January 19, 2012

Revolutionary Surgery for Perforated Eardrum

(Ivanhoe Newswire) — Good news! What? I said good news! A revolutionary surgical technique for treating perforations of the tympanic membrane (eardrum) in children and adults, called Myringoplasty, has been created to replace traditional techniques. Myringoplasty is a surgical procedure used to repair the eardrum when it has been perforated or punctured as the result of infection, trauma, or dislodgement of a myringotomy tube (also known as a pressure equalization tube).

This new technique, developed at the Sainte-Justine University Hospital Centre, an affiliate of the Universite de Montreal, by Dr. Issam Saliba, is as effective as the traditional surgery and far less expensive, and can be performed in 20 minutes at an outpatient clinic during a routine visit to an ENT specialist.

Traditional procedures used to treat tympanic membrane are performed using what are known as lateral and medial techniques, which require hospitalization for at least one day, and patients typically take 10 to 15 days off from work.

Also "with the traditional techniques, you have to be on the waiting list for up to a year and half in order to be operated on,"  Saliba was quoted as saying.

The technique, which Dr. Saliba has designated "HAFGM" (Hyaluronic Acid Fat Graft Myringoplasty), requires only basic materials. The operation, which is performed through the ear canal, allows the body itself to rebuild the entire eardrum after an average of about two months, allowing patients to recover their hearing completely and preventing recurring cases of ear infection (otitis). Because it requires no general anesthetic, operating theatre or hospitalization, the technique makes surgery much more readily available, particularly outside large hospitals centres, and at considerably lower cost.

"In the past five year, I´ve operated on 132 young patients and 286 adults in outpatient clinics using the HAFGM technique. Regardless of the size of the perforation, the results are as good as those obtained using traditional techniques, with the incomparable advantage that patients don´t have lose an entire working day, or 10 days or more off school in the cases of children," said Dr. Saliba.

SOURCE: University of Montreal, January  2012