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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Cochlear implantation in deaf patients with eosinophilic otitis media

Sugimoto, H.et al. European Archives of Otorhinolaryngology. 274(2) pp. 1173–1177

We investigated the usefulness and safety of our cochlear implantation method for two deaf patients with eosinophilic otitis media. The surgical approach was a subtotal petrosectomy to remove the theater of eosinophilic infiltration and to prevent leaching of foreign substances and entry of stimuli that are the cause of eosinophilic inflammations. The operative cavity was obliterated with abdominal fat.

There were no complications or recurrent inflammation following surgery in the cases of both patients. It was confirmed by CT scan that the eustachian tube was closed and the operative cavity remained obliterated with abdominal fat. Following the procedure, the hearing threshold results of the two patients were 30 and 34 dB. Cochlear implantation procedures in this report for deaf patients resulting from eosinophilic otitis media may be effective and safe. Using steroids before surgery may be the better option. To further confirm the efficacy and safety of our surgical concept, we need to administer this treatment concept for a large number of cases in a future study.

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