Long-term results of canal wall reconstruction tympanomastoidectomy
(open technique) is the primary method of choice in the treatment of cholesteatoma.
To evaluate the surgical outcomes of Myringoplasty in comparison to Tympanomastoidectomy
(Type 1) in Tubotympanic type of Chronic Otitis Media (COM).
Later sections cover tympanic membrane reconstruction, ossiculoplasty, tympanomastoidectomy
, hybrid tympanomastoid, and other surgical techniques.
Endoscopic technique allows minimally invasive removal of cholesteatoma with results that compare well to traditional post auricular tympanomastoidectomy
No tympanoplasties had been performed but 1 patient had undergone tympanomastoidectomy
at another hospital.
Treatment for childhood CHL may involve medical and surgical management, ranging from myringotomy and ventilation tube (grommet) insertion for persistent middle-ear effusions, tympanomastoidectomy
for cholesteatoma with recon-struction of the ossicular chain, to bone-anchored hearing systems for congenital aural atresia.
8) Blakley et al found that in ears with persistent infection, the hearing outcome after tympanomastoidectomy
surgery depended more on pre-operative hearing level than on the type of tympanoplasty performed.
The patient underwent an urgent right tympanomastoidectomy
with unroofing of the sigmoid sinus, rightsided endoscopic sinus surgery, and a bilateral myringotomy with tube placement.
A review of the patient's personal history revealed that she had suffered from frequent otorrhea since childhood and 22 years ago had undergone a canal-wall-down tympanomastoidectomy
, owing to extended cholesteatoma of the right ear.
The patient was taken to the operating room for a left tympanomastoidectomy