Left Ear Revision Tympanoplasty with Malleostapedopexy using Glassionomer скачать в хорошем качестве

Left Ear Revision Tympanoplasty with Malleostapedopexy using Glassionomer

Tympanoplasty is the surgical procedure performed to repair a perforated TM, with or without reconstruction of the ossicles (ossiculoplasty), aiming to prevent reinfection and restore hearing ability.[2] CSOM is the most common indication; large invasive cholesteatomas may require a mastoidectomy as well as reconstruction of the TM.[5][8] The history of tympanoplasty began in the 1950s when Wullstein and Zollner popularized the technique of using overlay graft to reconstruct the perforated TM and restore the sound conduction apparatus of the middle ear.[9] Since then, surgical approaches to tympanoplasty have been modified, as described herein. Wullstein Classification Tympanoplasty can be classified into five types, according to the Wullstein classification.[10] Type I: repair of the TM alone; no middle ear abnormality. Type I tympanoplasty is synonymous with myringoplasty Type II: repair of the TM and middle ear; the malleus is eroded. Tympanoplasty involves grafting the TM to the incus Type III: repair of the TM onto the stapes head; the malleus and incus have a defect Type IV: the TM is grafted to the stapes footplate, which is movable Type V: repair involves the stapes footplate, which is fixed Dr. Meenesh Juvekar (INDIA) M.S (ENT), D.N.B, D.O.R.L, M.N.A.M.S An ENT surgeon of international repute, Dr Meenesh Juvekar completed his MS (Master of Surgery) in ENT from the renowned LMT Medical College, Mumbai in January 1999. He has to his credit, numerous academic achievements some of which include the first place in DNB Examinations of National Board, New Delhi held in May 1999 – he was awarded the Kameshwaran Gold medal for standing first in India. He also secured the third place in MS (ENT) Examination of Bombay University in January 1999. Currently Dr Meenesh Juvekar is Consultant ENT Surgeon at Bombay Hospital, Mumbai and at Juvekar Nursing Home, Mumbai. He is also Consultant at Fortis Hospital, Mulund. Additionally, Dr Juvekar became the President – Association Of Otolaryngologists – Mumbai at a very young age. He also organised a conference in Hong Kong in the Golden Jubilee Year. He is ex-Associate Professor and Unit Head of Department of ENT at K.J. Somaiya Medical College & Hospital, Mumbai. Dr Juvekar did his fellowship with Prof. Hildmann, Elisabeth Hospital, Bochum, Germany in Middle Ear surgery, and with Prof. Gubish, Marine Hospital, Stuttgart, Germany, in Rhinoplasty in the year 2000. He attended and assisted various surgeries during that period and also performed cadaveric temporal bone dissection under the guidance of Prof Hildmann, Bochum.