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Position of the Surgeon in Stapes Surgery

Position of the Surgeon in Stapes Surgery Exposure of the posterior tympanic compartment via a posterior tympanotomy incision has become a standard practice in stapes surgery. (The incision and exposure were originally advocated by Lempert1 as an approach to tympanosympathectomy.) Experiences with the conventional arrangement in which the surgeon makes the incision standing or sitting posteriorly to the patient have revealed definite anatomical inadequacies, since the surgeon's vision naturally is directed to the anterior canal wall and the anterior tympanic compartment. Because of the angle of vision the surgeon must in effect look backward to visualize the posterior canal wall. If he uses straight oculars the effect is further increased (Fig. 1). Good exposure of the stapedial tendon, eminentia pyramidalis, posterior aspect of footplate, and posterior crus, is frequently difficult because of the degree of annular overhang. A good deal of blind curettage of annulus is necessary and frequently results in unnecessary trauma to chorda tympani. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngolog American Medical Association

Position of the Surgeon in Stapes Surgery

Archives of Otolaryngolog , Volume 73 (4) – Apr 1, 1961

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Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0003-9977
eISSN
1538-361X
DOI
10.1001/archotol.1961.00740020426011
Publisher site
See Article on Publisher Site

Abstract

Exposure of the posterior tympanic compartment via a posterior tympanotomy incision has become a standard practice in stapes surgery. (The incision and exposure were originally advocated by Lempert1 as an approach to tympanosympathectomy.) Experiences with the conventional arrangement in which the surgeon makes the incision standing or sitting posteriorly to the patient have revealed definite anatomical inadequacies, since the surgeon's vision naturally is directed to the anterior canal wall and the anterior tympanic compartment. Because of the angle of vision the surgeon must in effect look backward to visualize the posterior canal wall. If he uses straight oculars the effect is further increased (Fig. 1). Good exposure of the stapedial tendon, eminentia pyramidalis, posterior aspect of footplate, and posterior crus, is frequently difficult because of the degree of annular overhang. A good deal of blind curettage of annulus is necessary and frequently results in unnecessary trauma to chorda tympani.

Journal

Archives of OtolaryngologAmerican Medical Association

Published: Apr 1, 1961

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