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Tympanoplasty is classified into five different types, originally described by Horst Ludwig Wullstein (1906–1987) in 1956. [1] [2] Type 1 involves repair of the tympanic membrane alone, when the middle ear is normal. A type 1 tympanoplasty is synonymous to myringoplasty.
There are two types of PMEIs: tympanoplasty implants and stapes implants. Tympanoplasty implants (also known as PORPs or TORPs) are suitable for patients with a mobile stapes footplate, ie. a stapes footplate that moves in the normal way. Either a partial or a total tympanoplasty implant can be used, depending on the condition of the stapes.
A myringotomy is a surgical procedure in which an incision is created in the eardrum (tympanic membrane) to relieve pressure caused by excessive buildup of fluid, or to drain pus from the middle ear. A tympanostomy tube may be inserted through the eardrum to keep the middle ear aerated for a prolonged time and to prevent reaccumulation of fluid ...
The eardrum usually closes without a residual hole at the tube site but in a small number of cases a perforation can persist. [1] For children with otitis media with effusion (glue ear), tympanostomy tubes decrease the prevalence of effusions by 33% and improve hearing by 5-12 decibels , within 1–3 months of the procedure.
This procedure restores continuity of ossicular movement and allows transmission of sound waves from the eardrum to the inner ear. A modern variant of this surgery called a stapedotomy, is performed by drilling a small hole in the stapes footplate with a micro-drill or a laser, and the insertion of a piston-like prothesis.
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Stapedectomy has success rates ranging from 80% to 95%. [5] [6]Stapedectomy closes what is called the "air bone gap" very efficiently, meaning it restores efficient conduction of sound coming through the air close to the level of the best ability of the nerve cells to perceive the sound.
n November 1954, 29-year-old Sammy Davis Jr. was driving to Hollywood when a car crash left his eye mangled beyond repair. Doubting his potential as a one-eyed entertainer, the burgeoning performer sought a solution at the same venerable institution where other misfortunate starlets had gone to fill their vacant sockets: Mager & Gougelman, a family-owned business in New York City that has ...