To produce a blood-free field for middle ear surgery performed with the operating microscope, the arterial systolic pressure was reduced to less than 50 mm Hg in 700 patients by means of thiopentone-halothane-nitrous oxide in oxygen anaesthesia together with pentolinium tartrate. In 84% the results were excellent, in 12% moderately good and they were poor in 4%. There were more unsatisfactory r...

Introduction. Controversy exists over the optimum incision placement when performing ear surgery via the postauricular approach. Little is known about the impact of incision placement on future comfort in wearing audio or visual aids or the effect on the minor auricular muscles cut in the approach. Objective. (1) To establish patient satisfaction with their postauricular surgical incision, and ...

OBJECTIVE The purpose of this study was to assess the value of ear endoscopy in cholesteatoma surgery and to demonstrate its consequence in improving surgical outcome. MATERIALS AND METHODS A total of 92 ears with acquired cholesteatoma (primary or secondary) were operated on. In this prospective study, 82 cases were operated on by using canal wall up (CWU) technique, and 10 cases were on ope...

In the first of a two-part series, we review issues pertinent to the anatomy, embryology, and criteria for comprehensive management of children with microtia. The salient aspects of external ear anatomy, including the nerve and blood supply, lymphatic drainage, and aesthetic anatomic relationships, are described. An overview of the embryologic development of the external and middle ear and its ...

OBJECTIVES/HYPOTHESIS Endoscopic ear surgery provides a minimally invasive approach to the middle ear. The disadvantage of endoscopic ear surgery is that it is a single-handed surgical technique. The nondominant hand of the surgeon is utilized for holding and manipulating the endoscope. This necessitated the need for the development of an endoscope holder that would allow both hands to be free ...

OBJECTIVES To describe middle ear ventilation route blockage, relieved during middle ear endoscopic surgery, and to analyze its association with mastoid hypopneumatization/sclerotization. STUDY DESIGN Prospective case series with intraoperative analyses, and with a case-control computed tomographic scan comparison. METHODS Intraoperative findings during endoscopic middle ear surgery are des...

Since I introduced the homograft transplantation en bloc in 1959, more than 2,400 patients with chronic middle-ear inflammation and the conditions resulting from an old radical operation have been operated upon. Different kinds of chemical solution for the conservation of the homograft have been used, and experience has shown that the best solution is a combination of Cialit 1:5,000 and formald...

A retroauricular approach is routinely used for treating chronic otitis media. The incidence of surgical site infections after ear surgery is around 10% in contaminated or dirty procedures. This observational prospective study describes surgical site infections after chronic otitis media surgery with the retroauricular approach and investigated their potential predictive factors. This observati...