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open the ear canal •Seigle's pneumatic speculum: open the ear canal and give a magnification; test the mobility of tympanic membrane; see a magnified image of small perforations; introduce medicine into middle ear; perform Fistula test for vestibular function •Aural/Ear speculum: to fit in and straighten the external ear canal: Lack's ...
The endoscope allows the surgeon to look around the corners and to reach inaccessible areas like the sinus tympani through the ear canal. [9] Endoscopic ear surgery utilizes the ear canal as the access point for removal of cholesteatoma and therefore represent a minimally invasive alternative to traditional surgery that requires large incision ...
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]
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.
The Mustardé ear pinning surgery is, according to the opinion of Weerda [4] not suitable for all ears. A similar method, by which the cartilage is left intact, is the so-called Stitch method. [5] But the ear is not cut open with the stitch method, which is why it belongs to the closed and minimally invasive otoplasties. [citation needed]
The removal of the ear canal wall results in: a space, the "mastoid cavity", which is less likely than the original ear canal to resist infection; exposure of the ossicles, which may allow the subsequent formation of a new cholesteatoma deep to the ossicles. To prevent this, these ossicles must be removed, which may diminish the patient's hearing.
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It belongs to the closed ear pinning surgeries because the ear is not cut open for the placement of the sutures. According to the experience of the author the Stitch Method is suitable for all protruding ears. The stitch method is the most frequently performed otoplasty among the minimally invasive methods. [citation needed]