A correlative manometric and endoscopic study of tubal function in dry central perforation of the tympanic membrane

1991 ◽  
Vol 105 (9) ◽  
pp. 716-720 ◽  
Author(s):  
Ahmed El-Guindy
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
Nasal Endoscopy ◽  
Tympanostomy Tube ◽  
Ear Surgery ◽  
Tubal Function ◽  
Endoscopic Findings ◽  
Central Perforation ◽  
Endoscopic Study

AbstractSince good ventilation of the middle ear is a pre-requisite for successful myringoplasty, it was our policy to investigate the tubal function in dry central perforation of the eardrum and to correlate the manometric and endoscopic findings. Nasal endoscopy proved to be indispensable in diagnosing mechanical tubal obstruction and in localizing and even treating ‘hidden’ lesions in key areas, with probable normalization of the tubal function. The correction of the mechanical tubal obstruction must precede ear surgery. Whenever tubal obstruction is diagnosed as functional or idiopathic, the ventilation of the middle ear should be guaranteed during ear surgery by addition of a tympanostomy tube to the graft or drum remnant, and a guarded prognosis given.

scholarly journals Factors that have an influence on bone conduction thresholds changes after otosurgery in the patients operated on due to the perforation of the tympanic membrane with the preserved ossicular chain

2017 ◽  
Vol 71 (4) ◽  
pp. 26-33
Author(s):  
Maciej Wiatr ◽  
Agnieszka Wiatr ◽  
Sebastian Kocoń ◽  
Jacek Składzień
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
Negative Impact ◽  
Positive Impact ◽  
Round Window ◽  
Bone Conduction ◽  
Ossicular Chain ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Study Objective

Introduction: The aim of the middle ear surgery is to eliminate abnormalities from the mucous, ensure the due airing of the postoperative cavity and reconstruct the sound-conducting system in the middle ear. Numerous reports can be found in literature on the changes to bone conduction as a consequence of middle ear surgery. Study objective: The aim of the work is to define the factors that affect bone conduction in the patients operated on due to the perforation of the tympanic membrane with the preserved and normal mobile ossicular chain. Material and method: A prospective analysis of patients operated on due to diseases of the middle ear in 2009–2012 was carried out. The cases of patients operated on for the first time due to chronic otitis media were taken into consideration. The analysis encompassed the patients who had undergone myringoplasty. The patients were divided into several groups taking into account the abnormalities of the mucous observed during otosurgery. Results: A significant improvement of bone conduction was observed in the patients with dry perforation, without other lesions in the middle ear. The appropriate pharmacological treatment before otosurgery in patients with permanent discharge from the ear resulted in significant bone conduction improvement. The elimination of granulation lesions turned out to be a positive factor for the future improvement of the function of the inner ear. Conclusions: The lack of abnormalities on the mucous of the middle ear (e.g. granulation,) and discharge has a positive impact on improvement of bone conduction after myringoplasty. Adhesions in the tympanic cavity, especially in the niche of the round window, have a negative impact on improvement of bone conduction in patients after myringoplasty.

Cholesteatoma Medial to an Intact Tympanic Membrane in 34 Young Children

PEDIATRICS ◽  
1984 ◽  
Vol 74 (2) ◽  
pp. 236-240
Author(s):  
Richard H. Schwartz ◽  
Kenneth M. Grundfast ◽  
Bruce Feldman ◽  
Richard E. Linde ◽  
Karen L. Hermansen
Keyword(s):  
Hearing Loss ◽  
Young Children ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Middle Ear ◽  
Early Stage ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Simple Excision ◽  
Otoscopic Examination

Thirty-five cholesteatomas medial to intact eardrums were treated in 34 children between 1976 and 1982. Six (18%) children had never had a documented episode of otitis media. Seventeen (50%) children, in whom the lesion was diagnosed at an early stage, underwent simple excision of the cholesteatoma without the need for extensive middle ear surgery. Findings from postoperative audiograms were normal for all such children. Cholesteatoma has recurred in eight (23%) children to date. Most recurrences were diagnosed 15 months or less after surgery. Routine careful otoscopic examination is essential in order to discover cholesteatoma at an early stage and to avoid hearing loss and the need for extensive otomastoid surgery. In order to perform an accurate examination of the eardrum, a halogen-illuminated otoscope and pneumo-otoscopy should be used by the pediatrician routinely. Particular attention should be paid to the posterior-superior quadrant of the tympanic membrance where a cholesteatoma is usually located.

scholarly journals Optotensometry – Developement of an optic method for measuring tubal function by tympanic membrane movement in a middle ear model

2016 ◽  
Vol 130 (S3) ◽  
pp. S252-S252
Author(s):  
Thorsten Zehlicke ◽  
Hans Georg Fischer ◽  
Mark Stamer ◽  
Jörg Müller ◽  
Hans Wilhelm Pau
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
Tubal Function

Evaluation of Taste Disturbance in Pre and Post Mastoid Surgery Patients

2019 ◽  
Vol 2 (2) ◽  
pp. 4-11
Author(s):  
Sriti Manandhar ◽  
ST Chettri ◽  
DR Kandel
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
Analytical Study ◽  
Middle Ear Surgery ◽  
Chorda Tympani ◽  
Chorda Tympani Nerve ◽  
Ear Surgery ◽  
Taste Disturbance ◽  
Duration Of Operation ◽  
Mastoid Surgery

Background: Mastoid surgery is one of the commonest surgeries in Otolaryngology & Head & Neck department. Surgeons are less aware of preserving chorda tympani nerve (CT). Injury to the chord tympani nerve is common in middle ear surgery as the course of CT runs between ossicles and close to tympanic membrane. It makes the surgeon difficult to preserve it during the surgery. The study was done to observe frequency of taste disturbances (TD) in all patients undergoing mastoid surgery and to correlate between intra operative status of CT and type of intra operative status of CT injury with postoperative taste disturbances. Methods: A prospective analytical study was conducted in patients who underwent mastoid surgery. The intra operative status of CT was studied, different forms of injury to the nerve were noticed and its impact on taste disturbances was assessed subjectively with questionnaire. The patients with taste disturbances were followed till twelve weeks. Result: None of the patients had taste disturbances prior to surgery. Out of 65 patients, only 15 patients became symptomatic in second postoperative day and the taste disturbances were in the form of altered taste (26.66%), dry mouth (26.66%) and numbness (46.66%). Symptoms like altered taste and numbness were present till the eighth week of surgery and disappeared by the twelfth week except one patient in whom numbness persisted till twelfth week. The symptoms did not correlate with the intra operative status of CT. The symptoms disappeared with duration of operation and it was significant. Conclusion: None of the patients voluntarily complained regarding taste disturbances until they were specifically asked. Only 15 patients had taste disturbances; 7 had numbness, 4 dryness of mouth and 4altered taste. The taste disturbances did not correlate with the type of intra operative status of CT. CT was not identified in 9 patients and only 3 (33.3%) became symptomatic and CT was cut with micro scissors in 26 patients but only 4 (15.38%) patients were symptomatic.

Endoscopic transcanal myringoplasty

1992 ◽  
Vol 106 (6) ◽  
pp. 493-495 ◽  
Author(s):  
Ahmed El-Guindy
Keyword(s):  
Tympanic Membrane ◽  
Anatomical Variations ◽  
Tympanic Membrane Perforation ◽  
Significant Advance ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Central Perforation ◽  
Rigid Endoscope ◽  
Membrane Perforation

AbstractThe role of the rigid endoscope has been evaluated in the management of 36 cases with dry central perforation of the tympanic membrane. The graft take rate was 91.7 per cent and the air-bone gap was closed to less than 10 dB in 83.3 per cent.The use of the rigid endoscope in the management of dry central perforation of the drum represented a significant advance in middle ear surgery. It is used, in correlation with manometry, to evaluate the tubal function before ear surgery and to treat hidden causes of tubal obstruction. It replaces the operating microscope in observation and surgery of the tympanic membrane perforation. It overcomes anatomical variations that hamper access to the entire tympanic membrane during ear surgery. It provides an extremely sharp image with high resolution.

scholarly journals Clinical study and post operative outcomes of tympanostomy tube insertion in otitis media with effusion

2020 ◽  
Vol 6 (3) ◽  
pp. 538
Author(s):  
Ashutosh S. Kumar ◽  
Gundappa D. Mahajan ◽  
James Thomas ◽  
Tejal A. Sonar
Keyword(s):  
Quality Of Life ◽  
Tympanic Membrane ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Age Groups ◽  
Tympanostomy Tube ◽  
Tube Insertion ◽  
Increased Risk

<p class="abstract"><strong>Background:</strong> Otitis media with effusion (OME) is defined as the presence of a middle ear effusion in the absence of infection. Fluid in the middle ear is associated most commonly with a conductive hearing loss and an increased risk of acute middle ear infection. It can have an impact on quality of life. The objective of our study was to assess symptomatology of OME, study complications following tympanostomy tube insertion in OME and to highlight the age, sex distribution of otitis media with effusion.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted in Department of Otorhinolaryngology, Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune from October 2017 to March 2019. 50 ears of patients aged between 6 to 50 years with OME were included in the study. All the patients were observed for symptomatology and postoperative complications who underwent Tympanostomy tube insertion.  </p><p class="abstract"><strong>Results:</strong> OME is commoner in children and adolescents with no gender preponderance. The most common otoscopic findings pre-operatively included dull lustreless amber colored tympanic membrane in 56% (n=28), Retracted Tympanic Membrane and for shortened handle of malleus in 28% (n=14), air bubbles were seen in 12% (n=6) whereas fluid level was seen in 4% (n=2). Common complications post operatively included myringosclerosis and tympanic membrane atelectasis seen in 10% and 6% respectively.</p><p class="abstract"><strong>Conclusions:</strong> Tympanostomy tube insertion is one of the ideal treatments in management of otitis media with effusion, most commonly affecting younger age groups, with fewer complications, which can lead to a better quality of life.</p>

Preliminary outcomes of endoscopic middle-ear surgery in 103 cases: a UK experience

2018 ◽  
Vol 132 (06) ◽  
pp. 493-496 ◽  
Author(s):  
C P Yiannakis ◽  
R Sproat ◽  
A Iyer
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
Middle Ear Surgery ◽  
Endoscopic Ear Surgery ◽  
Short Term ◽  
Ear Surgery ◽  
Sinus Tympani ◽  
New Concepts ◽  
The Uk ◽  
External Incisions

AbstractBackgroundTotally endoscopic ear surgery and endoscope-assisted microsurgery are still new concepts, with relatively few centres in the UK performing them. Advantages include better visualisation of difficult to reach areas, such as the sinus tympani, and limited external incisions. This paper reports our short-term outcomes for endoscopic middle-ear surgery.MethodsA prospective review was conducted of the first 103 consecutive patients undergoing totally endoscopic ear surgery or endoscope-assisted microsurgery in 1 centre performed by 1 operator. The outcomes assessed were: tympanic membrane healing, audiological data and complications.ResultsTwenty-five patients underwent endoscope-assisted microsurgery, while 78 had totally endoscopic ear surgery. There were no reported cases of dead ear or permanent facial nerve palsy. The average air–bone gap following stapedectomy was 7.38 dB. The tympanic membrane healing rate was 89 per cent.ConclusionOur results confirm that endoscopic middle-ear surgery is safe, and the short-term outcomes are comparable with conventional surgery.

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