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In rock climbing, a "flapper" is an injury in which parts of the skin are torn off, resulting in a loose flap of skin on the fingers. [3] This is usually the result of friction forces between the climber's fingers and the holds, arising when the climber slips off a hold.
Patients with skin that has died, necrosed, will often need the dead tissue cut out by a surgeon. [8] Depending on how much tissue is removed, a patient may need reconstructive surgery. [8] Reconstruction can include skin grafts or flaps. [7] Skin grafting and flap procedures use the patient’s own healthy soft tissues to heal a wound.
Normal ear drum. A perforated eardrum (tympanic membrane perforation) is a prick in the eardrum. It can be caused by infection (otitis media), trauma, overpressure (loud noise), inappropriate ear clearing, and changes in middle ear pressure. An otoscope can be used to view the eardrum to diagnose a perforation. Perforations may heal naturally ...
Although a temporary solution, surgical ventilation tube placement in the ear drum has also proven to be an effective treatment option. This treatment is known as either a unilateral or bilateral myringotomy. 50% of patients reported relief of patulous Eustachian tube symptoms when given this treatment. [15]
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]
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
Each episode of acoustic trauma results in permanent damage within the inner ear, even though the majority of patients, the symptoms will disappear and an audiogram will show normal hearing within a few hours to a few days. In some cases, the changes seen in the audiogram will only partially improve or remain permanent.
Balance symptoms in the presence of a cholesteatoma raise the possibility that the cholesteatoma is eroding the balance organs in the inner ear. [1] Doctors' initial inspections may only reveal an ear canal full of discharge. Until the doctor has cleaned the ear and inspected the entire tympanic membrane, cholesteatoma cannot be diagnosed. [2]