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