Dr. Manohar Bance (ENT) — Experiences/Opinions/Reviews?

[Ornitoring]

Hello,

I would like to know if anyone has seen Dr. Manovar Bance, an ENT in the UK, and what they thought of him?

Manohar Bance is an Otologist/Neurotologist and clinician-scientist at Cambridge University, and the inaugural Professor of Otology and Skull Base Surgery at the University of Cambridge, UK. Previously he was the Professor and Head of the Division of Otolaryngology-Head and Neck surgery at Dalhousie University until April 2017, where he was Director of the EAR and SENSE labs in the Division of Otolaryngology. Manohar is clinically active in middle ear surgery, cochlear implants, middle ear implants, eustachian tube disorder, skull base surgery and vestibular disorders with research interests in cochlear implant stimulation strategies, middle ear reconstruction and mechanics, bone conduction hearing, Eustachian tube disorders, gene and pharmacotherapy for inner ear disorders, and vestibular disorders. He has held several research grants in these areas, and is particularly involved in medical device development and translation.

He has over 130 peer reviewed publications, is a board member of the Politzer Society, a member of the American Otology Society, the American Neurotology Society, the Triological Society and the Collegium Otorhinolaryngologica Amicitiae Sacrum anda Council member of the RSM Otology section. Manohar is also American sub-specialty board certified in Neurotology, and is an editorial board member of Otology-Neurotology, and the Journal of Advanced Otology.

 

[lis]

I had e-consultation with Dr. Bance. He is very kind, patient, good listener. Even if your myoclonus or TTTS thumping is not evident by diagnostic measures (otoscope, objectively listening, or tympanogram)-- If the symptoms match -- he would be comfortable operating. He's had 12 surgeries and all were successful in resolving MEM. 1 resulted in tinnitus bc the ear bones were too tight (tympani packed in between the 2 bones), so some jostling was needed. He cuts both the tympani and stapedius.

If you're post acoustic trauma and your thump/distortion Follows a sound instead of overlaying it, he would surmise it is MEM rather than auditory nerve damage. As a diagnostic aid, he recommends inserting an earplug deep inside the canal to see if the dampening stops the thumping. He reassured me that chronic myoclonus of the muscles tugging on the ossicles will not harm the ossicles or create hearing loss because he has never seen that as an outcome.

 

[Contrast]

It's so rare to hear about a good physician that is familiar with middle ear muscle disorders and willing to treat them surgically. Most doctors in both the US and UK are numskulls dismissing people with a hand wave acting like the problem doesn't exist. "it's all in your head" they'll say. There isn't even much scientific knowledge on what causes this other than noise damage and the etiology is unknown.