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Canaloplasty, where the ear canal is widened using grafts, was first proposed as the treatment for keratois obturans. However, with the migration of keratin within the canal, any amount of widening could not restore the migration of skin. Reconstruction of the bony canal with cartilage graft from temporalis fascia has showed some results. [6]
Reconstruction of the ear canal wall. Canal wall reconstruction has been performed using ear canal skin alone, fascia, cartilage and titanium as well as by replacing the original intact wall. If the reconstruction is poorly performed, it may result in a high rate of recurrent cholesteatoma. [20] Preservation of the ear canal wall.
Cerumen keeps the eardrum pliable, lubricates and cleans the external auditory canal, waterproofs the canal, kills bacteria, and serves as a barrier to trap foreign particles (dust, fungal spores, etc.) by coating the guard hairs of the ear, making them sticky. [1] These glands are capable of developing both benign and malignant tumors.
Surfer's ear is the common name for an exostosis or abnormal bone growth within the ear canal. They are otherwise benign hyperplasias (growths) of the tympanic bone thought to be caused by frequent cold-water exposure. [1] Cases are often asymptomatic. [1] Surfer's ear is not the same as swimmer's ear, although infection can result as a side ...
A mastoidectomy is a procedure performed to remove the mastoid air cells [1] near the middle ear. The procedure is part of the treatment for mastoiditis, chronic suppurative otitis media or cholesteatoma. [2] Additionally, it is sometimes performed as part of other procedures, such as cochlear implants, [3] or to access the middle ear.
Stapedectomy is a surgical procedure in which the stapes bone is removed from the middle ear and replaced with a prosthesis.. If the stapes footplate is fixed in position, rather than being normally mobile, the result is a conductive hearing loss.
Otology also includes surgical treatment of conductive hearing loss, such as stapedectomy surgery for otosclerosis. Neurotology (a related field of medicine and subspecialty of otolaryngology ) is the study of diseases of the inner ear, which can lead to hearing and balance disorders.
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.