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The ear is washed and a small incision made in the eardrum. Any fluid that is present is then aspirated, the tube of choice inserted, and the ear packed with cotton to control any slight bleeding that might occur. This is known as conventional (or cold knife) myringotomy and usually heals in one to two days. [13]
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]
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
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.
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.
A 40-watt CO 2 laser used in otorhinolaryngology Royal National Throat, Nose and Ear Hospital founded in 1874, in London. Otorhinolaryngology (/ oʊ t oʊ ˌ r aɪ n oʊ ˌ l ær ɪ n ˈ ɡ ɒ l ə dʒ i / oh-toh-RY-noh-LARR-in-GOL-ə-jee, abbreviated ORL and also known as otolaryngology, otolaryngology – head and neck surgery (ORL–H&N or OHNS), or ear, nose, and throat (ENT) ) is a ...
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. The success rate of either surgery depends greatly on the skill and the familiarity with the procedure of the surgeon. [17]
Since 2015, two developments have enhanced our understanding of the anatomy of the eustachian tube: Valsalva computerized tomography and endoscopic ear surgery. [ 11 ] Given the greater access to the ear anatomy using endoscopic methods, it has been suggested that the bony part of the eustachian tube is really the anterior extension of the ...