What is modified radical mastoidectomy?

Since then modified radical mastoidectomy (MRM) is the term used to describe an operative technique done for managing cholesteatoma in which the all diseased tympanomastoid air cells are removed, exenterated and exteriorized to the external auditory canal with reconstruction of middle ear transformer mechanism.

What instruments are used for mastoidectomy?

Chisels, gouges and rongeurs became the principal instruments used for mastoidectomy until the mid-twentieth century. The chisel and gouge period saw the adaptation and modification of older instruments for specific uses in mastoid surgery.

What are the three types of mastoidectomy?

Types of mastoidectomy

  • Simple mastoidectomy. The lateral wall of the mastoid is removed.
  • Canal wall up (closed) mastoidectomy. See the separate article: canal wall up mastoidectomy.
  • Canal wall down (open) mastoidectomy.

What are the instruments used for tympanoplasty?

Tympanoplasty ENT Instruments

  • Pick Ear Instrument. Rs 300/ Unit.
  • Micro Instrument Case. Rs 4,000/ Unit.
  • Micro Suction And Adapter. Rs 5,000/ Unit.
  • Malleus Nippers. Rs 600/ Unit.
  • Hartmann Crocodile Forceps. Rs 520/ Unit.
  • Tympanoplasty Elevator. Rs 1,200/ Unit.
  • Tympanoplasty Flag Knife. Rs 5,000/ Unit.
  • Micro Ear Scissors. Rs 1,000/ Unit.

Is modified radical mastoidectomy safe?

These results indicate that when properly performed, modified radical mastoidectomy provides safe surgical access and clears disease with low recurrence rates while mostly maintaining or improving hearing.

How long does a modified radical mastoidectomy take?

A mastoidectomy surgery usually takes about two to three hours to complete.

What is Mastoidectomy surgery?

A mastoidectomy is surgery to remove cells in the hollow, air-filled spaces in the skull behind the ear within the mastoid bone.

What is mastoid retractor?

Mastoid retractor is used commonly in mastoid surgeries. Each of these prongs has 4 teeth. The teeth not only helps in holding the soft tissue apart, it firmly anchors the retractor to the bone. Also used in head & neck surgeries like tracheostomy & thyroidectomy.

Is mastoidectomy a major surgery?

Radical mastoidectomy, a major procedure, was developed for treatment of chronic otitis or acute cases presenting with intracranial complications.

What is removed in radical mastoidectomy?

A radical mastoidectomy removes the most bone and is indicated for extensive spread of a cholesteatoma. The eardrum and middle ear structures may be completely removed. Usually the stapes (the “stirrup” shaped bone) is spared if possible to help preserve some hearing.

What is Type 4 tympanoplasty?

Type IV tympanoplasty is a well-established tech- nique used to reconstruct ears with canal wall-down mastoid cavities when the tympanic membrane, mal- leus, incus, and stapes superstructure are missing or diseased.

What are the five types of tympanoplasty?

Wullstein Classification:

  • Type I: repair of the TM alone; no abnormality of the middle ear.
  • Type II: repair of the TM and middle ear; the malleus is eroded.
  • 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.

How long is mastoidectomy recovery?

How long is recovery after mastoidectomy? Full mastoidectomy recovery takes about six to 12 weeks. However, most people can return to work, school and other routine activities in approximately one to two weeks.

What is a towel clip?

The towel clamp is a versatile instrument that is useful in a variety of surgical circumstances. We find it particularly useful in securing and retracting tissue during excision of subcutaneous tumors such as cysts or lipomas.

What is Kelly retractor?

Kelly Retractor has a right-angled blade that has a bent crescent-shaped lip. This retractor is commonly used to pull back, or retract, the edges of wounds in order to expose the surgical area. Moreover, it is presented in different blade sizes to adapt to various scenarios.

How painful is a mastoidectomy?

How painful is a mastoidectomy? You shouldn’t feel any pain during your mastoidectomy. However, like any surgery, a mastoidectomy can result in some mild discomfort after the procedure. The incision behind your ear will likely be sore, and your ear may feel full or stuffy.

How long does it take to recover from mastoidectomy surgery?

Usually, mastoidectomy surgery is done as an outpatient, but expect to take one week off from work or school to allow for recovery. The ear is usually fully healed six weeks to three months after surgery. Most often, mastoidectomy is combined with tympanoplasty (with or without ossicular reconstruction).

What happens if mastoid bone is removed?

Mastoidectomy complications may include: Inner ear hearing loss (sensorineural hearing loss). Facial nerve injury, which could cause facial weakness or paralysis. A change in taste, which often lasts several months (dysgeusia).

What is a Type 3 tympanoplasty?

Background: Type III stapes columella tympanoplasty involves the placement of a tympanic membrane graft, usually made of temporalis fascia, directly onto the stapes head. The procedure is usually done in conjunction with a canal wall down mastoidectomy.

What is a surgical clamp called?

A hemostat (also called a hemostatic clamp, arterial forceps, or pean after Jules-Émile Péan) is a surgical tool used in many surgical procedures to control bleeding.

What is Kocher forceps used for?

Qty: Used to grasp heavy tissue or clamp large blood vessels to control bleeding. Can be used for intestinal, gallbladder or thyroid procedures.

What is Czerny retractor used for?

Czerny Retractor is used in general surgical procedures like hernias and laparotomies. It is especially useful during surgical closures, as the central biconvex handle and its central oval fenestration allows the bleeders in the underlying tissues to be visualised and cauterised.

What is Doyen retractor?

The Doyen Retractor is a broad based retractor used to pull back soft tissues and widen the surgical field. This is useful in laparotomies and pelvic surgeries like abdominal hysterectomy and caesarean section, as well asretractionsof the urinary bladder. The retractor has an overall length of 28 cm. Brand.

How long will ear drain after mastoidectomy?

Some bloody fluid may drain from your ear for 1 to 2 days after the gauze is removed.

What can you not do after a mastoidectomy?

Avoid sudden head movements and bending over for the first 2 to 5 days after surgery. These actions may cause dizziness. Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for at least 2 weeks or until your doctor says it is okay.