MyMedR

ONSD monitoring under anesthesia for middle ear surgery

Suresh V, Magoon R

J Anesth, 2024 Aug;38(4):565-566.

PMID: 37889341 DOI: 10.1007/s00540-023-03274-5

Matched MeSH terms: Otologic Surgical Procedures/methods

Fulltext Suction elevator for ear surgery

Raman R, Omar R

Indian J Otolaryngol Head Neck Surg, 2011 Jul;63(3):302.

PMID: 22754818 DOI: 10.1007/s12070-011-0155-4

An instrument has been designed to combine a suction and an elevator for use in ear surgery.

Matched MeSH terms: Otologic Surgical Procedures

Fulltext A Novel Use of Modified Tracheostomy Tubes in Preventing External Auditory Canal Stenosis

Ng CS, Foong SK, Loong SP, Ong CA, Hashim ND

J Int Adv Otol, 2021 Jul;17(4):301-305.

PMID: 34309549 DOI: 10.5152/iao.2021.0078

BACKGROUND: Postoperative or post-traumatic canal restenosis in patients with external auditory canal (EAC) stenosis is a troublesome complication faced by many ear surgeons following canalplasty or meatoplasty. Many ear prostheses and surgical methods have been introduced to prevent the occurrence of such complication. Our aim in this study is to explore the feasibility of using modified non-fenestrated uncuffed tracheostomy tubes (TT) as postoperative stents after ear canal surgery.

METHODS: Canalplasty or meatoplasty was performed under general anesthesia via the posterior auricular transcanal approach. The EAC diameter and length were measured and a non-fenestrated uncuffed TT of suitable size was fitted into the ear canal. The TT was then modified during fitting, to fit onto the concha. Patients were advised on the importance of compliance. The adequacy of the size of the EAC after the surgery was assessed during follow-ups.

RESULTS: A total of 3 patients (4 ears) were included in our study. Various sizes of TTs were fitted into their EAC following canalplasty or meatoplasty. All of them showed excellent postoperative outcome on follow up 2 years after the surgery, with no evidence of postoperative EAC stenosis.

CONCLUSION: Modified TT stent after canalplasty or meatoplasty is proposed as an excellent alternative in preventing restenosis of EAC in centers with limited resources.

Matched MeSH terms: Otologic Surgical Procedures*

An abnormal sigmoid sinus with a dire clinical implication

Puraviappan P, Prepageran N, Ong CA, Abd Karim R, Lingham OR, Raman R

Ear Nose Throat J, 2014 Jun;93(6):E55-6.

PMID: 24932833

Matched MeSH terms: Otologic Surgical Procedures/adverse effects*

Surgical outcomes in cystic vestibular schwannoma versus solid vestibular schwannoma

Tang IP, Freeman SR, Rutherford SA, King AT, Ramsden RT, Lloyd SK

Otol Neurotol, 2014 Aug;35(7):1266-70.

PMID: 24841920 DOI: 10.1097/MAO.0000000000000435

To review the postoperative surgical outcomes of cystic vestibular schwannomas (CVSs), especially facial nerve outcomes, and compare these results with those from matched solid vestibular schwannomas (SVS) resected during the same period at a tertiary referral center.

Matched MeSH terms: Otologic Surgical Procedures/adverse effects*

Fulltext The translabyrinthine approach for acoustic neuroma and its common complications

Azmi MN, Lokman BS, Ishlah L

Med J Malaysia, 2006 Mar;61(1):72-5.

PMID: 16708737 MyJurnal

A retrospective analysis of 15 cases intracanalicular acoustic neuroma that undergone tumour excision by translabyrinthine approach spanning from August 1996 until December 2002 is presented. The main presenting complaints are unilateral hearing loss (100%) and tinnitus (86.7%). The mean age of presentation was 48.5 years old. Magnetic resonance imaging is the most important investigation tool to diagnose acoustic neuroma. At six months post operatively, the facial nerve was normal or near normal (grade I and II) in 46.6%, grade III to IV in 46.6% and grade V to VI in 6.7% of the cases respectively. There were also four cases of post operative cerebrospinal fluid leak, which was successfully managed with conservative measures. The translabyrinthine approach is the most familiar surgical technique employed by otologist. It is the most direct route to the cerebellopontine angle and internal auditory canal. It requires minimum cerebellar retraction. However, it sacrifices any residual hearing in the operated ear.

Matched MeSH terms: Otologic Surgical Procedures/methods*

Fulltext Iatrogenic facial nerve palsy: lessons to learn

Asma A, Marina MB, Mazita A, Fadzilah I, Mazlina S, Saim L

Singapore Med J, 2009 Dec;50(12):1154-7.

PMID: 20087551

This study aims to review the management and discuss the outcome of patients with iatrogenic facial nerve palsy.

Matched MeSH terms: Otologic Surgical Procedures/adverse effects

Cholesteatoma in patients with congenital external auditory canal anomalies: retrospective review

Mazita A, Zabri M, Aneeza WH, Asma A, Saim L

J Laryngol Otol, 2011 Nov;125(11):1116-20.

PMID: 21846418 DOI: 10.1017/S0022215111002052

To review cases of congenital external auditory canal anomaly with cholesteatoma, documenting clinical presentation, cholesteatoma site and extent, complications, and surgery.

Matched MeSH terms: Otologic Surgical Procedures/methods*; Otologic Surgical Procedures/statistics & numerical data

Fulltext Surgical audit in day care myringoplasty

Subramaniam S, Abdul R

Med J Malaysia, 2006 Oct;61(4):474-6.

PMID: 17243526 MyJurnal

Day-case surgery is preferred for adults, allowing post-operative fast recovery in family environment and support. Myringoplasty using the traditional method of underlay temporalis fascia or tragal perichondrium is usually performed as an in-patient. From 2003 to 2004, 22 myringoplasty procedures were performed in a dedicated day surgery unit at the Hospital Melaka. We report the retrospectively review of the outcome results of these procedures. None of the patients need admission overnight. There were no surgical or anesthetic complications noted and this series suggests that day-case surgery is a safe and desirable practice for patients undergoing myringoplasty. However, there should be the facility for admission if required.

Matched MeSH terms: Otologic Surgical Procedures

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