BACKGROUND Outpatient tympanomastoidectomy is common in many medical centers. However, failure of same-day discharge is often the result of postoperative nausea and vomiting (PONV). Many times this leads to hospital admission after tympanomastoidectomy, and it is often difficult to predict before surgery whether PONV will be an issue that impedes same-day discharge. OBJECTIVE To determine the...

This article presents a virtual surgical environment whose purpose is to assist the surgeon in preparation for individual cases. The system constructs interactive anatomical models from patient-specific, multi-modal preoperative image data, and incorporates new methods for visually and haptically rendering the volumetric data. Evaluation of the system's ability to replicate temporal bone dissec...

OBJECTIVES This study was designed to evaluate the authors' experience with canal wall reconstruction (CWR) tympanomastoidectomy with mastoid obliteration in the treatment of chronic otitis media with cholesteatoma. STUDY DESIGN Institutional review board approved retrospective case review. METHODS Retrospective review was performed of all patients undergoing CWR tympanomastoidectomy with m...

background this study has been designed to investigate the clinical association between gastro esophageal reflux disease (gerd) and chronic otitis media (com) in adults and also the role of gerd treatment on the outcome of com surgery. methods in a randomized clinical trial, 58 patients with com who were candidates for surgery were evaluated for gerd and divided in two groups; gerd posi­tive (c...

OBJECTIVES To assess whether a classification system for congenital cholesteatoma (CC) can be derived from analysis of a large clinical sample of cases and to assess whether such a classification system is a reliable guide for surgical intervention, reexploration, and hearing outcome. DESIGN A retrospective review of clinical and surgical records of 119 patients with CC. SETTING Four tertia...