Aug 2007 / Issue No. 99 MITA (P) No.231/11/2006  
     
Cover Story
A Bright Shining Star
The President’s Nurse
 
Newsmakers
First In The World With Two JCI-Certified Heart Programmes
What Have We HEAR?
Seen and Heard
Knowledge Has No Boundaries
 
Hospital Updates
Newly Promoted Doctors   No Small Wonder

- Dr Ang Tiing Leong   New Coat, New Look
  - Dr Goh Pak Liang   We Are Family
  - Dr Goh Ping Ping   Under One Roof
  - Dr Yap Hwa Ling      
Going the Extra Mile
Touching Lives and Getting Touched
 
   
Quality Improvement
Deliciously Good
   
   
 

What Have We HEAR?
First Retro-X surgery in Singapore performed by CGH’s otolaryngologist

 

Blazing a trail in the otolaryngology field, Dr Eng Soh Ping, Consultant, Ear, Nose and Throat (ENT), has performed the first Retro-X surgery in Singapore on 29 November 2006. He is also among the first to use this surgical technique, which is minimally invasive, in Asia.

The Retro-X is a new semi-implantable hearing aid designed for high-frequency sensorineural hearing loss or deafness. Unlike the conventional hearing aid, Retro-X does not obstruct the external ear canal and so is able to provide selective amplification of high frequency sounds.


The sound quality is also more natural and the device does not interfere with any radiologic imaging. A simulator is available so potential users may experience the effects before the procedure. The end result is also aesthetically more pleasing as the device is discreetly hidden behind the ear.

Dr Eng was exposed to the Retro-X implant during his fellowship training in Ear Surgery in Belgium from 2005 to 2006. He later brought in the techniques to CGH and did it first on one of his female patients, Mrs Margaret Teo, who had had high frequency deafness that affected both her ears for many years. She has tried the conventional hearing aids but found them too cumbersome to use.

Given her condition, Dr Eng and his audiological team – Mr Tan Boon Hai and Ms Joyce Lim, Hearing Rehabilitation Counsellors – felt that she was an ideal candidate and offered her the option of using the Retro-X hearing aid. Ms Teo’s post-operative recovery was smooth and uneventful. In fact, she was so satisfied with the outcome that she subsequently underwent the surgery on her second ear on 2 August 2007.

“For years, I have had to lip-read and try to make intelligent guesses of what people are saying. With Retro-X, I’m now able to hear clearly and regaining normality of life,” says Margaret.

 

 

More on Retro-X
More than 90 million people in Europe and US suffer from hearing loss from sensorineural deafness. Of these, a proportion may be affected only in the high frequency range. This may be due to ageing or long term exposure to loud noises.

Currently, the treatment of high frequency sensorineural deafness is limited to the prescription of conventional ear-worn hearing aids, which tend to obstruct the ear canal. This causes significant discomfort to users as they will hear his or her own voice and body sounds such as chewing or breathing. It may also cause an accumulation of ear wax making the ear moist and uncomfortable.

The wearing of an aid behind the ear or in the ear canal may also cause embarrassment to some. The Retro-X solves all these problems.

What are its components?
The Retro-X device has two components. It has an electronic hearing aid unit that is sited behind the ear. This is connected to a titanium tube implanted between the post-aural sulcus and the ear canal.

How does it work?
Sound is received through the microphone in the hearing aid unit. The Digital Sound Processor (DSP) within the unit processes the sound signal and amplifies the selected frequency band.

The processed sound is then transmitted through the titanium tube towards the ear canal and produces a peak amplification mainly at the high frequencies.

What does the fitting involve?
First, the patient is given a trial with a simulator. He or she will assess if the sound quality is desirable. Following that, he or she will undergo a simple day surgery procedure for the titanium screw to be implanted.

The final fitting will occur one month after the titanium screw is implanted so as to allow the position of the screw to stabilise.

To make an appointment, please call the CGH Appointment Centre at 6850 3333 or
visit our website at www.cgh.com.sg/eservices/appt_booking.asp