Developing Complex Ear Surgery in Malawi

Glue ear surgery.

Black and Hutchings present an intriguing account of the rise and fall of glue ear surgery in two English regions. 1 They speculate that the acceleration of the decline from 1992 may have been due to the Effective Health Care bulletin on glue ear, helped by five " contextual features ". One of these was the concurrent structural change to the NHS arising from the introduction of healthcare comm...

Endoscopic Middle Ear and Mastoid Surgery for Cholesteatoma

Introduction: To reduce incidence of residual cholesteatoma following ear surgery; and to reduce the need for second look “open” mastoidectomy using endoscopic mastoidotomy. Ten-year retrospective chart review of 249 primary cholesteatoma cases (1994-2004) with a minimum follow-up of two years.  The first objective was to evaluate the effectiveness of otoendoscopy in reducing the incidence of “...

Suction elevator for ear surgery.

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

Plastic Surgery of the Ear

Endoscopic transcanal middle ear surgery.

The advantages and limitations of the microscope have defined postauricular access as the surgical intervention of choice for the treatment of diseases of the middle ear. The wide-angle view provided by the endoscope enables transcanal access to the tympanic cavity, and its otherwise difficult-to-reach extensions: The attic, sinus tympani, facial recess, and hypotympanum. These areas are the pr...