Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.9 Nr.3 - Iulie-Septembrie 2013 | luni, 21 aprilie 2014
ISSN: 1584 - 9341 Vol.9 No.3 - July-September 2013
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THE POSTERIOR TYMPANOTOMY IN THE FUNCTIONAL SURGERY OF THE MIDDLE EAR
A. Vlase, V. Costinescu
ORL Department,
“Gr.T.Popa ” University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2010; 6 (3): 305-316
Full text:
Format PDF (Română/Romanian)

Abstract:

This work is meant to study the importance of the posterior tympanotomy in the functional surgery of the chronic suppurative processes of the middle ear, in order to accomplish the osiculoplasties and tympanoplasties. This procedure represents an antroaditoaticotomy with keeping the meatal posterior wall, associated with the tympanoplasty with homograft (fascia of the temporal muscle) called by some authors mastoidectomy tympanoplasty. The particularity of this technique is that it realizes a communication (excavation) limited in the uppers side by the incudis pit, in the middle by the pyramid segment of the facial muscle and laterally by the bone ring crossed by the corda tympani nerve between the mastoid and the middle ear. The advantages of this technique are the existence of a good surgical field and the access to the posterior part of the cavotympan, as well as realizing an optimal functional relation between the volume of the middle ear and the mastoid’s cavity.  The association of the anterior tympanotomy and tympanoplasty at the same surgical time allows: Rebuilding the integrity of the ossicular chain and the tympanic membrane; The control of the retraction pockets and tympanic perforations; The ablation of the evolving inflammatory or cholesteatoma lesions in the middle ear assuring also an efficient draining and avoiding the post operation complications; Last but not least, the functional gain of the audition, which would not have been possible by realizing a void cavity through an open technique. I have realized a clinical comparative study on a lot of 446 patients with oto-mastoid suppurative processes following the guidelines of the functional surgical treatment and evaluating the post operation results through which I focused on the following aspects: The control of the pathological processes (granulation tissue, osteitis, cholesteatoma); The functional gain of the audition according to the existing lesions, technique applied and the material used for the graft.


KEY WORDS: POSTERIOR TYMPANOTOMY, OSSICULOPLASTY, TYMPANOPLASTY, MIDDLE EAR

Correspondence to: Dr. Alex Vlase, ORL Clinic, St. Spiridon Hospital, str. Independentei, nr.1, Iaşi, 700111, e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.