ABOUT NIRMAL PATEL

Associate Professor Nirmal Patel was born in England and emigrated to Newcastle, Australia at the age of 5.  He grew up in Newcastle and then moved to Sydney for Medical school.  Nirmal spent 3 years in the USA undertaking advanced Ear surgery training after finishing ENT training in NSW, Australia.

Nirmal loves spending time with his wife, three energetic boys and large extended family.  In his reflective moments he enjoys photography, art, design and skiing.

Sydney ENT Ear Diagram
Outer Ear

Sound travels through the outer ear as waves and vibrates the ear drum. Exostoses occur here.

Middle Ear

The vibration of the ear drum then moves the 3 bones of hearing. Ear drum perforations and infections, cholesteatoma and otosclerosis occurs here.

Inner Ear

Which in turn creates waves in the inner ear fluid. The cochlea converts mechanical energy into electrical energy to send the electrical impulses to the brain. Cochlea implants are placed here.

Eustachian Tube

Is a cartilage tube that connects the nose to the ear and equalizes air pressure in both systems. Eustachian tube blockage occurs here.

How we hear

DISEASE PROCESSES

Acoustic (Vestibular Schwannoma) Tumors

These are benign growths of the balance (or vestibular nerve) that occur in approximately 1 in 80,000 people.  The tumors tend to occur in the bony channel between the inner ear and brain… Read more

Children's Ear Infections & Hearing Loss

Recurrent ear infections typically present in 1-3 year old children will a painful ear and fevers.  The condition is usually due to a combination of poor Eustachian tube function and/or nasal obstruction… Read more

Cholesteatoma

Cholesteatoma is a skin cyst (or growth) in the middle ear. The problem can be from birth or acquired usually after recurring ear infections. Cholesteatoma, if left untreated, can grow and destroy local important structures… Read more

Cochlear Implants

Cochlear implants are now routine treatment for adults where hearing aids are no longer working or for recent single sided deafness. When hearing aids are no longer providing adequate hearing… Read more

Ear Drum Perforation and Hearing Reconstruction

Chronic, recurrent ear infections can lead to holes in the ear drum or damage to the bones. Surgery is indicated with recurrent infection or hearing loss. Endoscopic ear surgery is the preferred method for correcting… Read more

Endoscopic (keyhole) Ear Surgery

This is the newest technique which requires specialised equipment and is often the most technically challenging.  The endoscopic method is the technique of choice by Dr Nirmal Patel if… Read more

Eustachian Tube Surgery

Blockage of the Eustachian tube is associated with severe symptoms including a fullness or blockage in the ear, along with hearing loss.  The condition is also thought to be associated with… Read more

Exostoses

These are benign bony growths often associated with cold water swimming.  They are thought to occur from cold water stimulation. Surgery is required when water trapping occurs… Read more

Otosclerosis (Stapedectomy) Surgery

Surgery performed with the endoscope and laser is the preferred method of our clinic. The procedure is performed in a day surgery manner and requires 1-3 days off work… Read more

Tonsils, Adenoids and the Blocked Nose in a Child

Tonsil and adenoid surgery is recommended for children typically for either recurrent tonsillitis or symptomatic sleep disordered breathing. With tonsillitis if a child has more than 7 episodes of tonsillitis a year… Read more

SURGICAL VIDEOS

Endoscopic
Cholesteatoma

Endoscopic
Perforation

Endoscopic Ear
Bone Correction

RECENT ARTICLES

Endoscopic Anatomy of the Protympanum

The protympanum, or bony portion of the eustachian tube (ET), is a middle ear space that lies anterior to the mesotympanum. The space is also confluent with the epitympanum superiorly, hypotympanum inferiorly, and the cartilaginous ET anteriorly…

Read more…

Eustachian Tube Redefined

Since its first description by Eustachius, the concept of the Eustachian tube as partly bony structure has taken deep roots in our understanding of its anatomy, function, and possible dysfunction. Microscopic and gross anatomical observations…

Read more…

Endoscopically Guided Transtympanic ET Balloon Catheter Dilatation

The Eustachian tube (ET) is a unifying passageway between the nose and ear and its function remains incompletely understood. ET dysfunction is the most commonly implicated cause in a number of middle ear pathologies. The dysfunction most commonly…

Read more…