Otology | Basics of Cholesteatoma | Mr Mike Wareing скачать в хорошем качестве

Otology | Basics of Cholesteatoma | Mr Mike Wareing

Basics of Cholesteatoma Mr Mike Wareing - Consultant ENT Surgeon, The Royal London Hospital Barts ENT Online Teaching Programme, 12th June 2020 Curriculum topics (UK Otolaryngology Higher Surgical Training 2017) 1. Paediatric otolaryngology - Otitis media (acute, chronic and with effusion) and complications and conditions of the external auditory canal 2. Otology - Chronic suppurative otitis media and sequelae 00:38 - Chronic otitis media classification 02:52 - What gets damaged by cholesteatoma 05:31 - Complications - extracranial and intracranial 09:32 - Where do cholesteatoma develop? 14:32 - Symptomatology 15:37 - Preoperative investigations 21:43 - Treatment options 24:37 - Surgical options 25:51 - Canal wall down 27:42 - Small cavity mastoidectomy 29:29 - Endaural and postaural incision 30:21 - Operative step 1 - incision, canalplasty, atticotomy and ossicles 34:03 - Problem areas 43:15 - Operative step 2 - reconstruction 52:08 - Why do cavities discharge? 52:48 - Combined approach tympanoplasty Questions 57:42 - Management of EAC cholesteatoma 58:12 - MRI preop 59:25 - Approach when operating on only hearing ear 01:00:30 - Use of laser in the cavity 01:01:41 - Addressing the Eustachian tube 01:02:42 - 1 stage ossiculoplasty v delayed 01:03:17 - Approach to a canal fistula 01:04:59 - Technique for removal of cholesteatoma from facial nerve 01:05:31 - When to perform canal wall down as primary procedure 01:05:45 - What to do if no graft material 01:06:09 - Considerations if all disease is cleared