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februarie 2011
Reconstructia osiculara cu ciment in chirurgia de revizie a otosclerozei
0
dr. Dan Masariu
Reconstructia osiculara cu ciment in chirurgia de revizie a otosclerozei

Stapedotomia cu fereastra mica (small fenestra stapedotomy) este metoda care s-a impus la scara mondiala pentru tratarea hipoacuziei tip transmisie intalnita in otoscleroza (prin blocarea articulatiei stapedo-vestibulare). Timpii operatori din aceasta procedura cuprind ablatia arcului stapedian, crearea unui mic orificiu (fereastra) in platina scaritei, insertia tijei pistonului (de preferat din titan) in acest orificiu catre urechea interna si ancorarea buclei pistonului de apofiza descendenta a nicovalei. Asigurarea unei conexiuni stabile si de lunga durata intre nicovala si implant este cruciala pentru indeplinirea obiectivului (tratarea hipoacuziei tip transmisie). Fixarea partiala, ineficienta, a implantului pe nicovala se coreleaza direct cu scaderea ratei de succes. Citește mai mult

Complicatiile chirurgiei pentru otoscleroza: perforatia membranei timpanice
0
dr. Dan Masariu
Complicatiile chirurgiei pentru otoscleroza: perforatia membranei timpanice

In general, in chirurgia otologica fiecare detaliu conteaza la rezultatul final. In mod special in chirurgia pentru otoscleroza fiecare detaliu are importanta maxima, putand face diferenta intre succes si esec. Aceasta constatare se poate proba prin consecintele cunoscute ale complicatiilor in chirurgia otosclerozei. Printre aceste consecinte se numara agravarea sau pierderea definitiva a auzului, ameteli grave si imposibilitatea de a mentine echilibrul, paralizie faciala si perforatii ale membranei timpanice. Citește mai mult