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Otology | Basics of Myringoplasty | Mr Michael Wareing

Basics of Myringoplasty Mr Michael Wareing - Consultant ENT Surgeon, The Royal London Hospital Barts ENT Online Teaching Programme, 30th April 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; Airway obstruction in adults; Oral pathology 2. Otology - Chronic suppurative otitis media and sequelae 00:55 - Causes of TM perforation 02:39 - Chronic otitis media 03:15 - Indications, aims and basics 05:50 - Example perforations 09:09 - Patient assessment and example audiograms 14:46 - Grafting materials 18:13 - Incisions 24:11 - Example perforations and approaches 26:36 - Freshening edges 28:03 - Raising the tympanomeatal flap 30:57 - Graft placement 32:21 - Difficult myringoplasties 39:05 - Complications Questions 42:10 - Timing of preoperative audiograms 45:05 - Use of silver nitrate 47:08 - Facial nerve injury and consent 49:50 - Risk of ossicular disruption 51:36 - Post-operative antibiotics 52:31 - Baffle effect 54:24 - Packing the EAC