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KMID : 0361020230660100702
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 10 p.702 ~ p.705
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Hybrid Retroauricular Approach Without Ear Canal Skin Incision
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Kim Soon-Joon
Kwon Joong-Keun
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Abstract
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The majority of tympanoplasty procedures have been performed using the retroauricular ap-proach to improve visualisation of the anterior tympanic membrane. The classic retroauricularapproach requires elevation of the Korner flap and tympano-meatal flap through the ear canalskin incision. This step can lead to the exposure of the bones in the ear canal, resulting in de-layed wound healing and pain, especially in elderly or immunocompromised patients. Endo-scopic ear surgery is a minimally invasive procedure that offers a wider field of view, but hasthe disadvantage of being a one-handed operation and cannot avoid skin incisions in the earcanal for tympanoplasty. Here we present a hybrid retroauricular approach without skin inci-sion of the ear canal, using both microscope and endoscope. This method provides very fastwound healing and significantly less pain.
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KEYWORD
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Endoscopes, Microsurgery, Tympanoplasty
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FullTexts / Linksout information
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Listed journal information
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