Otology | Basics of Myringoplasty | Mr Michael Wareing

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  • čas přidán 19. 05. 2020
  • Basics of Myringoplasty
    Mr Michael Wareing - Consultant ENT Surgeon, The Royal London Hospital
    Barts ENT Online Teaching Programme, 30th April 2020
    Curriculum topics (UK Otolaryngology Higher Surgical Training 2017)
    1. Paediatric otolaryngology - Otitis media (acute, chronic and with effusion) and complications and conditions of the external auditory canal; Airway obstruction in adults; Oral pathology
    2. Otology - Chronic suppurative otitis media and sequelae
    00:55 - Causes of TM perforation
    02:39 - Chronic otitis media
    03:15 - Indications, aims and basics
    05:50 - Example perforations
    09:09 - Patient assessment and example audiograms
    14:46 - Grafting materials
    18:13 - Incisions
    24:11 - Example perforations and approaches
    26:36 - Freshening edges
    28:03 - Raising the tympanomeatal flap
    30:57 - Graft placement
    32:21 - Difficult myringoplasties
    39:05 - Complications
    Questions
    42:10 - Timing of preoperative audiograms
    45:05 - Use of silver nitrate
    47:08 - Facial nerve injury and consent
    49:50 - Risk of ossicular disruption
    51:36 - Post-operative antibiotics
    52:31 - Baffle effect
    54:24 - Packing the EAC

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