It is also important to determine if the malleus is mobile by massaging the tympanic membrane under a Siebel otoscope and microscope. If the malleus is mobile, a normal stapedectomy can be performed, consisting of an incus to oval window prosthesis. This operation has a high rate of success (95%). If the malleus is fixed, however, it is necessary to create a malleus to oval window prosthesis. B...

UNLABELLED New developments on biomaterials are important in surgery. The behavior of a new membrane produced from sugarcane will be evaluated in the middle ear of rats. AIM This study analyzed the results from the interaction of the sugarcane-base biopolymer membrane in the middle ear of a rat. MATERIALS AND METHODS We ran an experimental, prospective, paired study with 24 Wistar rats. The...

DURING the past ten years there have been major advances in E.N.T. practice, particularly in the treatment of ear disease. Regretably, we have often failed to communicate these advances to our colleagues, particularly those in general practice. It is hoped to remedy this omission, at least in part, and so describe treatment now available to hard of hearing patients-available not just in London ...

Endoscopy is advantageous in many aspects of pediatric ear surgery, especially for tympanoplasty and cholesteatoma. The narrower pediatric meatus can restrict access for a totally endoscopic approach, but when possible, avoidance of an external incision is greatly appreciated by children. In cholesteatoma surgery, less residual disease and better hearing from ossicular preservation are achievab...

OBJECTIVES Despite the utility of intraoperative facial nerve monitoring in reducing the risk of iatrogenic facial nerve injury during neurotologic surgery, its routine use during primary or revision surgery remains controversial. One of the major barriers to its acceptance is cost. This study evaluates the cost-effectiveness of intraoperative facial nerve monitoring during middle ear or mastoi...

BACKGROUND The diagnostic performance of endoscopic and microscopic procedures for detecting diseases of the middle ear in patients with chronic otitis media (COM) has rarely been investigated. This study was conducted to compare the performance of these procedures for identifying middle ear structures and their associated diseases in COM patients. METHODS In this prospective cohort study, 58...