scholarly journals Otologic surgical procedures in an ear, nose and throat department in Subotica from 1987 to 2001

2004 ◽  
Vol 57 (1-2) ◽  
pp. 67-71
Author(s):  
Marko Sente ◽  
Radivoj Topolac ◽  
Gabriela Aleksov-Hatvan

Introduction This paper deals with otologic surgical procedures performed in a an Ear, Nose and Throat Depertment during a 15-year period. The authors compared the number of otologic surgical procedures with the number of laryngomicroscopies and procedures performed in Waldeyer's ring. RESULTS From January 1, 1987 to December 31, 2001, 1184 patients underwent the following surgical procedures in total endotracheal anesthesia: 285 paracenteses, 473 ventilation tubes insertions, 175 antrotomies or mastoidectomies, 194 tympanoplasties, 34 radical mastoidectomies, 4 facial nerve decompressions, 5 exostoses or osteoma of the external auditory canal operations and 14 stapedectomies. DISCUsSION Otologic surgical procedures are presented in table 1. In Yugoslav literature Topolac reports approximately 700 tympanoplasties in a 10-year period (1968-1978). Radonjic and associates report 2272 ear operations in the period 1975-1985. Distribution of operations is presented in table 2, whereas in table 3 we can see that the number of operated ears is much greater than the number of operated patients. CONCLUSION We think that the number of operations is not bigger, because we operate only in critical cases. Our human and technical resources should provide advanced ear microsurgery, but only with financial and organizational support.

Author(s):  
Jonathan P. Wyatt ◽  
Robin N. Illingworth ◽  
Colin A. Graham ◽  
Kerstin Hogg ◽  
Michael J. Clancy ◽  
...  

Ear, nose, and throat foreign bodies 546 Ear examination 548 Vertigo 549 Cochlear implants 549 Earache 550 Epistaxis 552 Nasal fracture 553 Sore throat 554 Facial nerve palsy 556 Salivary gland problems 557 Dental emergencies 558 All sorts of FBs may become lodged in the external auditory canal, including insects, vegetable matter, and various inert objects. The patient may present with pain, deafness, discharge or, in the case of live insects, an irritating buzzing in one ear....


2006 ◽  
Vol 120 (9) ◽  
pp. 740-744 ◽  
Author(s):  
N C Saunders ◽  
R Malhotra ◽  
N Biggs ◽  
P A Fagan

Three patients with extensive keratosis obturans were treated during a 12-month period. One presented with an idiopathic sensorineural hearing loss and was found to have keratosis obturans in the contralateral, asymptomatic ear. The disease process had resulted in a horizontal semicircular canal fistula in what was now, effectively, the only hearing ear. The second patient had an extensive dehiscence of the tegmen tympani. The third presented with a facial palsy. An automastoidectomy cavity was present, with circumferential skeletonization of the descending facial nerve over a length of 1.5 cm and dehiscence of the temporomandibular joint and jugular bulb. All three patients were successfully treated by surgical formalization of their automastoidectomy cavities. They appeared to represent cases of keratosis obturans rather than external auditory canal cholesteatoma, on the basis of previously published reports.These complications and patterns of bone erosion have not previously been described in keratosis obturans. The third patient is believed to have the most extensive case of keratosis obturans yet described.


2021 ◽  
pp. 755-782
Author(s):  
Grant Turner

This chapter discusses the anaesthetic management of ear, nose and throat (ENT) surgery (otolaryngological surgery). It begins with a discussion of relevant general principles (including the shared airway), and covers airway obstruction and jet ventilation. Surgical procedures covered include grommet insertion; tonsillectomy; adenoidectomy; myringoplasty; stapedectomy; tympanoplasty; nasal cavity surgery; microlaryngoscopy; tracheostomy; laryngectomy; radical neck dissection, and parotidectomy. It includes pertinent anaesthetic features for a series of additional miscellaneous ENT procedures.


2018 ◽  
pp. bcr-2018-224876 ◽  
Author(s):  
Aswathy James ◽  
Sharad Karandikar ◽  
Shobhit Baijal

The patient presented to the ear, nose and throat clinic with failed conservative treatment of persistent right otitis externa. On examination, the roof of the right ear canal was polypoid and the tympanic membrane could not be visualised. There was a fragile mass noted in the external auditory canal (EAC) which on microsuction started to bleed. CT internal auditory meatus and MRI internal auditory meatus identified soft tissue mass in the EAC. The patient underwent urgent examination under anaesthetic of the ear and biopsies were taken. He had a background of ascending colon cancer; Duke’s C1, pT4, N1 M0, R0 resection and had undergone laparoscopic right hemicolectomy with adjuvant chemotherapy, in the previous year. The biopsy results proved that the mass in the EAC was due to metastatic deposit of colorectal primary tumour. The patient also had a full body CT which revealed other new metastases. The patient is being treated with palliative chemotherapy.


2020 ◽  
Vol 134 (7) ◽  
pp. 610-622
Author(s):  
R Gautam ◽  
J Kumar ◽  
G S Pradhan ◽  
J C Passey ◽  
R Meher ◽  
...  

AbstractObjectiveTo depict various temporal bone abnormalities on high-resolution computed tomography in congenital aural atresia patients, and correlate these findings with auditory function test results and microtia subgroup.MethodsForty patients (56 ears) with congenital malformation of the auricle and/or external auditory canal were evaluated. Auricles were graded according to Marx's classification, divided into subgroups of minor (grades I and II) and major (III and IV) microtia. Other associated anomalies of the external auditory canal, tympanic cavity, ossicular status, oval and round windows, facial nerve, and inner ear were evaluated.ResultsMinor and major microtia were observed in 53.6 and 46.4 per cent of ears respectively. Mean hearing levels were 62.47 and 62.37 dB respectively (p = 0.98). The malleus was the most commonly dysplastic ossicle (73.3 vs 80.8 per cent of ears respectively, p = 0.53). Facial nerve (mastoid segment) abnormalities were associated (p = 0.04) with microtia subgroup (80 vs 100 per cent in minor vs major subgroups).ConclusionMicrotia grade was not significantly associated with mean hearing levels or other ear malformations, except for external auditory canal and facial nerve (mastoid segment) anomalies. High-resolution computed tomography is essential in congenital aural atresia, before management strategy is decided.


2007 ◽  
Vol 65 (5) ◽  
pp. 972-978 ◽  
Author(s):  
Belmiro Cavalcanti do Egito Vasconcelos ◽  
Ricardo Viana Bessa-Nogueira ◽  
Luiz Carlos Ferreira da Silva

Author(s):  
Fred Roberts

This chapter discusses the anaesthetic management of ear, nose, and throat surgery (otolaryngological surgery). It begins with a discussion of relevant general principles (including the shared airway) and covers airway obstruction and sleep apnoea. Surgical procedures covered include grommet insertion, tonsillectomy, adenoidectomy, myringoplasty, stapedectomy, tympanoplasty, nasal cavity surgery, microlaryngoscopy, tracheostomy, laryngectomy, pharyngectomy (including glossectomy), radical neck dissection, and parotidectomy. It concludes with a series of vignettes of other ear, nose, and throat procedures.


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