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OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERYENDOSCOPIC CHOLESTEATOMA, TYMPANOPLASTY AND MIDDLE EAR SURGERY Mural Arabic The introduction of the binocular operating microscope
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How to fill out endoscopic cholesteatoma tympanoplasty and
How to fill out endoscopic cholesteatoma tympanoplasty and:
01
Start by reviewing the patient's medical history and conducting a thorough examination of the ear to confirm the presence of cholesteatoma and determine the extent of the damage.
02
Prepare the patient for surgery by explaining the procedure, obtaining informed consent, and addressing any concerns or questions they may have.
03
Administer anesthesia to ensure the patient's comfort during the procedure. This may include local anesthesia, sedation, or general anesthesia, depending on the individual case and the surgeon's preference.
04
Make small incisions in the ear to gain access to the cholesteatoma and its surrounding structures. The surgeon will use an endoscope, which is a long, thin tube with a light and camera attached, to aid in visualization and navigation.
05
Carefully remove the cholesteatoma from the middle ear and surrounding structures, ensuring complete eradication to prevent recurrence. This may involve delicate dissection and removal of infected tissue, bone erosion repair, and reconstruction of damaged structures.
06
Evaluate the integrity of the eardrum and decide whether a tympanoplasty is necessary. If required, the surgeon will repair or reconstruct the eardrum using grafting techniques, which may involve using tissue from the patient's own body or utilizing synthetic materials.
07
Once the necessary repairs and reconstruction are complete, the surgeon will secure the graft in place and close the incisions with sutures.
08
Provide post-operative care instructions to the patient, including wound care, pain management, and follow-up appointments. It is crucial to monitor the patient's progress, address any concerns or complications, and ensure proper healing.
Who needs endoscopic cholesteatoma tympanoplasty:
01
Patients diagnosed with cholesteatoma, a benign but potentially destructive growth in the middle ear, may require endoscopic cholesteatoma tympanoplasty. Cholesteatoma can cause hearing loss, chronic ear infections, dizziness, and other symptoms.
02
Individuals who have experienced complications from untreated or recurrent cholesteatoma, such as hearing deterioration, ear drainage, facial nerve weakness, or other structural damage, may benefit from endoscopic tympanoplasty.
03
Patients who have failed previous conservative treatments, such as antibiotics or ear cleaning, to effectively manage cholesteatoma or its associated symptoms may be candidates for endoscopic surgery.
04
It is important to note that the need for endoscopic cholesteatoma tympanoplasty will be determined by an ENT specialist or otolaryngologist, who will consider factors such as the severity of the cholesteatoma, the patient's overall health, and their individual circumstances to make an informed decision about the appropriate treatment approach.
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What is endoscopic cholesteatoma tympanoplasty?
Endoscopic cholesteatoma tympanoplasty is a surgical procedure used to treat cholesteatoma, a type of skin cyst in the middle ear.
Who is required to file endoscopic cholesteatoma tympanoplasty?
This procedure is performed by ENT (ear, nose, and throat) surgeons who specialize in treating ear conditions such as cholesteatoma.
How to fill out endoscopic cholesteatoma tympanoplasty?
The surgeon will need to provide detailed information about the procedure, including the patient's medical history, surgical technique used, and any complications encountered.
What is the purpose of endoscopic cholesteatoma tympanoplasty?
The purpose of this procedure is to remove the cholesteatoma and reconstruct the middle ear structures to improve hearing and prevent recurrent infections.
What information must be reported on endoscopic cholesteatoma tympanoplasty?
The report must include details about the surgical technique, instruments used, any complications encountered, and post-operative care instructions.
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