Microsurgery in Nepal: a week on 'ear camp' with the Britain Nepal Otology Service

2013 ◽  
Vol 95 (4) ◽  
pp. 144-145
Author(s):  
H Blanchford
Keyword(s):  
Ear Surgery ◽  
Ear Camp

In December 2012, I was privileged to be given the opportunity to assist on the 49th Britain Nepal Otology Service (BRINOS) 'ear camp' in Nepal, a country where 40 per cent of the population are estimated to live in poverty. In the BRINOS initiative, a collaboration of ENT specialists, nurses and community ear assistants (CEAs) apply their skills in thrice-yearly ear surgery camps to the enormous task of reducing morbidity from ear disease.

scholarly journals Endoscopic ear surgery in the ear camp setting; forward thinking or folly?

2017 ◽  
Vol 132 (1) ◽  
pp. 68-70 ◽  
Author(s):  
M P A Clark
Keyword(s):  
Clinical Setting ◽  
Operative Technique ◽  
Care Setting ◽  
Chronic Otitis Media ◽  
Endoscopic Ear Surgery ◽  
Ear Surgery ◽  
Image Capture ◽  
Local Staff ◽  
Self Sufficiency ◽  
Ear Camp

AbstractBackground:Endoscopic ear surgery is becoming an accepted technique in otological surgery, in the management of chronic otitis media.Methods:The technique was introduced to the humanitarian care setting of an ear camp in Nepal to consider the appropriateness of the technique in this type of clinical setting.Results:Fifteen cases of myringoplasty were successfully completed.Conclusion:The apparent advantages of the endoscopic approach over the traditional microscopic one were the ease of transporting the equipment and the optimal view obtained of the tympanic membrane. The ability for pathology and operative technique to be observed equally well by the surgeon and local staff was helpful for teaching, and enables a move towards self-sufficiency of care. Easy image capture also has potential for remote telemedicine applications.

scholarly journals Diagnostic otoscopy skills of community ear assistants in Western Nepal

2010 ◽  
Vol 125 (1) ◽  
pp. 27-29 ◽  
Author(s):  
R Youngs ◽  
N Weir ◽  
P Tharu ◽  
R B Bohara ◽  
D Bahadur
Keyword(s):  
Developing Countries ◽  
Rural Communities ◽  
Middle Ear ◽  
Chronic Otitis Media ◽  
World Health ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Intensive Training ◽  
Health Organization ◽  
Ear Camp

AbstractIntroduction:Deafness is a major problem in developing countries. Rural communities tend to be affected more than urban ones, and chronic otitis media is common. The World Health Organization has proposed primary ear care as a method of providing otological services in developing countries. This study aimed to assess the diagnostic otoscopy skills of community ear assistants in rural Western Nepal.Materials and methods:Community ear assistants undertook the pre-operative evaluation of 92 patients selected for middle-ear surgery in an ‘ear camp’ setting. The otoscopy skills of community ear assistants were also assessed by means of an otoscopy quiz. Consultant otologists and trainee otolaryngologists underwent an identical assessment.Results:The community ear assistants' selection of patients for middle-ear surgery concurred with the consultant otologists' opinion in 87 of 92 patients (94.5 per cent). The level of community ear assistants' otoscopy skills was between that of junior and senior otolaryngology trainees.Conclusions:With intensive training, medically unqualified community ear assistants can develop otoscopy skills comparable to those of medically qualified otolaryngology trainees. These results support the development of primary ear care in poorer countries where access to specialist otological services is difficult or impossible.

Revision Chronic Ear Surgery

2007 ◽  
Vol 2007 ◽  
pp. 105-106
Author(s):  
M.M. Paparella
Keyword(s):  
Ear Surgery

Taste Change after Middle Ear Surgery

2009 ◽  
Vol 52 (5) ◽  
pp. 401 ◽  
Author(s):  
Young-Ho Lee ◽  
Mi-Kyung Ye ◽  
Im-Hee Shin
Keyword(s):  
Middle Ear ◽  
Middle Ear Surgery ◽  
Ear Surgery

scholarly journals Endoscopic Surgery of Congenital Cholesteatoma in the Anterior Epitympanic Recess: A Case Report of a Rare Location

2020 ◽  
pp. 014556132096924
Author(s):  
Hong Chan Kim ◽  
Hyung Chae Yang ◽  
Hyong-Ho Cho
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Middle Ear ◽  
Endoscopic Surgery ◽  
Minimally Invasive Approach ◽  
Ear Surgery ◽  
Invasive Approach ◽  
Congenital Cholesteatoma ◽  
Rare Location ◽  
Histopathological Type

Congenital cholesteatoma is a whitish mass in the middle ear medial to an intact tympanic membrane. It is often without symptoms and therefore incidentally diagnosed. Pediatric congenital cholesteatoma generally starts as a small pearl-like mass in the middle ear cavity that eventually expands to involve the ossicles, epitympanum, and mastoid. The location, size, histopathological type, and extent of the mass must be evaluated to select the appropriate surgical method. Although microscopic ear surgery has traditionally been performed to remove congenital cholesteatoma, a recently introduced alternative is endoscopic surgery, which allows a minimally invasive approach and has better visualization. Here, we report the first known case of a patient with congenital cholesteatoma in the anterior epitympanic recess and discuss the utility of an endoscopic approach in the removal of a congenital cholesteatoma in the hidden area within the middle ear.

Atlas of Ear Surgery

1980 ◽  
Vol 106 (12) ◽  
pp. 779-779
Author(s):  
R. A. SCHINDLER
Keyword(s):  
Ear Surgery
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