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A specialized surgical procedure—the endoscopic Eustachian tube surgery—was successfully performed for the first time in Sri Lanka yesterday at the Negombo General Hospital, led by ENT Surgeon Vidya Nidhi Dr. Rizny Sakkaff and his medical team.

Dr. Sakkaff explained that middle ear problems are often caused by blockages in the Eustachian tube, which can lead to fluid buildup and pressure imbalances. Traditionally, such cases in Sri Lanka have been treated by making a small hole in the eardrum to drain the fluid or by inserting a plastic grommet to equalize pressure.

“However,” he noted, “damaging the eardrum in this way prevents patients from swimming and requires them to use earplugs while showering.”

In contrast, the new endoscopic procedure involves inserting a small endoscope through the nose to access the Eustachian tube and remove the blockage without damaging the eardrum. This method preserves the natural anatomy, removes obstructions, and provides long-lasting relief.

The surgery was performed under general anesthesia, but Dr. Sakkaff said it can also be done under local anesthesia in outpatient or clinic settings.

“This type of surgery has never been performed in Sri Lanka before, though it is common in India, Europe, Australia, and the United States,” he said. Dr. Sakkaff added that he had gained experience with the procedure while working in the United Kingdom and was keen to introduce it locally.

He confirmed that the team successfully operated on three patients during yesterday’s historic session.

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