How I do it: underwater endoscopic ear surgery

Underwater endoscopic ear surgery does not require suction and so protects the inner ear from unexpected aeration that may damage its function in the treatment of labyrinthine fistula | The Journal of Laryngology & Otology

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A method of underwater endoscopic ear surgery is proposed for the treatment of superior canal dehiscence

Underwater endoscopic ear surgery was performed for plugging of the superior semicircular canal through the transmastoid approach. Saline solution was infused into the mastoid cavity through an Endo-Scrub Lens Cleaning Sheath. The tip of the inserted endoscope was filled completely with saline water.

Using this underwater endoscopic view, the canal was clearly dissected to expose the semicircular canal membranous labyrinth and dehiscence area. No particular complication occurred during the surgical procedure.

The underwater endoscopic ear surgery technique for plugging in superior canal dehiscence secures an excellent visual field and protects the inner ear from unexpected aeration.

Full reference: Yamauchi, D. et al. (2017) How I do it: underwater endoscopic ear surgery for plugging in superior canal dehiscence syndrome. The Journal of Laryngology & Otology. Vol. 131 (Issue 8) pp. 745-748

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Outcome and cost analysis of bilateral sequential same-day cartilage tympanoplasty

Olusesi, A.D. et al. & Oyeniran, O. (2017) The Journal of Laryngology & Otology. 131(5)  pp. 399-403

Few studies have compared bilateral same-day with staged tympanoplasty using cartilage graft materials.

A prospective randomised observational study was performed of 38 chronic suppurative otitis media patients (76 ears) who were assigned to undergo bilateral sequential same-day tympanoplasty (18 patients, 36 ears) or bilateral sequential tympanoplasty performed 3 months apart (20 patients, 40 ears). Disease duration, intra-operative findings, combined duration of surgery, post-operative graft appearance at 6 weeks, post-operative complications, re-do rate and relative cost of surgery were recorded.

Tympanic membrane perforations were predominantly subtotal (p = 0.36, odds ratio = 0.75). Most grafts were harvested from the conchal cartilage and fewer from the tragus (p = 0.59, odds ratio = 1.016). Types of complication, post-operative hearing gain and revision rates were similar in both patient groups.

Surgical outcomes are not significantly different for same-day and bilateral cartilage tympanoplasty, but same-day surgery has the added benefit of a lower cost.

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Principles of ear nose and throat surgery for pregnant women

Baruah, P. et al. British Journal of Hospital Medicine. 78(4) pp. 206–212

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Management of the pregnant surgical patient is challenging. The surgical procedure is usually postponed until the postpartum period, although this may not be possible in emergency situations. This article highlights the optimal management of the pregnant woman requiring ear nose and throat surgery.

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Surgical Treatment of External Auditory Canal Cholesteatoma – Ten Years of Clinical Experience

Ho, K-Y. et al. The Journal of International Advanced Otology. Published online: 9 March 2017.

Objective: To describe the clinical manifestations of external auditory canal (EAC) cholesteatoma and evaluate the surgical outcomes of reconstruction using an inferior pedicled soft-tissue periosteum flap.

Conclusions: Bony canaloplasty and obliteration with an inferior pedicled soft-tissue periosteum flap is a reliable procedure for EAC cholesteatoma.

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Endoscopy-Assisted Ear Surgery for Treatment of Chronic Otitis Media

Ulku, H. The Journal of craniofacial surgery. Published online: March 2017

11574-2The objective of this study was to analyze the results of endoscopy-assisted ear surgery for the treatment of chronic otitis media with cholesteatoma, adhesion, or retraction pockets.

Oto-endoscopic eradication of the cholesteatoma or epithelial tissue from hidden area after the all visible cholesteatoma removal by oto-microscope improves the quality of surgery, significantly decreases the frequency of the canal wall-down procedure and posterior tympanotomy requirements with acceptable residual cholesteatoma rates.

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Pre- and post-operative dizziness, tinnitus, and taste disturbances among cochlear implant recipients.

Mikkelsen, K.S. et al. (2017) The Journal of Laryngology & Otology. 131(4) pp. 309-315.

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To determine the pre- and post-operative prevalence of dizziness, tinnitus and taste disturbances in adult cochlear implant recipients.

The high prevalence of dizziness, tinnitus and taste disturbances reported by cochlear implant recipients necessitates that assessment of symptoms related to inner ear and chorda tympani damage are included when evaluating operative results.

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Endoscopic tympanoplasty in the treatment of chronic otitis media: our experience.

Panetti, G. et al. (2017) Acta Oto-Laryngologica. 137(3) pp. 225-228.

Objectives: To investigate the benefits that the systematic use of endoscopy in middle ear surgery has made.

Conclusion: The endoscopy ensures good surgical exposure of hidden areas, frequently sites of residual cholesteatoma. Also, the minimally invasive endoscopic approach is more respectful of anatomy and functionality of the middle ear, restoring and preserving mastoid mucosa, with faster healing time.

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