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The surgery takes 1 ⁄ 2 to 1 hour if done through the ear canal and 1 + 1 ⁄ 2 to 2 hours if an incision is needed. It is done under local or general anesthesia. It is done on an inpatient or day case basis and is successful 85–90% of the time. [4]
The tympanoplasty implant is indicated in cases of congenital or acquired defects of the ossicular chain, due to e.g.: Chronic otitis media; Traumatic injury; Malformation; Cholesteatoma; It can also be used to treat patients with inadequate conductive hearing from previous middle ear surgery.
Balloon dilation eustachian tuboplasty (BDET), a new treatment, has proven to be effective in treating OME secondary to eustachian tube dysfunction. [ 22 ] [ 23 ] [ 24 ] However, the number of patients in the studies cited, 22 and 8 respectively and 18 in the tympanometric study, is extremely small and simply points to the need for large, well ...
Otorrhea (ear discharge) is the most common complication of tympanostomy tube placement, affecting between 25–75% of children receiving this procedure. [2] [6] [9] [10] Saline washouts and antibiotic drops at the time of surgery are effective measures to reduce rates of otorrhea, which is why antibiotic ear drops are not routinely prescribed.
[1] [2] [3] When myringoplasty is combined with removal of scar tissue, it is called tympanoplasty. The operation is performed with the patient supine and face turned to one side. The graft material most commonly used for the surgery is temporalis fascia. The tragal cartilage [1] and tragal perichondrium are also used as the graft by some surgeons.
Radiosurgery is surgery using radiation, [1] that is, the destruction of precisely selected areas of tissue using ionizing radiation rather than excision with a blade. Like other forms of radiation therapy (also called radiotherapy), it is usually used to treat cancer.
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.
Osteoradionecrosis (ORN) is a serious complication of radiation therapy in cancer treatment where radiated bone becomes necrotic and exposed. [1] ORN occurs most commonly in the mouth during the treatment of head and neck cancer, and can arise over 5 years after radiation. [2]