Simple, painless, cosmetic closure of endaural incisions

2003 ◽  
Vol 117 (1) ◽  
pp. 67-68 ◽  
Author(s):  
R. K. Bhalla ◽  
T. H. J. Lesser
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
Wound Closure ◽  
Wound Closure Techniques ◽  
Small Cavity ◽  
Fibrin Adhesives ◽  
Middle Ear Cleft

Endaural incisions provide a cosmetic approach to the middle-ear cleft, tympanic membrane for myringoplasty, and attic and antrum for small cavity mastoidectomy. These wounds have traditionally been closed with sutures, but platelet or fibrin adhesives provide an alternative. However, discomfort at the time of suture removal, particularly in children, and the risk of transmission of blood-borne infections in gels are limitations to these wound closure techniques. This paper describes our experience with Histoacryl® glue (butyl-2-cyanoacrylate) in closing endaural incisions.

scholarly journals Late Presentation of Idiopathic Tympanic Membrane Ossification with External Auditory Canal Stenosis

2015 ◽  
Vol 7 (3) ◽  
pp. 141-143
Author(s):  
Hitesh Verma
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
External Auditory Canal ◽  
Special Form ◽  
Rare Case ◽  
Late Presentation ◽  
Canal Stenosis ◽  
Middle Ear Cleft

ABSTRACT The external auditory canal (EAC) is formed by lateral cartilaginous and medial bony part. The stenosis of EAC is narrowing of the width of the EAC, i.e. either caused by congenital or acquired causes. Myringosclerosis is a condition caused by calcification of tissues in the tympanic membrane and ossification is a special form of fibrosis due to the long-term, irreversible continued inflammation in the middle ear cleft. We are presenting rare case of idiopathic tympanic membrane ossification with generalized stenosis of EAC in 29-year-old patient. How to cite this article Verma H, Dass A, Singhal SK, Gupta N. Late Presentation of Idiopathic Tympanic Membrane Ossification with External Auditory Canal Stenosis. Int J Otorhinolaryngol Clin 2015;7(3):141-143.

scholarly journals Epitympanic Diaphragm: Endoscopic Functional Tympanoplasty

2018 ◽  
Vol 01 (01) ◽  
pp. 023-028
Author(s):  
Sreerama Boddepalli ◽  
Rajesh Boddepalli
Keyword(s):  
Gas Exchange ◽  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Normal Mucosa ◽  
Tympanic Membrane Perforation ◽  
Middle Ear Mucosa ◽  
Tympanic Membrane Perforations ◽  
Membrane Perforation ◽  
Middle Ear Cleft

Abstract Background Simple closure of tympanic membrane perforation is not a successful myringoplasty. It has to obey a lot of functional aspects of the middle ear cleft. Certain factors play a role in failure cases. The endoscopic functional myringoplasty or tympanoplasty is a clear visualization of all the parts of the middle ear; examination and removal of the disease from the hidden parts of the middle ear, examination of inter-attico-tympanic diaphragm; and removal of blocks, if any, in isthmus, to reestablish the gas exchange pathways and finally preserve the middle ear mucosa at maximum to further restore the ventilation. Methods Endoscopic tympanoplasty was performed in 100 patients with large tympanic membrane perforations and patent eustachian tube, using 4-mm “0” and “45” degree endoscopes by proper visualization of the tympanic diaphragm and isthmus in every patient and clearing its blockage if present. Results Among the 100 patients, 78 had epitympanic diaphragm blockage at the level of isthmus, 5 patients were found with closed tensor tympani folds, both vertical and horizontal without any ventilatory routes in them. Although in all the patients the eustachian tube was patent, we found majority of them had a dysventilation at the level of the epitympanic diaphragm. Thus, by performing endoscopic ventilatory pathway clearance and tympanoplasty, we achieved 94% positive results. Conclusion Epitympanic diaphragm is a functional barrier between upper and lower compartments of the middle ear cleft, which play important role in the ventilation and partial pressure regulation, blockage of its isthmus may lead to tympanic membrane retractions and perforations. With the aid of endoscopes of various degrees, removing any pathological blocks, recreating proper ventilation, reestablishing gas exchange mechanism, and maximum preservation of normal mucosa for the gas exchange are the aims of an endoscopic functional tympanoplasty procedure.

scholarly journals 934 Remote one-to-one virtual surgical skills training: Evolving the delivery of operative skills training in the UK

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Christian Asher ◽  
Ibrahim Ibrahim ◽  
Eyfrossini Katsarma
Keyword(s):  
Surgical Training ◽  
Wound Closure ◽  
Cost Effective ◽  
Skills Training ◽  
Training Programme ◽  
Surgical Skills ◽  
Wound Closure Techniques ◽  
Surgical Skills Training ◽  
Speciality Training ◽  
One To One

Abstract Introduction COVID-19 has had an unprecedented effect on surgical training, including prerequisite entry-level courses to speciality training. We describe the implementation of a virtual, one-to-one training programme aimed at the acquisition and retention of operative skills. Methods Enrolment commenced 8th May 2020 for wound closure techniques or an extended programme including tendon repairs, delivered by Specialist Registrars in Plastic Surgery using Zoom® (v. 5.0.5) via mobile device. Participant feedback was collected retrospectively using a 5-point scale following course completion. Results 5 participants completed the wound closure programme, and 3 the extended programme, over an average of 5 weeks, with 2 sessions per week. 5 participants were male, 3 female and were of the following grades: 2 CT2, 4 FY2, 1 FY1 and 1 medical student. A total of 103.5 hours of training was recorded to 7 September 2020. Participants reported that all virtual skills taught were readily transferable to the theatre environment. Following the course, all participants felt confident to complete the skills learnt independently, rating the course as excellent. Conclusions The COVID-19 crisis has placed insurmountable obstacles in the face of surgical training. With further validation, we aim to develop surgical skills training with virtual, easily reproducible, cost-effective, trainee centred programmes.

scholarly journals Recovery from tympanic membrane perforation: Effects on membrane thickness, auditory thresholds, and middle ear transmission

2019 ◽  
Vol 384 ◽  
pp. 107813 ◽  
Author(s):  
Lingling Cai ◽  
Glenna Stomackin ◽  
Nicholas M. Perez ◽  
Xiaohui Lin ◽  
Timothy T. Jung ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
Tympanic Membrane Perforation ◽  
Membrane Thickness ◽  
Auditory Thresholds ◽  
Membrane Perforation

Causes of failure of combined approach tympanoplasty in the treatment of acquired cholesteatomas of the middle ear and the mastoid

1995 ◽  
Vol 109 (8) ◽  
pp. 710-712 ◽  
Author(s):  
T. R. Kapur
Keyword(s):  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Squamous Epithelium ◽  
Combined Approach ◽  
Tube Obstruction ◽  
Incomplete Removal ◽  
Tube Dysfunction ◽  
Cause Of Failure ◽  
Causes Of Failure

AbstractForty cases of failed combined approach tympanoplasty were analysed. The commonest cause of failure was adhesions between the facial ridge and the tympanic membrane, causing segmental attico-mastoid malaeration in 51.3 per cent of cases followed-up continually. Other causes were, large dermoids, incomplete removal of squamous epithelium, and eustachian tube obstruction. Eustachian tube dysfunction did not appear to be a major cause of failure.

Comparison of lower extremity fasciotomy wound closure techniques in children: vacuum-assisted closure device versus temporary synthetic skin replacement

2018 ◽  
Vol 45 (5) ◽  
pp. 809-814 ◽  
Author(s):  
Hannah Rachel Bussell ◽  
Christoph Alexander Aufdenblatten ◽  
Corina Gruenenfelder ◽  
Stefan Altermatt ◽  
Sasha Job Tharakan
Keyword(s):  
Lower Extremity ◽  
Wound Closure ◽  
Closure Device ◽  
Vacuum Assisted Closure ◽  
Wound Closure Techniques ◽  
Skin Replacement

The use of rigid endoscopes in cholesteatoma surgery

1994 ◽  
Vol 108 (4) ◽  
pp. 307-309 ◽  
Author(s):  
Matthew Man Wah Yung
Keyword(s):  
Middle Ear ◽  
Complete Removal ◽  
Open Cavity ◽  
Operating Microscope ◽  
Canal Wall ◽  
Small Cavity ◽  
Mastoid Operation ◽  
Canal Wall Reconstruction ◽  
Cholesteatoma Surgery

AbstractThe existence of blind pockets in the middle ear during cholesteatoma surgery could compromise complete removal of the disease, e.g. from the sinus tympanum. The use of side-viewing rigid endoscopes in conjunction with the operating microscope to control and facilitate cholesteatoma removal during mastoid operation studied.Ninety-two primary operations for cholesteatoma over a four-year period were examined. Over one-third (35.9 per cent) of these cases had cholesteatoma extended into the sinus tympanum. Sixty-four operations were small cavity mastoidectomy. The others were either canal wall reconstruction or primary obliteration following open cavity mastoidectomy.Although residual cholesteatoma was found in three patients, only one was in the middle ear. It is concluded from this study that side-viewing endoscopes could be very useful in cholesteatoma surgery.

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