Technique of middle ear surgery in relation to inner ear damage.

Inner ear disturbances related to middle ear inflammation

The inner and middle ear are connected mainly through round and oval windows, and inflammation in the middle ear cavity can spread into the inner ear, which might induce a disturbance. In cases with intractable otitis media, attention should also be paid to symptoms related to the inner ear. In this paper, middle ear inflammation and related inner ear disturbances are reviewed with a focus on r...

Middle Ear Structure in Relation to Function

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 “...

Ear Endoscopic Surgery: Dissection of the Middle Ear

Introduction: The endoscope is an equipment used successfully in several procedures of several medical specialties. However, in the otology area, even with incorporation of endoscopes in joint procedures with microscope, the procedures purely assisted by endoscopy are still very limited. Objective: Our work is aimed at carrying out transcanal and modified transcanal endoscopic dissection of the...

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...