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80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

20.05. - 24.05.2009, Rostock

Prevalence of tympanic haemorrhage after microscopic paranasal sinus surgery

Meeting Abstract

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  • author Angela Färber - Klinik für HNO-Heilkunde, Halberstadt, Germany
  • Stefanie Drüg-Skamel - Klinik für HNO-Heilkunde, Halberstadt, Germany
  • corresponding author Klaus Begall - Klinik für HNO-Heilkunde, Halberstadt, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno086

DOI: 10.3205/09hno086, URN: urn:nbn:de:0183-09hno0866

Published: July 22, 2009

© 2009 Färber et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Introduction: The operative remediation of recurrent and chronical paranasal sinus diseases is received standard whenever a nonsurgical therapy has no or non-permanent improvement. How high is the risk that blood from the operative region attains to the tympanic cavity via eustachian tube?

Methods: We measured the tympanometric pressure and the static compliance preoperatively and the first day postoperatively of patients who underwent a paranasal sinus surgery. We surveyed the eardrums via otological endoscope and took additionally a photo.

Results: We could find a discrete, unilateral, tympanic haemorrhage in 2 cases after examination of 34 patients. The corresponding tympanogram showed always tubal dysfunction. The tubal dysfunction was detected totally in 12 cases.

The tubal function improved for 8 patients. The tympanometric pressure was identical to the preoperative results for all the others patients.

Conclusion: The prevalence of tympanic haemorrhage after microscopic paranasal sinus surgery is rare. A tubal dysfunction on the other hand can be detected frequently.


References

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Yao M, Shen H. The effects of endoscopic nasal surgery on the function of eustachian tube. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2002;16(5):208-9.
2.
Stammberger H. An endoscopic study of tubal function and the diseased ethmoid sinus. Arch Otorhinolaryngol. 1986;243(4):254-9.