Radical ear surgery

This operation is performed with chronic purulent otitis( epitimpanitis).A table for instruments is installed either between the surgeon and the assistant, or over the thoracic part of the patient's torso, provided that he does not obstruct the patient's breathing. Tools should be placed on the table in the order in which they will be used during the operation. For the radical ear surgery, the following tools are needed: a scalpel pointed, an eye scalpel, an acute rasper, a blunt Killian bluff, three Tisza bits: large, medium and small, Freyer's rammer, Voyachek's chisel flat, Voyachek chisels gullying: large, medium and small( antral), 3 chisel slots: broad, medium and narrow, earwax, 2 surgical tweezers, ear pinch, eye surgical tweezers, bone forceps( Luer), Cooper scissors: eye, straight, curved, spoon, medium bony.

The patient needs to be laid on his back, his head turned towards the neo-peripated ear. The face is covered with gauze, which should not impede breathing and limit the possibility of free observation of the patient's face. This is an important point, because at certain stages of surgery, the operating nurse, at the request of the surgeon, must report whether there are any contractions in the facial muscles-the reaction of the facial nerve to the manipulation of the surgeon near him. In the event of the appearance during the operation of vomiting, the operating sister must protect the operating field from contamination. During the operation, the nurse gives the necessary tools, gauze napkins, balls, ears, or cotton balls, warmed to body temperature saline in a rubber balloon for washing the wound, includes an apparatus for suctioning from a blood wound or rinsing fluid that is connected to the electrical network before the operation begins, as well as a diathermic apparatus, if a diathermic current is used to stop bleeding from small vessels. If during surgery, the surgeon needs to use the operating optics( Gulyntrand magnifying glass or operating microscope), the operating sister, along with other employees of the surgical dressing unit, helps him put on the magnifying glass and frontal illuminator or install an operating microscope. Radical surgery on the ear ends with suturing the wound, lubricating the skin around it with petroleum jelly and applying a "columnar" bandage.