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    Simran Suresh
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    The document discusses different types of tympanoplasty surgery to reconstruct the middle ear and hearing mechanism. It describes 5 types of tympanoplasty based on the Wullstein classification depending on which ossicular bones are intact. It also discusses graft materials that can be used including autografts, allografts, and prosthetic grafts. The document outlines procedures for cortical mastoidectomy, canal wall up and canal wall down approaches for tympanoplasty. It provides a brief overview of Meniere's disease which is characterized by episodes of vertigo, deafness, and tinnitus due to endolymphatic hydrops in the inner ear.

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    The document discusses different types of tympanoplasty surgery to reconstruct the middle ear and hearing mechanism. It describes 5 types of tympanoplasty based on the Wullstein classification depending on which ossicular bones are intact. It also discusses graft materials that can be used including autografts, allografts, and prosthetic grafts. The document outlines procedures for cortical mastoidectomy, canal wall up and canal wall down approaches for tympanoplasty. It provides a brief overview of Meniere's disease which is characterized by episodes of vertigo, deafness, and tinnitus due to endolymphatic hydrops in the inner ear.

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    © All Rights Reserved
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    5 views21 pages

    Revision 4

    Uploaded by

    Simran Suresh
    The document discusses different types of tympanoplasty surgery to reconstruct the middle ear and hearing mechanism. It describes 5 types of tympanoplasty based on the Wullstein classification depending on which ossicular bones are intact. It also discusses graft materials that can be used including autografts, allografts, and prosthetic grafts. The document outlines procedures for cortical mastoidectomy, canal wall up and canal wall down approaches for tympanoplasty. It provides a brief overview of Meniere's disease which is characterized by episodes of vertigo, deafness, and tinnitus due to endolymphatic hydrops in the inner ear.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 21

    OVERLAY

    UNDERLAY
    F
    E
    M
    B
    A
    Y
    M
    SA
    E
    TRS
    O
    A
    TD
    IO
    ID
    IC
    A
    D
    T
    EI
    C
    N
    T
    G
    O
    D
    M
    SURGICAL OPERATION PERFORMED TO
    ERADICATE DISEASE IN MIDDLE EAR & TO
    RECONSTRUCT THE HEARING
    MECHANISM WITHOUT MASTOID
    SURGERY
    WULLSTEIN CLASSIFICATION OF TYMPANOPLASTY
    OSSICULAR CHAIN INTACT; GRAFT PLACED ON MALLEUS
    TYPE-1
    MALLEUS ERODED; GRAFT PLACED ON MALLEUS/INCUS
    TYPE-2
    MALLEUS & INCUS ERODED; GRAFT PLACED ON HEAD OF
    STAPES
    TYPE-3
    ALL OSSICLES ERODED; STAPES FOOTPLATE INTACT &
    MOBILE; GRAFT PLACED ON FOOTPLATE
    TYPE-4
    FOOTPLATE ALSO FIXED. GRAFT PLACED ON FENESTRATION
    MADE IN LSCC
    TYPE-5
    GRAFT MATERIALS FOR TYMPAMOPLASTY

    AUTOGRAFT TEMPORALIS FASCIA; VEIN; FAT;


    TRAGAL PERICHONDRIUM

    CADAVERIC: TYMPANIC MEMBRANE; DURA MATER;


    HOMOGRAFT
    FASCIA LATA; TEMPORALIS FASCIA; VEIN ETC.

    PROSTHETIC GRAFT MATERIALS MADE FROM


    ALLOGRAFT
    BIOMATERIALS
    OSSICULAR
    REPLACEMENT
    OF
    INCUS
    BY
    PORP
    PARTIAL
    OSSICULAR
    REPLACEMENT
    PROSTHESIS
    TOTAL
    OSSICULAR
    REPLACEMENT
    PROSTHESIS
    (TORP)
    CANAL
    1. CORTICAL
    MASTOIDECTOMY
    WALL
    2. COMBINED APPROACH UP
    TYMPANOPLASTY
    1. ATTICOTOMY CANAL
    2. MODIFIED RADICAL
    MASTOIDECTOMY
    WALL
    3. RADICAL DOWN
    MASTOIDECTOMY
    MENIERE’S DISEASE

    DISEASE OF
    ENDOLYMPHATIC LABYRINTH
    CHARACTERISED BY
    1. ATTACKS OF VERTIGO,2. DEAFNESS 3. TINNITUS
    DUE TO
    ENDOLYMPHATIC HYDROPS
    NORMAL ENDOLYMPHATIC HYDROPS
    NORMAL ENDOLYMPHATIC HYDROPS
    TREATMENT LADDER

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