Table of Contents
ISRN Otolaryngology
Volume 2014 (2014), Article ID 175268, 7 pages
http://dx.doi.org/10.1155/2014/175268
Clinical Study

Feasibility of Endoscopic Treatment of Middle Ear Myoclonus: A Cadaveric Study

1Department of Otolaryngology-Head & Neck Surgery, Temple University School of Medicine, Philadelphia, PA 19140, USA
2Metropolitan NeuroEar Group, Rockville, MD 20852, USA

Received 21 January 2014; Accepted 12 February 2014; Published 10 March 2014

Academic Editors: G. G. Ferri and M. Sone

Copyright © 2014 Natasha Pollak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Stapedius and tensor tympani tenotomy is a relatively simple surgical procedure commonly performed to control pulsatile tinnitus due to middle ear myoclonus and for several other indications. We designed a cadaveric study to assess the feasibility of an entirely endoscopic approach to stapedius and tensor tympani tenotomy. We performed this endoscopic ear surgery in 10 cadaveric temporal bones and summarized our experience. Endoscopic stapedius and tensor tympani section is a new, minimally invasive treatment option for middle ear myoclonus that should be considered as the first line surgical approach in patients who fail medical therapy. The use of an endoscopic approach allows for easier access and vastly superior visualization of the relevant anatomy, which in turn allows the surgeon to minimize tissue dissection. The entire operation, including raising the tympanomeatal flap and tendon section, can be safely completed under visualization with a rigid endoscope.