Endoscopic Repair of Tympanic Membrane Perforation
Endoscopic Eardrum Repair in Istanbul
 |
| Endoscopic Eardrum Repair The photograph above shows a picture of the eardrum taken after endoscopic repair of the tympanic membrane more than 1 year ago. White, round-shaped cartilage graft and intact eardrum are seen near the edge of the eardrum. |
In patients with a hole in the eardrum, the hole in the eardrum can be repaired using endoscopic and microscopic techniques through the ear canal.
Why does perforation occur in the eardrum?
Permanent perforations of the eardrum may occur for the following reasons:- A serious middle ear infection
- Recurrent middle ear infections
- Inserting foreign bodies into the ear canal
- Ear tube placement (surgical trauma)
- Pressure or sound trauma
Small eardrum holes caused by traumatic causes usually resolve spontaneously within 2 months without treatment.
In small eardrum holes, only myringoplasty to close the hole is sufficient; membrane surgery (tympanoplasty) in which ossiculoplasty is performed for problems with middle ear ossicles in large eardrum holes may be required.
Why closure of the eardrum hole surgery performed?
Eardrum surgeries are performed in patients with permanent holes in the eardrum for the following reasons:- Restoring the eardrum barrier function. In this way, the risk of middle ear infection is eliminated if water escapes into the external ear canal.
- Improve hearing. By resurfacing the vibrating surface area of the eardrum, the vibration energy generated by the sound waves is transmitted more easily.
- Preventing the emergence of diseases and conditions such as facial palsy, brain abscess, meningitis due to prospective recurrent middle ear infections
Endoscopic Repair of Tympanic Membrane
With the endoscopic technique, it is possible to repair the hole in the eardrum through the ear canal without any external incision. Endoscopic eardrum surgeries can be performed under local or general anesthesia. After removing the dead cells located at the edges of the eardrum, overlay (underlay technique) or underlay (underlay technique) muscle membrane (fascia), cartilage membrane (perichondrium) or cartilage grafts are placed. During eardrum surgeries, fibrotic tissues and granulation tissues in the middle ear can also be removed after the membrane is removed.During the operation, especially the new membrane, the prepared graft should be contacted to all edges of the hole. In particular, the edges of the front of the hole, if the graft does not come into contact with the opening of these areas and may cause surgery to fail.
Endoscopic Eardrum Surgery Video
Endoscopically assisted eardrum surgery (Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty, Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery - Endoscopic Repair of Tympanic Membrane Perforation) is shown to the patient with central hole (tympanic membrane central perforation) in the eardrum.
• aspiration of the antiseptic solution poured into the external auditory canal and local anesthetic injection
• cleaning the dead cells on the edge of the hole in the eardrum
• cleansing of the middle ear adhesions
• that blood is coming from all sides of the dice and that the receipt of dead cells is controlled
• placement of cartilage parts in the middle ear
• a cartilage graft is laid over your hole (on the eardrum membrane)
• checking that the pre-peeled dried cartilage membrane is outermost and that all hole edges are closed
• It appears that the graft that has been placed has been soaked with antibiotics and spontaneously dissolvable materials called "spongel".
You can find details about "Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty, Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery" and before and after photos at >> Perforated Eardrum - Definition, Causes, Symptoms, Treatment
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
 |
| Endoscopic Eardrum Repair - Endoscopic Repair of Tympanic Membrane Perforation - Transcanal Endoscopic Myringoplasty - Endoscope Assisted Myringoplasty - Endoscopic Myringoplasty - Endoscopic-Assisted Myringoplasty - Endoscopic Eardrum Hole Surgery |
Perforated Eardrum Repairing Surgery (Endoscopic Transcanal Myringoplasty) Video
Video Description: In the video above, a transcanal endoscopic myringoplasty operation was planned for the patient with a previous perforation of the eardrum, in order to treat the hole in the eardrum. After local anesthetic injection, cartilage was removed from the tragus cartilage as a graft. Island graft was prepared, perforation edges were dedepithelized. Island flap was placed as an overlay. Adrenaline-infused cottons were laid on the graft and aspirated. Perichondrium was laid on the outermost part. Sponges impregnated with antibiotics and divided into small pieces were laid on the external ear canal and grafts. Bleeding was checked. Ear pads were placed in the external ear canal and the operation was terminated.
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Appointment Phone: +90 212 561 00 52
Fax: +90 212 542 74 47
Comments
Post a Comment