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The objective of the surgery is to provide a platform of sort to support the regrowth and healing of the tympanic membrane in the two weeks post-surgery period. There are two ways of doing the surgery: Traditional tympanoplasty, usually using the microscope and performed through a 10 cm incision behind the ear lobe.
Otoplasty (surgery of the ear) was developed in ancient India and is described in the medical compendium, the Sushruta Samhita (Sushruta's Compendium, c. 500 AD).The book discussed otoplastic and other plastic surgery techniques and procedures for correcting, repairing and reconstructing ears, noses, lips, and genitalia that were amputated as criminal, religious, and military punishments.
A partially avulsed ear can be reattached through suturing or microvascular surgery, depending on the severity of the injury. [5] [6] Microvascular surgery can also be used to reattach a completely avulsed ear, [7] [8] [9] but its success rate is lower because of the need for venous drainage. [10] [11] The ear can also be reconstructed with ...
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Aural/Ear syringe: used to flush out anything like ear wax or foreign bodies from the external ear Toynbee's auscultation tube: Otoscope/Auriscope: to examine the external auditory canal and ear drum; used during aural toileting, removal of wax, myringotomy, stapedectomy and to dilate the stenosis of canal Mouth gag - •Doyen's mouth gag
The role of flight surgeons continued to mature and expand as the U.S. faced World War II. The 1941 movie Dive Bomber, although focused on Naval Aviation, highlighted the role of the flight surgeon just prior to the attack on Pearl Harbor, and demonstrated how solving the problems of hypoxia at altitude would reduce the aircraft mishap rate.
In 1649, Jean Riolan the Younger accidentally pierced a patient's eardrum while cleaning it with an ear spoon.Surprisingly, the patient's hearing improved. There are also reports from the 17th and 18th centuries describing separate experiments exploring the function of the eardrum. [5]
The temporal fascia is harvested. An incision is made to raise medial meatal skin with tympanic membrane epithelium. The graft is placed on the outer surface of the tympanic membrane and a slit is made to tuck it under the handle of the malleus. The ear is packed with gelfoam and antibiotics, [2] and the incision is closed.