What are the types of tympanoplasty?
Type I tympanoplasty is synonymous with myringoplasty. Type II: repair of the TM and middle ear; the malleus is eroded. Tympanoplasty involves grafting the TM to the incus. Type V: repair involves the stapes footplate, which is fixed.
What is the facial recess?
The facial recess of the petrous temporal bone is a small recess in the posterior wall of the mesotympanum lateral to the pyramidal eminence and stapedius muscle origin. The upper mastoid portion of the facial nerve runs immediately posterior to it, giving it its name.
How rare is congenital cholesteatoma?
Bilateral congenital cholesteatoma is extremely rare, with a study by Lee et al finding that out of 604 children with congenital cholesteatoma, 1.8% had the bilateral form.
What is a mastoidectomy procedure?
A mastoidectomy is surgery to remove cells in the hollow, air-filled spaces in the skull behind the ear within the mastoid bone. These cells are called mastoid air cells.
Is tympanoplasty a major surgery?
Patch Tympanoplasty This is the most minor of the procedures. It is performed in the office in adults and under anesthesia in children. The edges of the hole are irritated with an instrument, or mild acid, and a biologic tissue paper patch is placed over the hole and held on with a drop of blood or ointment.
How painful is a tympanoplasty?
PAIN – There is usually only mild pain following ear surgery. Some discomfort may be felt for the first 24 hours if a pressure dressing is applied to the ear. Once this is removed, however, most discomfort subsides. There may be occasional fleeting, stabbing pain in the ear up to one week after surgery.
What is sinus tympani?
The sinus tympani is located on the medial wall of the tympanum between the subiculum and the ponticulus. It extends in a posterior direction, medial to the pyramidal eminence, stapedius muscle, and facial nerve and lateral to the posterior semicircular canal.
What does the facial nerve supply?
The facial nerve provides motor innervation of facial muscles that are responsible for facial expression, parasympathetic innervation of the glands of the oral cavity and the lacrimal gland, and sensory innervation of the anterior two-thirds of the tongue.
Can cholesteatoma be fatal?
Cholesteatomas are growths that develop in the middle ear. Symptoms may be mild at the start, but they can include recurring ear infections. If a person does not receive treatment, a cholesteatoma can cause a number of complications, such as hearing loss and imbalance, and it may even be fatal.
Is cholesteatoma malignant?
Sometimes, skin cells inside your ear can do this and cause a lump called a cholesteatoma. The lump typically starts deep in your ear near your eardrum and grows toward your middle and inner ear. Cholesteatomas aren’t cancerous. But if you don’t treat them, they can cause problems, including hearing loss.
How painful is a mastoidectomy?
How painful is a mastoidectomy? You shouldn’t feel any pain during your mastoidectomy. However, like any surgery, a mastoidectomy can result in some mild discomfort after the procedure. The incision behind your ear will likely be sore, and your ear may feel full or stuffy.
How serious is a mastoidectomy?
They can potentially lead to more serious problems, including meningitis, facial paralysis, and stroke. Mastoid surgery removes the cholesteatoma from the mastoid cavity and middle ear space. In an effort to ensure ultimate success of mastoidectomy, the opening to the ear canal may have to be enlarged.