Otology, Otoneurology and Otoneurosurgery

Specialists in ear disorders, balance disorders and high-precision otoneurological surgery

The Department of Otology, Otoneurology and Otoneurosurgery at Publio Cordón Memorial Hospital specialises in the diagnosis and comprehensive treatment of ear and vestibular system disorders in both adult and paediatric patients.

Its organisation into specialist areas enables the team to intervene with precision in cases ranging from common hearing loss to complex tumour pathology of the pontocerebellar angle or the lateral skull base. Each case is analysed on an individual basis, incorporating functional hearing assessment, high-resolution imaging studies and detailed surgical planning where indicated.

The primary objective is to treat the condition whilst preserving hearing, balance and essential neurological functions to the greatest extent possible.

Assessment for hearing loss or vertigo

Progressive hearing loss, persistent infections, chronic suppuration, recurrent vertigo, tinnitus or the detection of lesions on radiological scans require specialist assessment.

Distinguishing between medical and surgical conditions, as well as between reversible disorders and complex structural lesions, is crucial for determining the most appropriate treatment strategy. In cases involving essential neurological structures, planning is carried out in coordination with the Neurosurgery and Radiology departments.

Functional diagnosis and treatment planning

The process begins with a specialist consultation that combines microscopic and endoscopic examination, a comprehensive audiometric assessment and vestibular tests where indicated.

In complex cases, high-resolution computed tomography and magnetic resonance imaging are used to assess the anatomical extent of the condition and its relationship with neurological structures.

Each case is analysed by comparing the various treatment options and setting realistic objectives for functional preservation. Where surgery is indicated, the procedure is planned with anatomical precision and rigorous safety criteria.

Highly specialised clinical areas

The speciality is organised into areas with specific focus, enabling each condition to be addressed with technical depth and hospital-wide coordination, whilst maintaining an integrated and continuous approach.

Otology

The Otology Unit is responsible for the diagnosis and treatment of the most common structural and functional hearing disorders, including conductive and sensorineural hearing loss, cholesteatoma, otosclerosis and the after-effects of chronic otitis. A detailed assessment enables us to determine precisely when medical management is appropriate and when surgical intervention is the most suitable option for preserving or restoring hearing.

Endoscopic Ear Surgery

Where middle ear surgery is indicated, minimally invasive techniques are used to access highly delicate anatomical structures via the external auditory canal. The combination of endoscopic and microscopic approaches broadens the field of view and facilitates precise intervention aimed at eradicating the condition and maintaining hearing stability.

Otoneurosurgery

Lesions of the pontocerebellar angle and the internal auditory canal, such as acoustic neuroma or certain meningiomas, are managed in close collaboration with the Department of Neurosurgery. Each case is analysed by assessing the tumour size, its progression and functional impact, and a personalised decision is made as to whether the most appropriate strategy is monitoring, radiotherapy or surgery, with priority given to neurological preservation.

Lateral Skull Base Surgery

When the condition affects the temporal bone or extends towards the lateral skull base, surgical planning is aimed at achieving control of the lesion by balancing radicality with functional preservation, particularly in structures related to hearing, facial mobility and neurological stability.

Otoneurology

Disorders of balance and the vestibular system are assessed through specific functional examinations and targeted tests. Treatment may combine medical therapy, vestibular manoeuvres and planned rehabilitation programmes, with surgery reserved for selected cases.

Hearing Rehabilitation with Implants

In cases of severe or profound hearing loss that cannot be managed with conventional hearing aids, rehabilitation is based on a rigorous assessment for advanced cochlear implants. Device selection is based on precise anatomical and functional criteria, integrating specialised surgery and subsequent progressive fitting.

Rehabilitation for Facial Paralysis

Where damage to the facial nerve compromises facial expression or eye function, an individualised plan is drawn up which may include neuromuscular rehabilitation, reinnervation techniques or reconstructive procedures, with planned follow-up to optimise functional recovery.

Planned auditory and neurological follow-up

Scheduled follow-up helps to maintain long-term auditory, vestibular and neurological stability. Regular check-ups are arranged, tailored to each condition, particularly in cases of tumours, chronic conditions or situations requiring progressive rehabilitation.

A highly specialised team and person-centred care

The department comprises otologists, skull base surgeons, otoneurosurgeons and specialists in auditory and facial rehabilitation, with a specific focus on complex otological conditions.

The team has extensive experience in high-precision surgery and advanced techniques for preserving function. Decisions are based on sound clinical criteria and an individualised analysis of risks and benefits.

From the very first consultation, we take the time needed to explain the diagnosis, treatment options and realistic functional expectations. Decision-making is a shared process, particularly in cases involving greater surgical complexity.

This model combines advanced subspecialisation, rigorous planning and a person-centred clinical approach, providing clear information, sufficient time to make an informed decision and structured support throughout the entire care process.