ENT doctors of the СRCH did a meticulous job on an 11-year-old child
An otorhinolaryngologist observed an 11-year-old girl from the Republic of Tatarstan's capital in a polyclinic at the place of residence. The girl had a history of frequent purulent otitis media and hearing loss.
After a consultation at the CRCH, the child underwent an X-ray computed tomography of the temporal bones and a hearing examination at the Audiology center. As a result of a diagnostic complex of tests, she was referred to surgical treatment.
The surgical intervention's peculiarity and difficulty were that the scarring changes in the middle ear, the adhesions, and the cholesteatoma's vining nature. The cholesteatoma spread to the auditory bones and the open facial nerve, which is the middle ear's key anatomical structure. When the facial nerve is damaged, its paresis or facial asymmetry occurs.
"The child underwent a difficult hearing improving surgery under the control of the microscope and endoscope, which included not only the restoration of the tympanic membrane from autotissues (native periosteum), treatment phase (removal of pathological content and dissection of scars), and the reconstruction of the ossicular chain (carved under the microscope prosthesis in the stirrup of his own anvil)," said the ENT physician Irina Andreeva.
At the moment, the girl will be under the supervision of CRCH doctors. It is worth emphasizing that another surgical intervention is planned on the other ear.