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Titolo:
Endoscope-guided round window fistula repair
Autore:
Karhuketo, TS; Puhakka, HJ;
Indirizzi:
Tampere Univ Hosp, Dept Otorhinolaryngol, FIN-33521 Tampere, Finland Tampere Univ Hosp Tampere Finland FIN-33521 , FIN-33521 Tampere, Finland
Titolo Testata:
OTOLOGY & NEUROTOLOGY
fascicolo: 6, volume: 22, anno: 2001,
pagine: 869 - 873
SICI:
1531-7129(200111)22:6<869:ERWFR>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERILYMPHATIC FISTULAS; EAR;
Keywords:
tympanoscopy; transtympanic endoscopy; endoscopy; round window; perilymphatic fistula; minimally invasive surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Karhuketo, TS Tampere Univ Hosp, Dept Otorhinolaryngol, POB 2000, FIN-33521 Tampere, Finland Tampere Univ Hosp POB 2000 Tampere Finland FIN-33521 inland
Citazione:
T.S. Karhuketo e H.J. Puhakka, "Endoscope-guided round window fistula repair", OTOL NEURO, 22(6), 2001, pp. 869-873

Abstract

Objective: Endoscope-guided round window membrane repair was performed to evaluate whether the approach is feasible in the treatment of a round window fistula. Study Design: Retrospective case review. Setting: Tertiary care academic center. Patient: A 27-year-old man had been scuba diving 6 days previously in the Australian Great Barrier Reefs. He had poor hearing with tinnitus in the left ear and a vertiginous sensation. Intervention: A myringotomy was incised, and a tympanoscope was introducedinto the middle ear cavity. With the patient under general anesthesia, themiddle ear and the oval and round window areas were examined with a tympanoscope. In endoscopic visualization, a round perforation could be seen in the round window membrane. After detection of the round window perforation, a small piece of temporal fascia was obtained to seal the membrane perforation. Results: One month after the operation, the patient's hearing was significantly better. The myringotomy had healed. Conclusion: A transmyringeal endoscopic procedure for round window fistularepair is feasible and combines the best features of minimally invasive surgery and aural endoscopy.

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Documento generato il 20/02/20 alle ore 12:58:11