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In medicine, an ossicular replacement prosthesis is a device intended to be implanted for the functional reconstruction of segments of the ossicles and facilitates the conduction of sound waves from the tympanic membrane to the inner ear. [1]
Stapedectomy has success rates ranging from 80% to 95%. [5] [6]Stapedectomy closes what is called the "air bone gap" very efficiently, meaning it restores efficient conduction of sound coming through the air close to the level of the best ability of the nerve cells to perceive the sound.
A mastoidectomy is a procedure performed to remove the mastoid air cells [1] near the middle ear. The procedure is part of the treatment for mastoiditis, chronic suppurative otitis media or cholesteatoma. [2]
[1] [2] Otologic surgery generally refers to surgery of the middle ear and mastoid related to chronic otitis media, such as tympanoplasty (ear drum surgery), ossiculoplasty (surgery of the hearing bones) and mastoidectomy. Otology also includes surgical treatment of conductive hearing loss, such as stapedectomy surgery for otosclerosis.
Tympanoplasty is classified into five different types, originally described by Horst Ludwig Wullstein (1906–1987) in 1956. [1] [2]Type 1 involves repair of the tympanic membrane alone, when the middle ear is normal.
ENT: Tympanoplasty, mastoidectomy and ossiculoplasty Maxillofacial: Cleft lip and palate repairs, [8] facial reconstruction for fractures and traumatic defects, corrections of deformities caused by severe infections such as noma, removal of head and neck tumors, and others.
Nicholas “Nicky” John Frootko was born into a medical family in Johannesburg in 1943. He attended Hyde Park High School and qualified in Medicine at the University of the Witwatersrand, Johannesburg, in 1969.