A comparative study of combination of dexmedetomidine and midazolam versus combination of midazolam and fentanyl for modified radical mastoidectomy under monitored anaesthesia care

2019 ◽  
Vol 10 (2) ◽  
pp. 78-82
Author(s):  
Poonam K Raipurkar ◽  
◽  
Aparna G Kulkarni ◽  
Abhimanyu S Tarkase ◽  
◽  
...  
Keyword(s):  
Comparative Study ◽  
Radical Mastoidectomy ◽  
Modified Radical Mastoidectomy ◽  
Anaesthesia Care

A comparative study of Dexmedetomidine versus midazolam with fentanyl for monitored anaesthesia care in tympanoplasty under local anaesthesia

2019 ◽  
Vol 10 (2) ◽  
pp. 152-156
Author(s):  
Jigisha Badheka ◽  
◽  
Pratik M Doshi ◽  
Peram Shrividhya ◽  
Jaykishan Gol ◽  
...  
Keyword(s):  
Comparative Study ◽  
Local Anaesthesia ◽  
Anaesthesia Care

Blue Ear Drum and its Management

1976 ◽  
Vol 85 (2_suppl) ◽  
pp. 293-295 ◽  
Author(s):  
Michael M. Paparella
Keyword(s):  
Middle Ear ◽  
Proper Treatment ◽  
Blood Products ◽  
Ventilation Tube ◽  
Radical Mastoidectomy ◽  
Long Period ◽  
Modified Radical Mastoidectomy ◽  
Ventilation Tubes ◽  
Serous Otitis Media ◽  
Mastoid Surgery

The “blue ear drum” generally refers to a condition in which blood or blood products are found in the middle ear. After all possible causes for hemotympanum, including blood dyscrasias and trauma are searched for and ruled out, the patient may have chronic serous otitis media accompanied by bloody effusion. Treatment for all of these patients is conservative, consisting of medical therapy and, if need be, myringotomy and insertion of ventilation tubes. In spite of proper treatment, rarely the condition may progress, over a long period of time, to a state of intractability. Characteristic findings are a hypocellular mastoid, hyperplastic and metaplastic mucoperiosteal lining, including the presence of glands and cysts and Cholesterin granuloma. The recommended procedure is a modified radical mastoidectomy, placement of silicone rubber sheeting in the middle ear and insertion of a ventilation tube. It is to be emphasized that mastoid surgery is rarely indicated for these patients and only after all else has failed.

scholarly journals Does Drilling Induce Hearing Loss after Modified Radical Mastoidectomy? A Retrospective Study

2020 ◽  
Vol 42 (3) ◽  
pp. 38-41
Author(s):  
Yogesh Neupane ◽  
Bijaya Kharel ◽  
Heempali Dutta
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Bone Conduction ◽  
Sensorineural Hearing ◽  
Radical Mastoidectomy ◽  
Modified Radical Mastoidectomy ◽  
The Mean ◽  
Sensory Neural ◽  
Mastoid Surgery ◽  
Sensory Neural Hearing Loss

Introduction Incidence of sensory neural hearing loss following mastoid surgery varies from 1.2 – 4.5%.There are various causes for postoperative sensorineural hearing loss during mastoid surgery. This study aims to identify whether there is any correlation between drilling and postoperative sensory neural hearing loss. MethodsA retrospective study was conducted in the Department of ENT from January 2018 to June 2019. A total number of 68 patients above five years of age who underwent modified radical mastoidectomy for chronic otitis media squamous were included. Revision surgery, preoperative sensorineural hearing loss, injury to the ossicular chain during surgery, patients with lack of follow up or doubtful reports in mentally challenged were excluded from the study. The average bone conduction threshold was calculated from 500, 1000, 2000, 4000 Hz and compared using the Wilcoxon signed-rank test. ResultsThere were 43 males and 25 females in the study with a median age of 23.5 years (16-55). The mean preoperative bone conduction threshold in the four frequencies of 500 Hz, 1kHz, 2kHz, 4kHz were -2.06dB, -2.06dB, 3.31dB, 4.63 dB respectively and the mean postoperative bone conduction thresholds were 1.03, 1.32, 5.29, 4.04 respectively. There was a decline of mean of 3.09 dB and 3.38dB only at the low-frequencies (500Hz and 1kHz) BC threshold respectively which were statistically significant, whereas at higher frequency there was no decline in average postoperative BC threshold. ConclusionThere is no definite role of drill in inducing hearing loss and if present other causes of hearing loss should be sought in postoperative sensorineural hearing loss.

Modified Radical Mastoidectomy

2013 ◽  
pp. 1707-1707
Author(s):  
Joe Walter Kutz ◽  
Brandon Isaacson ◽  
Peter Sargent Roland
Keyword(s):  
Radical Mastoidectomy ◽  
Modified Radical Mastoidectomy

Bondy's Modified Radical Mastoidectomy Revisited

1994 ◽  
Vol 73 (1) ◽  
pp. 15-18 ◽  
Author(s):  
Dennis G. Pappas
Keyword(s):  
Middle Ear ◽  
Disease Process ◽  
Ossicular Chain ◽  
Normal Hearing ◽  
The Body ◽  
Radical Mastoidectomy ◽  
Pars Tensa ◽  
Modified Radical Mastoidectomy

The original criteria for modifying a radical mastoidectomy were: (I) an intact pars tensa and a defective pars flaccid a with cholesteatoma; (2) normal or near normal hearing; and (3) an intact, functional ossicular chain. We propose a fourth criterion: that the cholesteatoma site be delineated lateral to the body of the incus. Control of the disease process is easily assured if the lesion is in that area. Our recommended fourth criterion is based on the results of a five-year study of fifty-two cases that met the original criteria. The cholesteatoma reoccurred in the middle ear in only one case. In six cases, periodic care is necessary because of retraction to the grafted attic area. The procedure and technique used in these patients and the excellent results are discussed in this article.

Long-term outcome of modified radical mastoidectomy

2004 ◽  
Vol 118 (8) ◽  
pp. 612-616 ◽  
Author(s):  
Payal Mukherjee ◽  
Nicholas Saunders ◽  
Richard Liu ◽  
Paul Fagan
Keyword(s):  
Bone Conduction ◽  
Radical Mastoidectomy ◽  
Recurrence Rates ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Surgical Access ◽  
Modified Radical Mastoidectomy ◽  
Hearing Result

The primary aim of treatment of cholesteatoma is to attain a dry, safe, stable ear, free of disease. Maintaining or improving hearing is important but the pursuit of a hearing result should not compromise this primary aim. This study reviews the long-term outcome of 133 patients, suffering from advanced disease, who underwent modified radical mastoidectomy between 1995 and 2000. Of these, 49 per cent had had previous mastoid surgery elsewhere. A dry, waterproof ear was attained in 95 per cent of patients. In 77 per cent of patients, hearing was unchanged or improved. In this period, there were two cases of significant post-operative loss in bone conduction, including one dead ear secondary to suppurative labyrinthitis. There were epithelial pearls on follow up in two per cent. These results indicate that when properly performed, modified radical mastoidectomy provides safe surgical access and clears disease with low recurrence rates while mostly maintaining or improving hearing.

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