Transmeatal microsurgical interventions in the middle ear (particularly stapes surgery) require, besides the use of optical means (lupes and microscopes) the application of special instruments which allow the necessary manipulations in the narrow visual and operative field. Therefore, we have indicated and we have been using for the past three years an instrumentarium in comparison to other instruments which offers certain advantages. First, offset or bayonet-shaped universal handle; second, instrument tips which can be exchanged and turned; third, malleable instrument tips.
The offset or bayonet universal handle allows the surgeon to operate without visual obstruction.
The ability to turn and to exchange the instruments reduces the necessary numbers; for instance, the same instrument can form a hook or a curette for working above or below or for the right or the left side. Also, the set can be used for the right and left ear and by a right- or
DWORACEK H. Instruments for Transmeatal Middle Ear Surgery. AMA Arch Otolaryngol. 1959;70(4):510–511. doi:10.1001/archotol.1959.00730040520016
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