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An oroantral fistula (OAF) is an epithelialized oroantral communication (OAC), which refers to an abnormal connection between the oral cavity and the antrum. [1] The creation of an OAC is most commonly due to the extraction of a maxillary tooth (typically a maxillary first molar) which is closely related to the antral floor.
Endoscopic endonasal surgery is a minimally invasive technique used mainly in neurosurgery and otolaryngology. A neurosurgeon or an otolaryngologist, using an endoscope that is entered through the nose, fixes or removes brain defects or tumors in the anterior skull base.
video link: 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 ...
This surgical approach is typically performed by a team of surgeons, including a neurotologist (an ear, nose, and throat surgeon specializing in skull base surgery) as well as a neurosurgeon. In this approach, the semicircular canals and vestibule , including the utricle and the saccule of the inner ear are removed with a surgical drill ...
An interim palatal obturator is used post-palatal surgery. This obturator aids in closing the remaining fistula and is used when no further surgical procedures are planned. It must be frequently revised. A definitive obturator is used when further rehabilitation is not possible for the patient and is intended for long-term use.
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.
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
Endoscopic ear surgery was first described in 1992 by Professor Ahmed El-Guindy and pioneered by Dr Muaaz Tarabichi in Dubai during the late 1990s. His contributions to the field have led to him being recognized globally as the father of endoscopic ear surgery. He now lectures extensively on the topic worldwide. [2]