Surgical Atlas of pediatric otolaryngology - part 1 docx

[...]... Compression of flanges with alligator or cup forceps aids in insertion of the tube (Figure 1 10 ) ♦ The tube is in place Note the posterior flange behind the malleus (Figure 1 11 ) Figure 1 9 A Per-Lee tube is shortened Figure 1 10 The tube is inserted using an alligator forceps Figure 1 11 The tube in place 14 Surgical Atlas of Pediatric Otolaryngology • A Richards T-tube may also be used: ♦ ♦ Figure 1 12 The... Surg 19 99 ;12 5:537–45 11 Derkay CS, Carron JD, Wiatrak BJ, et al Postsurgical follow-up of children with tympanostomy tubes: results of the American Academy of Otolaryngology- Head Neck Surgery Pediatric Otolaryngology Committee National Survey Otolaryngol Head Neck Surg 2000; 12 2: 313 –8 12 Rosenfeld RM, Isaacson GC Tympanostomy tube care and consequences In: Rosenfeld RM, Bluestone CD, editors Evidence-based... MD Department of Otolaryngology Head and Neck Surgery University of Virginia Health System Charlottesville, Virginia Chapter 29: Soft Tissue Surgery Sylvan E Stool, MD Emeritus Professor of Otolaryngology University of Colorado School of Medicine Denver, Colorado Chapter 25: Endoscopy of the Upper Aerodigestive Tract Sherard A Tatum, MD Associate Professor of Otolaryngology Director, Division of Facial... (Figure 1 14 ) • Epithelium from the rim of the perforation is removed using a rightangled pick, or using a gently curved pick to split the layers of tympanic membrane and a cup forceps to remove the tissue (Figure 1 15 ) Figure 1 14 The myringotomy tube is gently removed using an alligator forceps Figure 1 15 Epithelium from the rim of the perforation is removed using a right-angled pick 18 Surgical Atlas. .. A Werkhaven, MD Associate Professor of Otolaryngology Department of Otolaryngology Vanderbilt University Medical Center Nashville, Tennessee Chapter 28: Laryngotracheal Laser Surgery J Paul Willging, MD Associate Professor of Otolaryngology University of Cincinnati College of Medicine Department of Otolaryngology Children’s Hospital Medical Center Cincinnati, Ohio Chapter 18 : Velopharyngeal Insufficiency... of grommet-type tubes In this situation, placement of permanent tubes may reduce the need for frequent future operations In general, a permanent tympanostomy tube is recommended when a permanent (chronic) perforation is desirable This author uses one of two types: the Per-Lee tube (XomedTreace Inc, Jacksonville, FL )16 or the Richards T-Tube (Smith-Nephew Inc, Bartlett, TN) 15 12 Surgical Atlas of Pediatric. .. Endoscopy of the Upper Aerodigestive Tract J Thomas Roland Jr, MD Department of Otolaryngology New York University Medical Center New York, New York Chapter 9: Cochlear Implants Richard M Rosenfeld, MD, MPH Professor of Clinical Otolaryngology SUNY Downstate Medical Center Director, Division of Pediatric Otolaryngology Department of Otolaryngology Long Island College Hospital and University Hospital of Brooklyn... plastic needle tip (Figure 1 17 ) Figure 1 16 A circular portion of Steri-Strip (Medical -Surgical Division/3M, St Paul, MN) is cut and placed over the perforation Figure 1 17 Instillation of an antibiotic ointment into the external auditory canal using a syringe and a plastic needle tip (Quik-Cath, Baxter Healthcare Corporation, Deerfield, IL) Tympanostomy Tubes and Related Procedures 19 Postoperative Care... Laryngoscope 19 99 ;10 9:2009 14 4 Bluestone CD Efficacy of ofloxacin and other ototopical preparations for chronic suppurative otitis media in children Pediatr Infect Dis J 20 01; 20 :11 1–5 5 Casselbrant ML, Kaleida PH, Rockette HE, et al Efficacy of antimicrobial prophylaxis and tympanostomy tube insertion for prevention of recurrent acute otitis media: results of a randomized clinical trial Pediatr Infect Dis J 19 92 ;11 :278–86... discussed in detail below (see Grommet-Type Tympanostomy Tube Insertion) Figure 1 4 A, A small Baron or Fraser aspirator is used for aspiration of middle-ear effusion B, When a wide-field inferiorly placed myringotomy is indicated, a larger aspirator is used 6 Surgical Atlas of Pediatric Otolaryngology GROMMET -TYPE TYMPANOSTOMY TUBE INSERTION Of the many types of tubes currently available, the biflanged . Publications Department Lewiston, NY 14 09 2-0 785 Customer Service Department 3-2 4 -1 7 Hongo Tel: 90 5-5 2 2-7 017 / 1- 8 0 0-5 6 8-7 2 81 Foots Cray High Street Bunkyo-ku,Tokyo, Fax: 90 5-5 2 2-7 839 / 1- 8 8 8-3 7 7-4 987. PA 19 442 Tel: 61 0-8 2 7 -1 640 Fax: 61 0-8 2 7 -1 6 71 e-mail: jsco@voicenet.com BC Decker Inc 20 Hughson Steet South P. O. Box 620, L.C.D. 1 Hamilton, Ontario L8N 3K7 Tel: 90 5-5 2 2-7 017 ; 1- 8 0 0-5 6 8-7 2 81. Road Fax: 90 5-5 2 2-7 839 / 1- 8 8 8-3 7 7-4 987 Australia Singapore 238884 E-mail: info @ bcdecker.com Tel: (02) 9 51 7-8 999 Tel: 6 5-7 3 7-3 593 Website: www.bcdecker.com Fax: (02) 9 51 7-2 249 Fax: 6 5-7 5 3-2 14 5 E-mail: