A groundbreaking endoscopic Eustachian tube surgery was performed for the first time in Sri Lanka yesterday (21) 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 often arise from blockages in the Eustachian tube, leading to fluid buildup and pressure differences. Traditionally, such conditions in Sri Lanka have been treated by making a small hole in the eardrum or inserting a grommet — a plastic tube used to equalize ear pressure.
“After damaging the eardrum, patients are unable to swim and must use earplugs while showering,” Dr. Sakkaff said.
In the new procedure, a small endoscope is inserted through the nose to access and clear the Eustachian tube, effectively removing blockages without damaging the eardrum. The technique preserves natural ear anatomy, eliminates obstruction, and offers long-term relief for patients.
The historic operation was conducted under general anesthesia, though Dr. Sakkaff noted that it can also be performed under local anesthesia in outpatient or clinic settings.
“This surgery has never been done in Sri Lanka before, but it is commonly performed in India, Europe, Australia, and the United States,” he said, adding that he gained experience with the procedure during his training in the United Kingdom and was eager to bring it to local patients.
Dr. Sakkaff confirmed that his team successfully operated on three patients during the landmark session at Negombo General Hospital.
