Mount Sinai neurotologists (Drs. Schwam, Perez, Cosetti, Wanna) are experts in endoscopic ear surgery, a minimally invasive approach that is only performed in a small number of centers worldwide. When a patient has chronic infections, trauma, or a cholesteatoma that causes a hole or perforation in the eardrum/tympanic membrane, hearing loss and drainage (otorrhea) may occur. Tympanoplasty is a term used for repairing the ear drum, and in this case we do so with an endoscope, which affords the surgeon and their assistants a better view and the ability to see around corners. Because this is minimally invasive, there is no incision needed behind the ear. We often use a piece of cartilage from the tragus to reconstruct the ear drum.

Generally speaking, there is a medial underlay technique and a lateral graft technique when performing tympanoplasty. Lateral graft technique is shown in a different video. Medial underlay technique refers to placing the graft medial, or underneath the remnant eardrum to repair the hole in the eardrum. Each technique is equally effective, and the decision is dictated by the surgeon’s preference as well as well as the patient’s anatomy. Eroded ossicles, or bones of hearing, can be repaired simultaneously as well.

For more information, go to:
[ Ссылка ]
The Mount Sinai Otolaryngology Surgical Video Series was edited by Dr. Zachary Schwam.

свернуть