The purpose of ear surgery is to repair the hole in the eardrum, repair the ear ossicles, clean the infections in the middle ear cavity and return the hearing to normal. While sometimes all of these goals can be achieved, in some ear infections the only goal may be to save the patient's life. Classically, ear surgeries are performed with a microscope. For this, the hair around the patient's ear is usually shaved. An incision is made in the skin behind the auricle and the middle ear cavity is accessed from there. However, in order to reach the middle ear cavity, a path must be opened by drilling the healthy ear bone with special tools. After the surgery, bandages and bandages should be applied to the patient's ear area. All of these create negativities in terms of patient comfort.
In recent years, a team of which I am a part of all over the world has now been performing ear surgeries endoscopically. In this method, no incision is made on the skin. By entering the external ear canal with imaging tools called endoscopes, the image is transferred to a large monitor and the surgery is performed under this view.
The features of endoscopic ear surgery are as follows:
The surgery is performed entirely on the outer ear. It can be performed through the path, without making any skin incisions.
With angled endoscopes, areas that cannot be seen and reached with a microscope can be easily seen.
While cleaning diseased tissues, healthy tissues can be easily seen. tissues are largely preserved.
Since the surgery is performed with a higher magnification than the microscope, a much more sensitive surgery is performed.
There is no need to apply bandages and dressings after the surgery. Patients can return to their daily lives.
Ear surgeries performed endoscopically are as follows:
Repair of eardrum holes
Ear tube insertion
Otosclerosis (calcification of the ossicles) surgeries
Surgery for chronic middle ear infections
In addition, in many surgeries, endoscopes are used in combination with microscopes, allowing the surgery to be performed more safely in cases where microscopes are inadequate.
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