Year : 2017 | Volume
: 33 | Issue : 2 | Page : 473--476
Round window accessibility in transcanal approach
Mohammed Rashad Ghonim1, Mohammed Mohammed Ebrahim Abo-Samra1, Waleed Moneir1, Ahmed Hemdan El-Deeb2
1 Professor of Otorhinolaryngology, Faculty of Medicine, Mansoura University, Elmansoura, Egypt
2 Master Degree, Assistant Lecturer, Faculty of Medicine, Mansoura University, Elmansoura, Egypt
Our aim of this study is to evaluate the transcanal approach to visualize the round window whose visualization is a very important and challenging topic as it is used as a portal for electrode insertion during cochlear implantation.
This study was carried out over fifty patients suffered from conductive or mixed hearing loss with intact tympanic membrane suggested to be otosclerotic patients irrespective to their age or sex. The exploratory tympanotomy procedures were performed. The tympanomeatal flap is considered to be completely elevated when the posterior edge of long process of malleus, the long process of incus, the stapes and the stapedial tendon were visible and the flap is reflected anteriorly without tension. At this step, visualization of round window is assessed microscopically and endoscopically by using an oto-endoscope of 2.7 mm diameter and 30 angle.
By using the microscope, we found that 48 cases were fully visible (Type 1), 1 case was partially visible (Type 2) and 1 case was not visible (Type 3). By using the endoscope, we found that the round window details are fully visible in all the fifty cases.
We experienced that better exposure of round window could be achieved with less effort via transcanal approach. Using the endoscope gives panoramic view with clear details. So, transcanal approach can be used instead of classic posterior tympanotomy to visualize the round window.
Lecturer of Otorhinolaryngology, Faculty of Medicine, Mansoura University. Mansoura University hospital - postal code is 35511
|How to cite this article:|
Ghonim MR, Abo-Samra ME, Moneir W, El-Deeb AH. Round window accessibility in transcanal approach.Egypt J Otolaryngol 2017;33:473-476
|How to cite this URL:|
Ghonim MR, Abo-Samra ME, Moneir W, El-Deeb AH. Round window accessibility in transcanal approach. Egypt J Otolaryngol [serial online] 2017 [cited 2018 Jun 23 ];33:473-476
Available from: http://www.ejo.eg.net/article.asp?issn=1012-5574;year=2017;volume=33;issue=2;spage=473;epage=476;aulast=Ghonim;type=0