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Results for “MYRINGOPLASTY”

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At least 919 records · Page 51Linked to original sources
PubMedDate not supplied

[Introduction to the surgery of the middle ear: general principles].

We study the basic guidelines of the middle ear surgery, having as target the recuperation of the anatomic functional integrity of ear. There are different important elements in the quality/quantity of the functional results as follows: The surgery technical method used. The actual pathology in the middle ear. The quality of eustachian tube function. The surgeon's experience and ability and several factors. We review the concept introduced by Wullstein called it tympanoplasty from 1952 till nowadays. Finally, we described the most frequent surgery procedures used in the daily practice.

Ear Diseases↗
PubMed1993

[Sudden hearing loss in inner ear trauma].

Quite often a sudden surdity can appear after baro or mechanical traumas, it happens because of rupture of the round window membrane which leads to the formation of the perilymphatic fistula. The article deals with the syndrome of the round window membrane rupture. The authors describe two successful cases of treatment of patients with vestibular disorders caused by posttraumatic perilymphatic fistula. Practical recommendations are given for providing a tertiary medical care in emergency situations.

Adult↗
PubMed1993

[Bone and cartilage allografts in microsurgery of the ear].

The authors present there experience with bone allografts and costal cartilage allografts in middle ear microsurgery. A drastic selection of the doners and a careful preparation of the grafts avoid the risk of viral transmission to the receiver. The easy available materials can be used for reconstructing the ear drum, the ossicular chain and the tympanic bony wall. With good anatomical and functional results, even at long-term (3 and 4 years).

Bone Transplantation↗
PubMed1995

Tympanic membrane wound healing. An overview.

This article is a comprehensive overview of tympanic membrane injury and its healing. Its wound healing process is unique from soft tissue because epithelialization occurs before fibrous tissue advancement. Contemporary and future modalities to improve tympanic membrane repair are also discussed in this article.

Animals↗
PubMedDate not supplied

XXXII Wherry Memorial Lecture. The ear surgeon of tomorrow. Tympanomastoidectomy techniques and classification.

The ear surgery of the past 40 years (1936-1976) has been reviewed to demonstrate how this has influenced the development of modern microsurgery and the ear surgery of the future. The ear surgeon of tomorrow must have complete knowledge of the surgical anatomy and surgical pathology of the temporal bone, that pathology which has been produced by my generation of ear surgeons, and all techniques of all surgeons, for there is no single approach to surgery of the temporal bone. Only with complete and total knowledge of the temporal bone obtained by personal dissection can the surgeon succeed in the first operation. In unsheltered private practice, the patient will rarely give the surgeon a second chance. Residual postoperative cholesteatoma is divided into two types, encapsulated and exfoliative. In carcinoma of the external auditory canal, parotidectomy is advocated in continuity with the block resection of the external auditory canal. The classification of tympanoplasty is presented. Fenestration of the horizontal semicircular canal remains the operation of choice in bilateral congenital conductive deafness with stenosis of the external auditory canal, particularly in adult Treacher Collins syndrome. The evolution of the stapes techniques is presented with a view toward the diagnosis of future complications, and the postauricular transcanal approach is recommended for the removal of glomus tumors in the hypotympanum and removal of the jugular bulb.

Cholesteatoma↗
PubMedDate not supplied

[Criteria for assessing functional results in middle ear surgery].

INTRODUCTION AND OBJECTIVES: Comparison of reports of the functional results of middle-ear surgery is difficult because there are no standardized criteria, such as; auditory activity, histology, evaluation of functional results, follow-up period, etc. Moreover, surgeons and patients often disagree over the results obtained. The functional results obtained in 246 middle-ear operations performed in our department for postotorrhea sequelae were analyzed. MATERIAL AND METHOD: Using the SMYTH and PATTERSON criteria, benefits were analyzed in 246 patients for whom functional results were available. RESULTS: Benefits were analyzed by type of surgery, type of ossiculoplasty, presence or absence of stapedial superstructure, and subjective patient assessment. DISCUSSION AND CONCLUSIONS: Results were analyzed as surgical evaluation of functional outcome in relation to subjective patient assessment. Guidelines for standardizing criteria for the functional evaluation of middle-ear surgery are proposed.

Cerebrospinal Fluid Otorrhea↗
PubMed1996

Type I tympanoplasty in children.

To identify factors that could influence the success of tympanoplasties in children, a retrospective study was done of 51 tympanoplasties performed on children aged 9-14 years during the years 1984-1989. Surgical success was defined as an intact membrane found after 3 years' follow-up. The success rate of tympanoplasties was 92%. A functioning eustachian tube was found to be important for graft take. No difference was found in the rate of graft take whether fascia of the temporal muscle or tragal perichondrium was used. An audiologic improvement was seen in 70.6% of the patients. We conclude that tympanoplasty in children has a high probability of success and will enable most children operated on to resume a normal lifestyle.

Adolescent↗
PubMed1996

[Cholesteatoma of the middle ear in children. Apropos of 160 cases].

Cholesteatoma of the middle ear in children is a current topic and authors are not yet unanimous as far as surgical treatment is concerned. We report our experience on 160 cases of cholesteatoma observed in 150 children aged from 4 to 15 years old. The first complications represent the reason for consulting in 36% and bilateral affection in 15% of the cases. We have practised the "open technique" in 62%, the "closed technique" in 38% of the cases. The "second look" operation for a residual cholesteatoma, or a recurrence constitute 26% of cases after the closed technique. Our choice of the open technique is explained by the social and economic standard of the patients, the state of the mastoid, the frequency of the complications mainly intracranial ones, and the types of lesions encountered during the operation. According to this serie, we can review the data of the literature, and analyse the different points of view.

Adolescent↗
PubMed1996

Education, practice reviews needed to reduce surgical intervention, Quebec report says.

Clinical uncertainty may be the reason for large variations in the rates of tonsillectomy, adenoidectomy and myringotomy in Quebec, a report prepared for the provincial government states. Methods used in other jurisdictions, such as informing physicians about geographic differences in intervention rates and developing clinical practice guidelines, could reduce the variations and save millions of dollars, researchers suggest.

Adenoidectomy↗
PubMed1996

Autologous peripheral blood stem cell transplantation in a patient with previous invasive middle ear mucormycosis.

A 52-year-old male diagnosed with acute myeloid leukemia (AML) developed an invasive middle-ear mucormycosis during the neutropenic period after consolidation chemotherapy which resolved successfully with surgery and antifungal therapy. The patient underwent autologous peripheral blood stem cell transplantation (APBSCT) in first complete remission with antifungal prophylaxis with liposomal amphotericin B (AmB). There was no clinical, radiological or microbiological data of mycotic reactivation. This is the first reported stem cell transplantation (SCT) in a patient with prior invasive mucormycosis.

Acute Disease↗