**Stapedectomy**
-Def :-
is a surgical procedure of the middle ear
performed to improve hearing.
-Indications:-
- Conductive deafness due to fixation of stapes (Otosclerosis)
- Air bone gap of at least 40 dB.
- Poor general condition of the patient.
- Only hearing ear.
- Poor cochlear reserve as shown by poor speech discrimination scores.
- Patient with tinnitus and vertigo.
- Presence of active otosclerotic foci (otospongiosis) as evidenced by a positive flemmingo sign.
- Conductive deafness due to Ehlers-Danlos Syndrome (EDS).
- Facial palsy.
- Vertigo.
- Vomiting.
- Floating foot plate.
- Tympanic membrane tear
- Dead labyrinth
- Labyrinthitis.
*Preoperative:-
The patient will have a hearing test just prior
to or during admission to the hospital.
*The day of surgery:(technique):
Surgery can be done under local ansesthesia or
general anesthesia.
We prefer to use general anesthesia, i.e. the patient
is asleep during the operative procedure.
During the operative procedure the eardrum is gently lifted,
the diseased and fixed stapes is removed.
Next, a prosthesis is put in place.
The eardrum is gently put back into place and held
there by absorbable packing ointment.
*Postoperative:-
After awakening from anesthesia, the patient is
returned to his room and is usually discharged
the next morning. During this immediate post-operative
period, it is important NOT to blow the nose and
not to get the ear wet until the ear has completely healed.
This video is an Stapedectomy by Dr. Bliouras Konstantinos.
enjoy, see you...
Hello,It is ma pleasure to see ur blog because I adore Biology and Medicine.Althought am still in Hight School,I saw many surgeries in many branches of medicine,but I never saw such a surgery.Thnx for the information,and I hope to be a frinds.
ReplyDeletec u bye
Hossam
ReplyDelete======
you are welcome man,nice to hear that..
you are already my friend..