Endoscope-guided XXXX repair.

@entity1 @entity1109 @entity2269
OBJECTIVE: Endoscope-guided round window membrane repair was performed to evaluate whether the approach is feasible in the treatment of a @entity2269 . STUDY DESIGN: Retrospective case review. SETTING: Tertiary care academic center. @entity1 : A 27-year-old @entity1 had been scuba diving 6 days previously in the Australian Great Barrier Reefs. He had poor hearing with @entity1109 . INTERVENTION: A myringotomy was incised, and a tympanoscope was introduced into the middle ear cavity. With the @entity1 under general anesthesia, the middle ear and the oval and round window areas were examined with a tympanoscope. In endoscopic visualization, a round perforation could be seen in the round window membrane. After detection of the round window perforation, a small piece of temporal fascia was obtained to seal the membrane perforation. RESULTS: One month after the operation, the @entity1 's hearing was significantly better. The myringotomy had healed. CONCLUSION: A transmyringeal endoscopic procedure for @entity2269 repair is feasible and combines the best features of minimally invasive surgery and aural endoscopy.
