Myringoplasty
Objective
In cases of loss of hearing due to Chronic suppurative otitis
media with safe central perforation in the tympanic membrane.
• To
repair the defect
• To
restore hearing.
Position
Supine with head turned to one side with the ear to be operated
uppermost.
Anesthesia
Local same as described for stapes surgery.
Procedure
1. Harvesting the
graft-temporalis fascia and tragal perichondrium. Overlay technique.
2. Complete
de-epithelialization of deep meatal skin and that of tympanic membrane remnant.
3. Placement
of graft over the defect and on to the meatal wall.
4. Placement
of gelfoam/ear dressing.
Under
lay technique
1. Elevation
of tympanomeatal flap.
2. Placement
of silastic sheeting/gelfoam in the middle ear.
3. Placement
of graft and replacing the tympanomeatal flap.
4. Gelfoam/ear
dressing on the ear canal.
Instruments
Myringotomy set.
Any questions be sent to drmmkapur@gmail.com
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