Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
Reach Us
+1-845-458-6882
GET THE APP
Surgical Outcomes Of Type-1 Tympanoplasty On Microscopic Technique Post-auricular Approach And Endoscopic Technique Transcanal Approach: A Single Surgeon Experience | 87360
Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.
Surgical outcomes of type-1 tympanoplasty on microscopic technique post-auricular approach and endoscopic technique transcanal approach: A single surgeon experience
2nd International Conference on Ear, Nose and Throat Disorders
Background & Aim: Conventionally, tympanoplasty is a surgical procedure that utilizes the microscope to visualize tympanic membrane and the middle ear. In years past, the use of endoscopes has been limited to paranasal sinus surgeries. Several reports have been made on endoscopic tympanoplasty worldwide. However, there is a scarcity of studies in the Philippines assessing the capacity for endoscopic techniques on micro-otologic surgery. This study aims to describe the surgical outcomes of patients who underwent endoscopic vs microscopic technique in tympanoplasty. Methodology: Review of charts from 2015 to 2017 were done. Patients who underwent type-1 tympanoplasty by a single surgeon via endoscopic or microscopic approach were included in the study. Tympanic membrane integrity, operative time and complications were noted. Result: 19 patients were included in the study. The mean age of patients was 43 for Microscopic and 48 for Endoscopic Tympanoplasty. Mean operative time was 140.6 minutes (SD±43.3) for Microscopic and 86.7 minutes(SD=±13.0) for endoscopic tympanoplasty. Majority of patients were male. There was 100% tympanic membrane integrity on both techniques. Hearing results for air conduction pure tone average from 500, 1000, 2000 and 4000 Hz showed improvement in hearing with a gain of more than 10dB on 5 patients via endoscopic tympanoplasty. For bone conduction PTA, there was noted improvement among 5 patients via microscopic tympanoplasty. Change in air-bone gap showed improvement by more than 10dB on 5 patients via microscopic tympanoplasty. Conclusion: Endoscopic Tympanoplasty is an alternative to microscopic tympanoplasty. It has a high success rate in closure of perforation and yields less operative time.
Biography
Jenina Rachel D J Escalderon is an MD has completed her medical degree from University of Santo Tomas, Manila, Philippines. She is currently an otorhinolaryngology- head and neck surgery resident at the same hospital.
Email:jre_09@yahoo.com
Relevant Topics
Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals