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ECR 2016 / C-0658
Imaging of the complications of middle ear surgery : how do I keep my favorite surgeon away from jail?
This poster is published under an open license. Please read the disclaimer for further details.
Congress: ECR 2016
Poster No.: C-0658
Type: Educational Exhibit
Keywords: Inflammation, Infection, Congenital, Diagnostic procedure, MR, CT, Head and neck, Emergency, Ear / Nose / Throat
Authors: A. Venkatasamy1, M. D. A. Cavalcanti1, M. Eliezer2, F. Veillon3; 1Strasbourg/FR, 2paris/FR, 3Strasbourg Cedex/FR
DOI:10.1594/ecr2016/C-0658

Conclusion

The most common surgical complications of middle ear surgery, and especially cholesteatoma surgery, are lesions to the facial nerve and meningoencephalocele.

 

The complications of stapes surgery may concern the middle ear with displacement of the prosthesis or erosion of the long process of the incus. In the region of the oval window, junction between middle and inner ear, stapes surgery may be complicated with perilymph fistula on a venous graft leakage, hemorrhage after a wound to a persistent stapedial artery, or granuloma forming in the oval window. Stapes surgery’s complications to the inner ear are: pneumolabyrinth, displacement of the piston in the vestibule, intravestibular granuloma, labyrithitis and cophosis on Gusher ear.

 

The imaging’s interpretation cannot be done regardless of the clinical setting.

 

 

All of these complications may be prevented by a precise and oriented analysis of the preoperative imaging.

 

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