RESUMO
OBJECTIVE: This article describes a new canalplasty technique for the treatment of symptoms resulting from chronic refractory otitis externa. METHODS: We report on our experience using a swing-door island flap and a periosteal flap. Thirteen patients underwent treatment and a total of 19 ears were operated on. The range of preoperative symptoms was 3 to 22 years (mean length of symptoms = 12 years). RESULTS: The postoperative course in all the patients showed this to be a satisfactory treatment with no recurrence of symptoms. CONCLUSION: The swing-door island flap canalplasty technique is an effective surgical treatment in patients with refractory otitis externa.
Assuntos
Meato Acústico Externo/cirurgia , Otite Externa/cirurgia , Retalhos Cirúrgicos , Adulto , Humanos , Pessoa de Meia-Idade , Resultado do TratamentoAssuntos
Perda Auditiva Neurossensorial/diagnóstico por imagem , Pré-Escolar , Feminino , Traumatismos Cranianos Fechados/complicações , Perda Auditiva Neurossensorial/complicações , Perda Auditiva Neurossensorial/etiologia , Humanos , Tomografia Computadorizada por Raios X , Aqueduto Vestibular/anormalidades , Aqueduto Vestibular/diagnóstico por imagemRESUMO
A significant number of patients requiring septal surgery are still undergoing in-patient procedures at a time when pressures on in-patient beds are increasing. A retrospective audit of 109 patient case notes was performed to assess the potential for day-case surgery amongst patients undergoing septal surgery in the ENT department at Leicester Royal Infirmary. The other aims of the audit were to assess the overall complication rates, because these have implications for day-case surgical patients, and to see which patients should be selected. Overall, the study group had a haemorrhage rate of six per cent and a potential for 92 per cent of cases to be performed as day-case procedures. Day-case septal surgery, if utilized appropriately, has great potential in reducing the pressure on inpatient beds.