scholarly journals Evaluating the role of otoendoscope in cholesteatoma surgery

2019 ◽  
Vol 5 (3) ◽  
pp. 764
Author(s):  
Nitika Gupta ◽  
Mohinder Lal ◽  
Rohan Gupta
Keyword(s):  
Middle Ear ◽  
Recurrent Disease ◽  
Neck Surgery ◽  
Ear Surgery ◽  
Sinus Tympani ◽  
Microscopic Surgery ◽  
Acquired Cholesteatoma ◽  
One Year ◽  
Cholesteatoma Surgery

<p class="abstract"><strong>Background:</strong> Endoscope assisted ear surgery (EAES) reduces the chances of residual cholesteatomas as compared to the conventional microscopic technique, primarily because of the direct visualization of sites where residual cholesteatoma is common, which is often missed out during the traditional microscopic surgical procedure. The aim of the study was to evaluate the hidden areas of middle ear using endoscopes during the conventional microscopic cholesteatoma surgery.</p><p class="abstract"><strong>Methods:</strong> The present prospective study was carried out in the Dept. of Otorhinolaryngology and Head &amp; Neck Surgery, Shri Mata Vaishno Devi Narayana Superspeciality Hospital, Katra, Jammu for a period of one year during which a total of 20 patients of acquired cholesteatoma who underwent conventional microscopic surgery were followed by oto-endoscope assisted examination were enrolled.  </p><p class="abstract"><strong>Results:</strong> Otoendoscope was used in all the surgeries to look for residual cholesteatoma in the hidden areas like protympanum, sinus tympani and anterior attic. An overall incidence of cholesteatoma observed and removed from hidden areas using otoendoscope was recorded to be 30% in the present study.</p><p class="abstract"><strong>Conclusions:</strong> Microscopic ear surgery assisted with oto-endoscope allows a better visualization of the extent of cholesteatoma and thus improved eradication of residual/recurrent disease from the hidden areas of middle ear such as facial recess, sinus tympani, anterior epitympanic space, protympanum and hypotympanum.</p>

An audit of ‘dead ear’ after ear surgery

2013 ◽  
Vol 127 (12) ◽  
pp. 1177-1183 ◽  
Author(s):  
P Prinsley
Keyword(s):  
Middle Ear ◽  
Adult Patients ◽  
Ear Surgery ◽  
Current Series ◽  
Mastoid Surgery ◽  
Cholesteatoma Surgery

AbstractIntroduction:‘Dead ear’ is a rare and serious complication of ear surgery. This paper presents an audit of this complication.Method:Over 6 years, data for all 617 middle-ear operations performed under the care of a single consultant were recorded for the International Otology Audit. All cases of dead ear were identified and assessed.Results:A post-operative dead ear occurred in 6 cases (approximately 1 per cent). No cases of post-operative dead ear occurred following the 83 otosclerosis operations and the 62 children's procedures. Amongst 187 adult patients undergoing mastoid surgery for cholesteatoma, there were 5 cases of post-operative dead ear (2.7 per cent of cases).Conclusion:The occurrence of dead ear after cholesteatoma surgery in adults is less rare than previously thought. This has implications for the surgical consenting process. The current series suggests that, whilst dead ear is often avoidable, it is sometimes inevitable.

Role of Langerhans cells, Ki-67 protein and apoptosis in acquired cholesteatoma: prospective clinical study

2013 ◽  
Vol 127 (3) ◽  
pp. 252-259 ◽  
Author(s):  
V Akdogan ◽  
I Yilmaz ◽  
T Canpolat ◽  
L N Ozluoglu
Keyword(s):  
Middle Ear ◽  
Langerhans Cells ◽  
Prospective Clinical Study ◽  
Ear Canal ◽  
Ki 67 ◽  
Middle Ear Cholesteatoma ◽  
Proliferation And Apoptosis ◽  
Acquired Cholesteatoma ◽  
Open Versus

AbstractObjective:To investigate the role of Langerhans cells in the pathogenesis and clinical picture of middle-ear cholesteatoma.Subjects and methods:The study included 40 patients operated upon for a diagnosis of chronic otitis due to acquired cholesteatoma.Results and analysis:A closed surgical technique was used in 20 per cent of patients and an open technique in 80 per cent. Langerhans cells were more densely accumulated in cholesteatoma epithelium, compared with external ear canal skin (p < 0.001). Staining for Ki-67 protein was greater in cholesteatoma epithelium (p < 0.001) and Apo2.7 protein staining (indicating apoptosis) was more prominent (p < 0.001), compared with ear canal skin. Regarding significant relationships between clinical and pathological findings, staining for Ki-67 (p = 0.046) and Apo2.7 (p = 0.037) was more prominent in patients undergoing open versus closed surgery.Conclusion:Using cell proliferation and apoptosis markers, a dense Langerhans cell infiltration was found to occur as a host response to middle-ear cholesteatoma.

scholarly journals Role of Contact with Tuberculous Patients in Cases of Tuberculous Cervical Lymphadenitis.

2004 ◽  
Vol 43 (152) ◽  
pp. 79-82
Author(s):  
D K Baskota ◽  
RCM Amatya ◽  
RP Shrivastav ◽  
BK Sinha
Keyword(s):  
Communicable Disease ◽  
Disease Process ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Cervical Lymphadenitis ◽  
Cross Sectional ◽  
History Of ◽  
One Year

A prospective, analytical and cross-sectional study to find out the role of contact with tuberculous patientsduring the process of development of Tuberculous Cervical Lymphadenitis was currently carried out in theDepartment of ENT- Head & Neck Surgery of Tribhuvan University Teaching Hospital Kathmandu, Nepal.Altogether 103 cases of histopathologically confirmed cases of Tuberculous Cervical Lymphadenitis of morethan six weeks of duration were included in the study during the period of one year from March, 2000 toFebruary, 2001.History of contact with tuberculous patients in the past during the development of the disease process wasfound to be positive in 19(18.4%) of the 103 cases. In rest of the 84 cases history of contact with tuberculouspatients was found to be negative (81.6%).The result of this study so far indicates that there is a minimal role of contact with tuberculous patients forthe development of tuberculous cervical lymphadenitis. Although tuberculosis is known as a chroniccommunicable disease, in our study majority cases of Tuberculous Cervical Lymphadenitis did not give anyhistory of contact with tuberculous patients in the past.Key Words: Tuberculous cervical lymphadenitis, tuberculous patients, communicable disease.

Lyophilized Partial Ossicular Replacement Allografts

1982 ◽  
Vol 91 (5) ◽  
pp. 538-540 ◽  
Author(s):  
Mansfield F. W. Smith ◽  
John T. McElveen
Keyword(s):  
Ethylene Oxide ◽  
Tympanic Membrane ◽  
San Francisco ◽  
Middle Ear ◽  
Recurrent Disease ◽  
Disease Process ◽  
Medical Clinic ◽  
Santa Clara Valley ◽  
Ossicular Replacement ◽  
One Year

This report deals with the use of partial ossicular replacement allografts (PORAs) in the stable ear, ie, a middle ear free of any residual or recurrent disease process such as fluid, cholesteatoma or infection. PORAs have been used by Shinn and Smith at the Ear Medical Clinic of Santa Clara Valley between July 1978 and December 1981; they are used to span the distance between the malleus and the head of the stapes or tympanic membrane. Lyophilized ethylene oxide sterilized PORAs have been available through the Northern California Transplant Bank, San Francisco, since July 1978. Twenty-four of 32 PORAs (75%) used in stable ears closed the air-bone gap within 10 dB. Of the eight ears that did not have satisfactory functional hearing, it was evident within one year and there was no further deterioration noted up to four years. There was no evidence of PORA extrusion or erosion.

scholarly journals Role of otoendoscope as a preoperative tool in tympanoplasty

2020 ◽  
Vol 6 (4) ◽  
pp. 695
Author(s):  
Showkat Ahmad Showkat ◽  
Nadhia Bhagat ◽  
Mohammed Shafi Bhat ◽  
Bilal Shafiq
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Chronic Suppurative Otitis Media ◽  
Technical Improvement ◽  
Suppurative Otitis Media ◽  
The Past ◽  
Sinus Tympani ◽  
Common Causes ◽  
The Common

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is one of the common causes for hearing impairment and disability. Despite continuous technical improvement, the basic optical principles and their limitations have remained the same over the past three decades. This study aimed at visualizing and evaluating the middle ear structures with the aid of 0 and 30-degree otoendoscopes preoperatively in cases of chronic suppurative otitis media.</p><p class="abstract"><strong>Methods:</strong> In this prospective study, 70 patients (40 females and 30 males) above the age of 10 years with CSOM were subjected to otoendoscopy using 0- and 30-degree endoscopes. The various middle ear structures and hidden spaces like facial recess, sinus tympani, hypotympanum were visualized preoperatively.  </p><p class="abstract"><strong>Results:</strong> Middle ear structures and blind niches were better evaluated preoperatively using 0 and 30-degree otoendoscopes and a definitive operative plan was formulated.</p><p class="abstract"><strong>Conclusions:</strong> Otoendoscopy provided a significant better visualization of all the middle ear structures and various hidden spaces.</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.

scholarly journals Patient satisfaction in middle ear surgery under monitored anaesthesia care

2019 ◽  
Vol 1 (2) ◽  
pp. 61-65
Author(s):  
Maya Lama ◽  
Rohini Sigdel ◽  
Sanish Gurung ◽  
Krishna Bogati ◽  
Bibek Ranjit
Keyword(s):  
Patient Satisfaction ◽  
Middle Ear ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
Patient’S Satisfaction ◽  
Number Of Patients ◽  
Therapeutic Procedures ◽  
Anaesthesia Service ◽  
One Year ◽  
Anaesthesia Care

Background: Monitored anaesthesia care is a specific anaesthesia service for diagnostic or therapeutic procedures performed under local anaesthesia along with sedation and analgesia titrated to a level with the provision to convert into general anaesthesia when required. We conducted a retrospective study to determine patient satisfaction in middle ear surgery under monitored anaesthesia care. Materials and Methods: The number of patients undergoing middle ear surgery under monitored anaesthesia care, over a period of one year were included. They received sedation with midazolam 0.02 mg/kg and fentanyl 1 mcg/kg along with local anaesthetic infiltration. Patient’s satisfaction was measured using a five point Likert scale. Intraoperative pain, nausea, vomiting and other discomforts were inquired. Results: The total number of patients was 64. Fifty-one patients (79.7%) were satisfied, 10 were neutral (15.6%) and 3 patients (4.7%) were dissatisfied with the technique. Earache (4.7%), followed by dizziness (3.1%) and bodyache (3.1%) were the most common cause of discomfort. Nausea occurred in 6 patients (9.4%) and vomiting in 5 patients (7.8%). Conclusion: Middle ear surgeries can be performed under monitored anaesthesia care with good patient satisfaction.

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