Advances in surgery for middle ear are both technical and new concepts. In terms of technical advances, the laser has been introduced, which allows to decrease complications and failures.
Some of the improvements that have occurred are:
- In surgical microscopes
- In the methodology of anesthesia
- There are new functional materials for reconstruction of the ossicles and tympanic membrane
- It has been introduced with diffusion MRI as an adjunct to CT scans in monitoring cases of cholesteatoma surgery.
From my point of view, these improvements have led to greater security and an reoperations evit second time that once were scheduled in more than 50% of cases and are now down to about 20%.
In functional surgery (hearing recovery) of hearing loss, improvements affect new materials and surgical methodology decreased failures and better options for recovery from failures.
Moreover, the concepts of indication and surgical procedures are constantly evolving, due to improvements in diagnosis and begin earlier, a fact that allows us to be less aggressive to meet conditions less advanced.
As for future challenges in middle ear surgery and its aftermath, the goal is to get a higher percentage of healing and functional success, and greater stability in the results, because although they are good and what keeps us excited is to achieve perfection.
Say the experts in otolaryngology that the current methodology can be optimistic about the future of functional results of our surgery.