LXXXVIII The Restoration of the Function of the Middle Ear, in Chronic Otitis Media

Wullstein, Horst

doi:10.1177/000348945606500416

Cited by 102 publications

(42 citation statements)

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“…After Wullstein [15] and Zollner [16] introduced tympanoplasty in early 1950s, overlay graft was being used in all surgeries. The article ''tympanoplasty as an operation to improve hearing in chronic otitis media and its results'' by Wullstein had prepared the arena for the operation to be performed with a goal to improve hearing and protect the middle ear from the outside environment [15]. Spilt thickness and full thickness skin graft were being used at that period of time, but graft eczema, desquamation, with poor long term results made surgeons search for alternate grafting materials.…”

Section: The Surgical Evolutionmentioning

confidence: 99%

A Review on the History of Tympanoplasty

Sarkar

2012

Indian J Otolaryngol Head Neck Surg

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The history of myringoplasty and tympanoplasty is one of the most interesting in the history of ear surgery. The aims and ambitions of otologists have evolved along with time and experience. The objective of this article is to give an idea about the evolution of tympanoplasty, thus giving inspiration to future surgeons in their quest for a perfect technique which would be as good as a normal ear and its hearing. The history of otology starts from the early Egyptian healers. Hippocrates in his time observed that ear infections may be cause of death especially in young children. Early surgeries were performed mainly for drainage in order to save the life of the child having the ear disease. With time and scientific developments newer methods of treatment started to evolve. The invention of antimicrobials and their usage threw a new light into the treatment of otology infections. Then after the advent of microscope and with better understanding of the anatomy and physiology of ear and its diseases treatment strategies and surgical planning kept on advancing. Surgeons with time have become more interested in returning back the hearing along with curing infection from ear. But the quest is on for the perfect surgical technique which would give best results with minimal maneuvering. History of tympanoplasty nearly sums up the history of evolution of otology as a whole. The quest is still on to devise a way so as to give maximum post-operative hearing using minimal instrumentation.

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Section: The Surgical Evolutionmentioning

confidence: 99%

A Review on the History of Tympanoplasty

Sarkar

2012

Indian J Otolaryngol Head Neck Surg

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“…However, pathological ossicular disruptions reduce, but do not eliminate, hearing sensitivity (Peake, Rosowski, and Lynch 1992). While sound can also enter the ear via sound-induced vibration of the skull and bony cochlea (e.g., bone conduction; Tonndorf 1972), otologists have long considered the residual hearing in these cases to result from direct acoustic stimulation of the oval and round windows and have devised surgical reconstructive techniques that attempt to optimize the pressure difference between the two windows (Wullstein 1956;Gaudin 1968;Goodhill 1979). The contribution of direct acoustic stimulation of the cochlear windows has been estimated by a modified middle ear model (Peake, Rosowski, and Lynch 1992).…”

Section: N Onossicular Sound Conduction To the Cochleamentioning

confidence: 99%

Outer and Middle Ears

Rosowski¹

1994

Springer Handbook of Auditory Research

103

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“…There are two types of Chronic Suppurative Otitis Media, the safe type and unsafe type Wullstein [3]. The safe type has central perforation and the complications are less and not dangerous.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Endoscope Assisted Myringoplasty and Microscopic Myringoplasty

Lakpathi¹,

Reddy²,

Bhatt³

2016

Indian J Otolaryngol Head Neck Surg

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To study and compare the outcomes of the endoscopic versus microscopic approach to Myringoplasty in 60 patients. In this prospective study, the outcomes of 60 ears of 60 patients (40 male and 20 female) who underwent Myringoplasty were evaluated. The age range of the patients was 15-55 years. Group 1 underwent Myringoplasty with an endoscopic technique (n = 30), and Group 2 underwent Myringoplasty with the conventional microscopic technique (n = 30). A temporalis fascia graft was used in both groups. The outcomes were analyzed in terms of the hearing gain, duration of surgery, graft success rate and advantages and disadvantages of endoscopic versus microscopic approach to Myringoplasty. In both groups, the postoperative air-bone gap (ABG) was significantly lower than the preoperative ABG. There were no significant differences between the preoperative and postoperative ABG values (in dB) in either group. The mean operative duration in Group 1 (96.32 min) was significantly lower than that in Group 2 (136.09 min). In the preoperative evaluation of patients in Group 1 had small, medium, large perforations are 16 (53 %), 12 (40 %), and 02 (7 %), respectively. In Group 2, had small, medium, large perforations are 12 (40 %), 15 (50 %), and 03 (10 %), respectively. Perforations (wet ear) were detected in 10 (33 %), 06 (20 %), and 04 (12 %) of the patients in Group 1 at postoperative months 1, 3, and 6, respectively. Perforations (wet ear) were detected 09 (30 %), 06 (20 %) and 03 (10 %) patients in Group 2 at postoperative months 1, 3, and 6. At 6 months postoperatively, there were smaller perforations and reduced rate of perforations as compared to 1st and 3rd month in Group 1 and Group 2. The difference between the perforation conditions (larger vs. smaller) was not significant in either group. The preoperative and postoperative increases in the ABG were associated. At the end of 6 months all (100 %) patients in the Group 1 rated their cosmetic result as excellent as compared in the Group 2. Unlike the microscope, the endoscope is easily transportable and hence is ideal for use in ear surgery camps conducted in remote places. In patients undergoing Myringoplasty, especially if the external ear canal is narrow and the anterior canal wall is prominent, the endoscopic and microscopic approaches appear to give equal results in terms of easy visualization of the entire tympanic membrane and no requirement for extra intervention to evaluate the ossicular system. A shorter operative duration and excellent cosmetic result is an advantage of the endoscopic Myringoplasty technique.

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LXXXVIII The Restoration of the Function of the Middle Ear, in Chronic Otitis Media

Cited by 102 publications

References 0 publications

A Review on the History of Tympanoplasty

A Review on the History of Tympanoplasty

Outer and Middle Ears

Comparative Study of Endoscope Assisted Myringoplasty and Microscopic Myringoplasty

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