Endoscopic Treatment of Middle Ear Myoclonus with Stapedius and Tensor Tympani Section: A New Minimally-Invasive Approach
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 17
Abstract
Aims: We describe a new, entirely endoscopic surgical technique for treatment of middle ear myoclonus. Case Presentation: In our patient, the stapedius and tensor tympani tendons were sectioned to control chronic middle ear myoclonus. The procedure was performed using endoscopic ear surgery techniques, with the aid of rigid Hopkins rod endoscopes. Control of the pulsatile tinnitus was achieved after endoscopic tenotomy of the stapedius and tensor tympani, without any complications. Discussion and Conclusion: Endoscopic tensor tympani and stapedius tendon section is a new, minimally invasive treatment option for middle ear myoclonus that should be considered as a first line surgical approach in patients who fail medical therapy. The use of an endoscopic approach allows for easier access and vastly superior visualization of the relevant anatomy, which in turn allows the surgeon to minimize dissection of healthy tissue for exposure. The entire operation, including raising the tympanomeatal flap and tendon section can be safely completed under visualization with a rigid endoscope with good control of the pulsatile tinnitus.
Authors and Affiliations
Natasha Pollak, Roya Azadarmaki, Sidrah Ahmad
Keywords
Related Articles
- EP ID EP349500
- DOI 10.9734/BJMMR/2014/9181
- Views 108
- Downloads 0
Lateral Incisor: Overtaking Others from behind
In order to preserve the integrity of the dental arch, repositioning of the displaced lateral incisors to their normal position next to the central incisors should be considered. The conventional method for aligning ecto...
Serum Levels of Interleukin-2 and Interleukin-2 Soluble Receptor in Patients with Vitiligo
Background: Vitiligo is a common skin disorder characterized by macular depigmentation of the skin. Although the etiopathogenesis of the disease is still unclear, several studies have shown that within the cascade of pat...
Tuberculosis in an HIV-infected Child in a Developing Country: A Case Report of Diagnosis Challenges
Aims: To highlight the challenges and the diagnostic dilemmas in resource restricted settings to diagnose and treat Tuberculosis (TB), especially when it co-exists with Human immunodeficiency virus (HIV) infection. Pres...
Determining Sources of Motivation for Nurses of Different Generations in Turkey
The aim of the study is to determine the motivation sources of nurses from different generations. 396 nurses were recruited for our study. The data were collected by “Socio-demographic Questionnaire” and “Motivation Sour...
Prevalence of Depression and Its Associated Risk Factors in the Primary Care Setting in Kuantan
Aims: To determine the prevalence of depression and its associated risk factors among adults attending primary care clinics in Kuantan. Study Design: Cross-sectional. Place and Duration of Study: Public primary care c...