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A myringotomy is a surgical procedure in which an incision is created in the eardrum (tympanic membrane) to relieve pressure caused by excessive buildup of fluid, or to drain pus from the middle ear. A tympanostomy tube may be inserted through the eardrum to keep the middle ear aerated for a prolonged time and to prevent reaccumulation of fluid ...
The eardrum usually closes without a residual hole at the tube site but in a small number of cases a perforation can persist. [1] For children with otitis media with effusion (glue ear), tympanostomy tubes decrease the prevalence of effusions by 33% and improve hearing by 5-12 decibels , within 1–3 months of the procedure.
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 or require surgery.
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.
punching out holes in bones or other tissues •Henckle's punch forceps: punching out holes in bones or other tissues Eustachian (tube) catheter: on certain procedures of the eustachian tube or the middle ear like patency test; inflate middle ear and clear eustachian tube blockade; removal of foreign body of the nose; as a suction cannula. Mirrors
Surgery for cholesteatoma offers the most advantages for using the endoscope instead of the microscope. Failures in cholesteatoma surgery are most common in certain areas of the anatomy of the tympanic cavity, such as the facial recess, sinus tympani, anterior attic, and the protympanum which are poorly accessed with the microscope. [12]
A 'residual cholesteatoma' may develop if the initial surgery failed to completely remove the original; residual cholesteatomas typically become evident within the first few years after the initial surgery. A 'recurrent cholesteatoma' is a new cholesteatoma that develops when the underlying causes of the initial cholesteatoma are still present.
Tympanoplasty is the general name of the operation to repair the middle ear's eardrum and ossicles. Grafts from muscle fascia are ordinarily used to rebuild an intact eardrum. Sometimes artificial ear bones are placed to substitute for damaged ones, or a disrupted ossicular chain is rebuilt in order to conduct sound effectively.