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Endoscopic Ear Surgery: Critical Review of Anatomy and Physiology of Normal and Reconstructive Middle Ear

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Abstract

Middle ear anatomy is complex hence it is difficult to study the microscopic vibration of tympanic membrane and ossicles. The basic research has been done in few centres. Our experience is based on clinical data. The lack of quantitative understanding of structural and functional relationship in the mechanical response of the normal and reconstructed middle ear is major factor in poor hearing results after surgery (Merchant et al. in J Laryngol Otol 112:715–731, 1998). The vibration pattern of tympanic membrane changes with different frequencies. It depends upon shape, position and tension of tympanic membrane. Sometimes reconstructed tympanic membrane loses its shape and tension and thus its vibratory response (Pusalkar and Steinbach in Transplants and implants in otology II, 1992). Then what should be the shape, position, tension of the tympanic membrane and the ossicles. In order to have a serviceable hearing, dry and safe ear, there is a necessity of answering all these queries by us.

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References

  1. Haragop S, Mudhol RS, Godhi RA (2008) A comparative study of endoscope assisted myringoplasty and micrsoscope assisted myringoplasty. Indian J Otolaryngol Head Neck Surg 60:298–302

    Article  Google Scholar 

  2. Udwadia R (2000) Brief review of current studies on otitis media with effusion. In: Shah VH, Karnik P (eds) Otolaryngology review 2000, a collection of review articles. Alembic Limited, Surat, pp 46–49

    Google Scholar 

  3. Merchant SN, Ravicz ME, Voss SE, Peake WT, Rosowski JJ (1998) Middle ear mechanics in normal, diseased and reconstructed ears. J Laryngol Otol 112:715–731

    Article  CAS  PubMed  Google Scholar 

  4. Hawkins JE (2014) Human ear. http://www.britannica.com/science/ear#toc65029. Accessed 14 Dec 2014

  5. Pusalkar AG, Steinbach E (1992) Gold implants in middle ear reconstructive surgery. In: Yanagihara N, Suzuki J (eds) Transplants and implants in otology II. Kugler Pubs BV, Amsterdam, pp 111–113

  6. Merchant SN, Rosowski JJ, Raicz ME (1995) Middle ear mechanics of type 4 and 5 tympanoplasty—clinical analysis and surgical implantation. Am J Otol 16(5):565–575

    CAS  PubMed  Google Scholar 

  7. Mahadevaiah A, Parikh Bhavin (2009) Use of autogenic and allogenic malleus in tympanic membrane to footplate assembly—long-term results. Indian J Otolaryngol Head Neck Surg 61:9–13

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Desai ABR, Desai A (2000) Tympanomastoid surgery today–the principle & practice. In: Shah VH, Karnik P (eds) Otolaryngology review 2000, a collection of review articles. Alembic Limited, Surat, pp 54–67

    Google Scholar 

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Authors and Affiliations

  1. Department of ENT and Head-Neck Surgery, Navodaya Medical College Hospital and Research Centre, Raichur, Karnataka, 584 103, India

    Rajendran Dinesh Kumar

  2. N.R.M ENT Hospital, Near Mahila Samaj, Raichur, Karnataka, 584101, India

    Vithal D. Udagatti

Authors
  1. Vithal D. Udagatti
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  2. Rajendran Dinesh Kumar
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Correspondence to Rajendran Dinesh Kumar.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Udagatti, V.D., Dinesh Kumar, R. Endoscopic Ear Surgery: Critical Review of Anatomy and Physiology of Normal and Reconstructive Middle Ear. Indian J Otolaryngol Head Neck Surg 68, 157–162 (2016). https://doi.org/10.1007/s12070-015-0927-3

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  • DOI: https://doi.org/10.1007/s12070-015-0927-3

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