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Temporal bone fracture following spontaneous healing. (Otoscopic Clinic).


This otoscopic view is that of a left ear 6 weeks following injury. A posterior-superior perforation and damage to the posterior-superior canal have healed with the exception of the fracture site, represented by a small, jagged line at the posterior-superior edge of the photograph, fracture dislocation of the manubrium manubrium /ma·nu·bri·um/ (mah-noo´bre-um) pl. manu´bria   [L.] a handle-like structure or part, such as the manubrium of the sternum.  of the malleus, and adhesion of the tympanic membrane to the promontory superior to the round window. The incus and stapes stapes /sta·pes/ (sta´pez) [L.] the innermost of the auditory ossicles; it articulates by its head with the incus and its base is inserted into the oval window

sta·pes
n. pl.
 are not seen. Tympanoplasty tympanoplasty /tym·pa·no·plas·ty/ (tim´pah-no-plas?te) surgical reconstruction of the tympanic membrane and establishment of ossicular continuity from the tympanic membrane to the oval window.  by use of a tympanomeatal flap and placement of a Wehr's hydroxypatite prosthesis resulted in successful restoration of hearing. Placement of a disc of 0.005-inch-thick Silastic Silastic /Si·las·tic/ (si-las´tik) trademark for polymeric silicone substances that have the properties of rubber but are biologically inert; used in surgical prostheses.  film is needed to prevent readhesion at the tympanic membrane after it is dissected from the promontory.
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Article Details
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Author:Pulec, Jack L.
Publication:Ear, Nose and Throat Journal
Article Type:Brief Article
Geographic Code:1USA
Date:Jun 1, 2003
Words:118
Previous Article:Communication from the American Board of Otolaryngology.(Letter to the Editor)
Next Article:Endoscopic view of a foreign body in the nasal cavity that initially resembled a polypoid mass. (Rhinoscopic Clinic).
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