A hyperacusis practice procedure is currently underway at the Silverstein Institute in Sarasota, Florida. The purpose of the procedure is to investigate treatment options for hyperacusis. The practice procedure was undertaken after obtaining good results by treating 2 patients with a minimally invasive surgical procedure. The procedure is called  “Round and Oval window Reinforcement”  and it involves using the patient’s own body tissue without any foreign implants. 

A research paper, Round and oval window reinforcement for the treatment of Hyperacusis, describing the initial results has been published in the American Journal of Otolaryngology (Silverstein H, et al. Am J Otolaryngol. 2015 Mar-Apr.). Click here to read more.

The long-term results are not known at this time, but we hope that our research will shed more light on this debilitating condition.

Herbert Silverstein Celebrates Decades of Excellence in Otolaryngology

 View the Article

A second research paper, Minimally Invasive Surgery for the Treatment of Hyperacusis, was published in September 2016 in the Otologoy & Neurotology Journal (Silverstein H, Ojo R, Daugherty J, Nazarian R, Wazen J. Otol Neurotol. 2016 Sep 23.) detailing additional results. Click here to read more.

Dr. Silverstein was published in the American Journal of Otolaryngology with a research paper on Stapes hypermobility as a possible cause of hyperacusisClick here to read more.

Dr. Silverstein recently gave a lecture on Hyperacusis which featured testimonials from four patients. 

Have questions about Hyperacusis? Contact our team to learn more

Click here to contact us

Minimally Invasive Surgery for the Treatment of Hyperacusis

Hyperacusis Testimonial

 View All Hyperacusis Testimonials

Hyperacusis Testimonial


Hyperacusis Testimonial


Hyperacusis Testimonial


Round and Oval Window Reinforcement Stapes Hypermobile


Hyperacusis Lecture Highlight


Lunch & Learn: Treatment of Severe Hyperacusis


Minimally Invasive Surgery


Round and Oval Window Reinforcement for Treatment of Severe Hyperacusis


A New Treatment for Hyperacusis

If you have these symptoms and are interested in learning more about this research study, please contact Dr. Herbert Silverstein:

E-mail earsinus@aol.com

Phone 941-366-9222 or 888-418-9200 1901 Floyd Street, Sarasota, FL 34239

Click here to read a recent New York Times article on Hyperacusis.


Surgery for Otosclerosis

Surgery to Improve Hearing in Otosclerosis

Surgery for Otosclerosis


A New Minimally Invasive Surgical Procedure for Superior Semicircular Canal Dehiscence (SSCD)

Minimally Invasive Surgical ProcedureIn some people, the bone of the superior semicircular canal of the inner ear disappears and the balance mechanism becomes in contact with the covering of the brain. This creates a third window in the inner ear. Normally, we have two windows, the oval and the round window. When the ear drum vibrates to sound, the little bones of hearing and the stapes bone vibrate in the oval window. When there are three windows present, many different symptoms can occur. What is interesting is that each patient can have different symptoms, which include hearing loss, dizziness, fullness in the ear, autophonia (hearing ones voice loudly), pulsating tinnitus, having dizziness when there is loud sound, hearing ones footsteps or eyeballs moving and dizziness when there is pressure in the ear canal. Closing the dehiscence surgically, requires major surgery by lifting the brain or going through the mastoid bone.

A minimally invasive surgery has been developed that reduces the symptoms significantly so that the patients may not require the major procedure. The procedure is done as an outpatient and a small piece of tissue is placed on the round window membrane which partially closes the third window.

The result of a multi institutional study has been published and can be read by clicking here.

If you would like more information, please make an appointment to see Dr. Herbert Silverstein or Dr. Jack Wazen at the Silverstein Institute (941) 366-9222 or Toll Free (888) 418-9200.

Menieres Treatment

Silverstein Micowick For Treatment Of Inner Ear Disease

Inventions and Procedures of Herbert Silverstein, MD, FACS

  • Topical anesthetic of the ear drum, Tetracaine/alcohol, 1964
  • Silverstein Permanent aeration tube patented, 1968
  • Subtotal resection of acoustic neuroma in elderly, 1974
  • Vestibular neurectomy for curing vertigo while preserving hearing, 1978
  • Silverstein Facial nerve monitor for preventing facial nerve injury at surgery, 1983
  • Round window reinforcement for Superior Semicircular Canal Dehiscence (SSCD)
  • Laser STAMP for restoring hearing in otosclerosis without a prosthesis, 1995
  • MicroWick for direct drug treatment of the inner ear, patented, 1999
  • Minimally invasive surgery for Hyperacusis Round and Oval Window Reinforcement, 2009
  • EarKare for preventing ear wax accumulation and ear infections. Trade mark, 2010
  • Trans-cochlear eighth nerve section for tinnitus and vertigo of Meniere’s  disease
  • Laser tympanostomy to make bloodless opening of ear drum
  • Silverstein tympanoplasty silicone implant to prevent adhesions in ear surgery
  • incus stapes connector to re-establish the sound conduction mechanism
  • Silverstein packing strips for ear surgery 

EarKaresm Facial Nerve Monitor LaserSTAMP Middle Ear Aeration Vestibular Nerve Section Micromed