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 79
- Downloads 0
Treatment for Gynaecomastia in Men. Experience with the Inferior Periareolar Incision in a Single Third Level Medical Facility
Background: Gynaecomastia is defined as an enlargement of the mammary gland in men. Objective: To evaluate Aesthetic Results of Subdermal Mastectomy by means of Inferior Periareolar Incision. Materials and Methods: Des...
Physicians' Perspectives Toward Shared Decision Making in Developing Countries
Aims: To evaluate Iranian physicians’ perspectives on shared decision making by validating and translating the physician version of a shared decision making questionnaire (SDM-Q-DOC). Place and Duration: Iranian Evidence...
Carbonic Anhydrase Inhibition Affect Antioxidant Enzyme Activity in the Blood of STZ Induced Diabetic Rats
Background: Carbonic anhydrase is found in the blood of all vertebrate and thus playing a fundamental role in the maintenance of acid-base homeostasis. Erythrocytes are intrinsically prone to oxidative stress because of...
Comparison of Diastolic Function of Homozygous Sickle Cell Anaemia with Haemoglobin AA Children Using Basic Mitral Inflow Doppler Echocardiography
Aims: Sickle cell anaemia (SCA) remains the most prevalent and arduous inherited disease in Nigeria. Various adverse cardiovascular consequences have been documented including cardiac chamber enlargement and left ventric...
A Methodological Study: Validity and Reliability of the Turkish Version of the Attitudes towards Cancer Scale
Introduction: The 30-item Attitudes Towards Cancer Scale (ATC) is used in English speaking countries to measure attitudes towards cancer patients which has not been validated in Turkish population. Aims: The aim of this...