Base Surgery at Fudan University Eye & ENT Hospital (EENT Hospital) is one of China's most distinguished otology centers, with a national reputation for excellence in middle ear surgery, chronic ear disease, acoustic neuroma surgery, lateral skull base surgery, superior semicircular canal dehiscence, and the management of complex otological conditions. As China's only dedicated eye and ENT specialty hospital at the tertiary level, EENT Hospital's otology department combines outstanding surgical expertise with a world-class research program, offering international patients access to some of China's most eminent otologists and skull base surgeons.
For international patients with chronic ear disease, cholesteatoma, acoustic neuroma, otosclerosis, superior semicircular canal dehiscence, or a complex otological condition — EENT Hospital's otology department offers an unparalleled combination of surgical expertise, diagnostic sophistication, and research leadership. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their otological care journey at EENT Hospital.
About the Department
EENT Hospital's otology department is a national key clinical specialty operating a comprehensive otology clinic, a temporal bone surgical laboratory, a vestibular function laboratory, an intraoperative neurophysiological monitoring service, a skull base surgery program in collaboration with neurosurgery, and works in close collaboration with the cochlear implant center, neurosurgery, neurology, and radiology through a fully integrated multidisciplinary team.
Faculty members publish regularly in leading otology journals including Otology & Neurotology, Laryngoscope, Ear and Hearing, Journal of Laryngology & Otology, and Acta Oto-Laryngologica.
Otological Diagnostics
- Pure Tone Audiometry & Tympanometry — Air and bone conduction thresholds; tympanogram; acoustic reflexes; Eustachian tube function testing
- High-Resolution CT of Temporal Bones — Cholesteatoma extent; ossicular chain integrity; facial nerve course; superior semicircular canal dehiscence; otosclerosis; inner ear anatomy
- MRI of Temporal Bones & IAC — Acoustic neuroma; cholesteatoma non-echo-planar DWI for recurrence detection; endolymphatic hydrops (Meniere's disease); cochlear nerve assessment
- Vestibular Function Testing — Caloric testing; video head impulse test (vHIT) for all six semicircular canals; vestibular evoked myogenic potentials (cVEMP and oVEMP); dynamic posturography; rotary chair testing
- Electrocochleography (ECochG) — For Meniere's disease diagnosis; summating potential/action potential (SP/AP) ratio
- Intraoperative Neurophysiological Monitoring — Continuous facial nerve EMG monitoring during all skull base and middle ear surgery; auditory brainstem response (ABR) monitoring for hearing preservation surgery
Middle Ear Surgery
Chronic Otitis Media & Cholesteatoma
- Tympanoplasty — Type I-IV tympanoplasty; underlay and overlay techniques; temporalis fascia, perichondrium, and cartilage grafts; endoscopic-assisted tympanoplasty; fat plug myringoplasty for small perforations
- Cholesteatoma Surgery — Canal wall up (CWU) mastoidectomy with second-look surgery; canal wall down (CWD) modified radical mastoidectomy; endoscopic ear surgery (EES) for limited cholesteatoma; Bondy's modified radical mastoidectomy; obliteration techniques
- Endoscopic Ear Surgery (EES) — Transcanal endoscopic approach for attic cholesteatoma, tympanic membrane repair, and ossicular chain reconstruction; 0° and 45° endoscopes; minimally invasive; no post-auricular incision for selected cases
- Ossicular Chain Reconstruction (OCR) — Partial ossicular replacement prosthesis (PORP); total ossicular replacement prosthesis (TORP); autologous ossicle; titanium prostheses; cartilage interposition
- Non-Echo-Planar DWI MRI for Cholesteatoma Surveillance — Non-invasive detection of residual or recurrent cholesteatoma; reduces need for second-look surgery
Otosclerosis
- Stapedectomy & Stapedotomy — Small fenestra stapedotomy with piston prosthesis (Teflon, titanium); laser-assisted stapedotomy; excellent hearing outcomes; one of China's most experienced stapedotomy programs
- Revision Stapedotomy — For failed primary stapedotomy; prosthesis displacement; fibrous obliteration
- Hearing Aid & Bone-Anchored Hearing Aid (BAHA) — For patients not suitable for stapedotomy; Osia 2 active transcutaneous bone-anchored system; BAHA Attract and Connect
Eustachian Tube Dysfunction
- Balloon Eustachian Tuboplasty (BET) — Endoscopic balloon dilation of the Eustachian tube for chronic obstructive ETD; office-based procedure
- Patulous Eustachian Tube — Conservative management; Eustachian tube occlusion procedures
Lateral Skull Base Surgery
Acoustic Neuroma (Vestibular Schwannoma)
EENT Hospital's acoustic neuroma program is one of China's most experienced, offering all three surgical approaches with intraoperative facial nerve monitoring:
- Retrosigmoid (Suboccipital) Approach — For tumors of all sizes; hearing preservation possible for small-medium tumors with serviceable hearing; excellent facial nerve outcomes; collaboration with neurosurgery
- Translabyrinthine Approach — For large tumors or non-serviceable hearing; widest exposure; lowest risk of CSF leak; best facial nerve identification
- Middle Fossa Approach — For small intracanalicular tumors with serviceable hearing; hearing preservation surgery
- Stereotactic Radiosurgery (Gamma Knife / CyberKnife) — For small-medium tumors (≤30mm); tumor control rates >90%; hearing preservation; coordination with radiation oncology
- Observation (Wait and Scan) — For small tumors in elderly patients or those with significant comorbidities; serial MRI monitoring
- Neurofibromatosis Type 2 (NF2) — Bilateral acoustic neuromas; hearing preservation surgery; auditory brainstem implant (ABI) after tumor removal; bevacizumab for NF2-associated schwannomas
Other Lateral Skull Base Tumors
- Glomus Tumors (Paragangliomas) — Glomus tympanicum; glomus jugulare; glomus vagale; surgical resection; preoperative embolization; stereotactic radiosurgery for selected cases; SDHB/SDHD genetic testing
- Facial Nerve Schwannoma — Observation; surgical resection with nerve grafting; cable graft reconstruction
- Meningioma (Posterior Fossa) — Surgical resection; stereotactic radiosurgery
- Epidermoid Cyst — Surgical resection via retrosigmoid approach
Superior Semicircular Canal Dehiscence (SSCD)
- Diagnosis — High-resolution CT (0.5mm cuts in Pöschl and Stenvers planes); cVEMP with low thresholds; oVEMP with enhanced amplitudes; audiogram with air-bone gap at low frequencies
- Surgical Treatment — Middle fossa craniotomy with canal plugging or resurfacing; transmastoid plugging for selected cases; one of China's most experienced SSCD surgery programs
- Symptoms Treated — Tullio phenomenon (sound-induced vertigo); Hennebert sign (pressure-induced vertigo); autophony; pulsatile tinnitus; conductive hearing loss
Vestibular Disorders
- Benign Paroxysmal Positional Vertigo (BPPV) — Canalith repositioning maneuvers (Epley, Semont, Gufoni); posterior, horizontal, and anterior canal BPPV; canal conversion management
- Meniere's Disease — Low-sodium diet; diuretics (hydrochlorothiazide, acetazolamide); betahistine; intratympanic gentamicin for ablative therapy; intratympanic dexamethasone for hearing preservation; endolymphatic sac surgery; vestibular nerve section for refractory disease
- Vestibular Neuritis — Corticosteroids; vestibular rehabilitation; betahistine
- Bilateral Vestibular Hypofunction — Vestibular rehabilitation; vestibular implant (investigational)
- Perilymph Fistula — Conservative management; surgical exploration and patching
- Mal de Debarquement Syndrome — Vestibular rehabilitation; optokinetic therapy
Facial Nerve Disorders
- Bell's Palsy — Corticosteroids; antiviral therapy; eye protection; electroneurography (ENoG) for prognosis
- Ramsay Hunt Syndrome — Corticosteroids + acyclovir/valacyclovir; eye protection
- Facial Nerve Decompression — For traumatic facial nerve palsy with >90% degeneration on ENoG; transmastoid and middle fossa approaches
- Facial Nerve Reanimation — Hypoglossal-facial nerve anastomosis; cross-facial nerve graft; gracilis free muscle transfer; static sling procedures; botulinum toxin for synkinesis
Why International Patients Choose EENT Hospital Otology
- Acoustic Neuroma Expertise — All three surgical approaches with intraoperative facial nerve monitoring; hearing preservation surgery; NF2 management
- Endoscopic Ear Surgery — Minimally invasive transcanal endoscopic approach for cholesteatoma and tympanoplasty
- SSCD Surgery — One of China's most experienced superior semicircular canal dehiscence surgery programs
- Stapedotomy Expertise — High-volume laser-assisted stapedotomy for otosclerosis
- Cochlear Implant Integration — Seamless collaboration with EENT Hospital's world-class cochlear implant center
- Cost-Effectiveness — World-class otological care at significantly lower cost than equivalent treatment in Western countries
The CMCS Patient Journey
- Initial Inquiry — Share your ear condition, audiogram, CT and MRI of temporal bones, vestibular test results, and prior treatment history with CMCS.
- Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
- Specialist Matching — We identify the most appropriate otologist or skull base surgeon based on your condition.
- Priority Scheduling — We secure a consultation with minimal waiting time.
- Travel & Logistics — Assistance with visa invitation letters, accommodation near EENT Hospital, and Shanghai airport transfers.
- Diagnostic Assessment — Full coordination of audiological testing, vestibular function testing, CT, and MRI.
- Surgical Coordination — Full coordination of surgical admission and intraoperative monitoring.
- Post-Operative Follow-Up — Surgical report translation, rehabilitation guidance, and remote follow-up coordination after you return home.
Book a Consultation
If you have chronic ear disease, cholesteatoma, acoustic neuroma, otosclerosis, superior semicircular canal dehiscence, or a complex vestibular or facial nerve condition — CMCS can arrange a specialist consultation with EENT Hospital's otology team in Shanghai.
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