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DOI: 10.1055/s-2006-958576
Surgical Techniques for the Therapy of Chronic Otitis Media
Idea: Presentation and description step by step of myringoplasty and tympanoplasty techniques combined with mastoidectomy.
Method: We present the following chapters: (1) local anesthesia; (2) myringoplasty—outer or under surface grafting technique; (3) tympanoplasty: postauricular approach involving eight steps (transmeatal canal incisions and elevations of the vascular strip; postauricular exposure and removal and dehydratation of the temporalis fascia; removal of canal skin; enlargement of the ear canal by removal of the anterior (and inferior) canal bulge; de-epithelization of the tympanic membrane remnant; placement of the rehydrated fascia on the outer surface of the remnant, but under the manumbrium; replacement of the canal skin; closure of the postauricular incision and replacement of the vascular strip transmeatally); and (4) tympanoplasty: transmeatal canal approach.
Results and Conclusions: We believe that this manual describing alternative techniques of surgical steps, movements, and instruments is useful for a thorough didactical update on better treatment in cases of chronic otitis media.