Endoscopic transcanal myringoplasty

1992 ◽  
Vol 106 (6) ◽  
pp. 493-495 ◽  
Author(s):  
Ahmed El-Guindy

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.

2018 ◽  
Vol 86 (March) ◽  
pp. 703-708
Author(s):  
EMAN A. EBRAHIM, M.Sc. HOSSAM S. EL-SHERIF, M.D. ◽  
SHAABAN B. MOHAMMED, M.D. FATTHE A. ERFAN, M.D.

2016 ◽  
Vol 12 (3) ◽  
pp. 252-256 ◽  
Author(s):  
Mehmet Yasar ◽  
Altan Kaya ◽  
Hatice Karaman ◽  
Mustafa Kavugudurmaz ◽  
Halil Polat ◽  
...  

2017 ◽  
Vol 99 (1) ◽  
pp. 36-37 ◽  
Author(s):  
R Fox ◽  
R Nash ◽  
T Tatla

Encounters with jugular bulb abnormalities during ear surgery are a rare but recognised problem. A high riding jugular bulb is present in 10%–15% of patients and its variable position within the temporal bone can lead to problems as brisk venous haemorrhage can result if the bulb is inadvertently opened. The case of a 52-year-old woman with a central tympanic membrane perforation who underwent elective endaural myringoplasty and experienced brisk bleeding on raising the tympanomeatal flap is presented.


2017 ◽  
Vol 5 (1) ◽  
pp. 14-16
Author(s):  
Shiwani Rai ◽  
K. Koirala ◽  
V. Sharma

Objective: To study the role of nasal decongestants in spontaneous healing of traumatic tympanic membrane perforation.Material and Methods: A prospective single blinded, randomized controlled study was carried out in the department of ENT, Manipal College of Medical Sciences, Pokhara, Nepal. Patients with traumatic tympanic membrane perforation were divided into two groups; those receiving nasal decongestants along with conservative measures (Group1) and those receiving conservative measures only (Group2). Healing of tympanic membrane was compared in between these groups at 1 and 3 months. Statistical analysis was done using SPSS 20.Results: There were 30 patients in group 1 and 28 patients in group 2. The mean age of the study population was 26.98 (SD= 7.53). The M: F ratio in group 1 was 0.58:1 and that in group 2 was 0.56:1. Complete healing was seen in 25 (83%) patients in group 1 and 16 (57.1%) patients in group 2 at the end of 1 month (P=0.029). Similarly, healing was seen in in 29 (96.7%) patients in group 1 and 21 (75%) patients in group 2 at the end of 3 months (P=0.023).Conclusion: Routine use of nasal decongestants increases the chances of spontaneous healing of traumatic tympanic membrane perforations.  


2009 ◽  
Vol 124 (4) ◽  
pp. 382-386 ◽  
Author(s):  
K Snidvongs ◽  
P Vatanasapt ◽  
S Thanaviratananich ◽  
M Pothaporn ◽  
P Sannikorn ◽  
...  

AbstractObjectives:To evaluate the outcome of mobile ear surgery, in terms of tympanic membrane perforation closure, absence of otorrhoea and hearing threshold improvement.Study design:Descriptive study.Methods:The study enrolled patients with chronic ear disorders requiring surgery who presented to the mobile ear surgery unit at Sakaeo Hospital, Thailand, from 1 to 4 July 2008. The following data were recorded: pre-operative audiogram, post-operative middle-ear and mastoid infection, wound infection, graft condition, any complications, and post-operative audiogram. Patients were followed up at one week, two weeks, four weeks and 24 weeks post-operatively.Results:For the 31 cases of tympanic membrane perforation, the closure rate was 90.3 per cent. For the 32 patients with otorrhoea, the rate of ear dryness was 87.5 per cent. All 35 patients had impaired hearing initially; the rate of hearing improvement was 74.3 per cent (95 per cent confidence intervals = 56.7–87.5 per cent). Patients' mean hearing improvement was 22.9 dB.Conclusion:The assessed ear surgery procedures had good results.


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