Endoscopic Treatment of Middle Ear Myoclonus with Stapedius and Tensor Tympani Section: A New Minimally-Invasive Approach.
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Date
2014-06-11
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Abstract
Aims: We describe a new, entirely endoscopic surgical technique for treatment of middle
ear myoclonus.
Case Presentation: In our patient, the stapedius and tensor tympani tendons were
sectioned to control chronic middle ear myoclonus. The procedure was performed using
endoscopic ear surgery techniques, with the aid of rigid Hopkins rod endoscopes. Control
of the pulsatile tinnitus was achieved after endoscopic tenotomy of the stapedius and
tensor tympani, without any complications.
Discussion and Conclusion: Endoscopic tensor tympani and stapedius tendon section is
a new, minimally invasive treatment option for middle ear myoclonus that should be
considered as a first line surgical approach in patients who fail medical therapy. The use
of an endoscopic approach allows for easier access and vastly superior visualization of
the relevant anatomy, which in turn allows the surgeon to minimize dissection of healthy
tissue for exposure. The entire operation, including raising the tympanomeatal flap and
tendon section can be safely completed under visualization with a rigid endoscope with
good control of the pulsatile tinnitus.
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Keywords
Middle ear myoclonus, stapedius myoclonus, tensor tympani myoclonus, pulsatile tinnitus, endoscopic ear surgery, functional endoscopic ear surgery, minimally-invasive surgery
Citation
Pollak Natasha, Azadarmaki Roya, Ahmad Sidrah. Endoscopic Treatment of Middle Ear Myoclonus with Stapedius and Tensor Tympani Section: A New Minimally-Invasive Approach. British Journal of Medicine and Medical Research. 2014 June; 4(17): 3398-3405.