Lateral Graft Tympanoplasty

video

Title: Lateral Graft Tympanoplasty Description: A lateral graft tympanoplasty is performed to demonstrate the utility of this technically challenging approach. The technical pearls that contribute to the high success rate of this graft are highlighted. Learning Points: The lateral graft tympanoplasty was popularized by Sheehy in the 1960s. Although technically more demanding than underlay graft techniques, the lateral graft is an essential method for Otologists to have in their armamentarium. The lateral graft is especially useful in cases of total perforation or anterior marginal perforation as well as revision tympanoplasty. Potential disadvantages of this technique include graft lateralization and anterior blunting as well as keratin pearl formation. When performed by an experienced surgeon, the results of lateral grafting are excellent. The technical considerations that promote successful lateral grafting are highlighted in this video.

Ravi N. Samy, MD, FACS

leadership

University of Cincinnati

• Director, Cochlear Implant and Auditory Brainstem Implant Program
• Program Director, Neurotology Fellowship
• Associate Professor, Department of Otolaryngology

Dr. Ravi Samy was born in Madras (now Chennai), India. He emigrated to the United States in 1973, at the age of 4. The first city in the US in which he lived was Canton, OH. After spending a few years in Connecticut during his father’s psychiatry residency, he moved to Wichita Falls, TX. He spent most of his formative years in Texas and considers himself a Texan. After graduating high school as co-valedictorian, Dr. Samy matriculated at Duke University. He graduated magna cum laude with a BS in Zoology in 1991. He then stayed on at Duke University School of Medicine and graduated in 1995. From 1995-2000, Dr. Samy was an intern and then a resident at Stanford University School of Medicine, where he developed a love for otology, neurotology, and skull base surgery. From 2000-2002, he was a fellow in Neurotology at the University of Iowa. After graduating, he was an Assistant Professor from 2002-2005 at UT-Southwestern Medical Center in Dallas, TX. Although he never wanted to leave Texas again, he was enamored with a phenomenal academic opportunity in the Department of Otolaryngology at the University of Cincinnati/Cincinnati Children’s Medical Center. He has been there for almost 8 years. He became an Associate Professor last year. During his time here, he has created an ACGME accredited, two-year Neurotology fellowship, one of only approximately 15 in the country. Dr. Samy serves not only as Program Director for the Neurotology Fellowship but also as the Director of the Cochlear Implant and Auditory Brainstem Implant program. His research interests include cochlear and auditory brainstem implantation as well as acoustic neuromas, neurofibromatosis type 2, facial nerve tumors, and other diseases and disorders of the lateral skull base. Finally, he is interested in using novel techniques and technologies to eradicate tumors, such as the use of surgical robotic systems or synthetic biology in the form of bacterial robotics systems. He is collaborating with researchers in India, including one of his former fellows, to incorporate these technologies and to enhance global health and increase collaboration between UC and international institutions, thus benefiting both US citizens and those of other nations.

Dr. Samy’s website, CiSurgeon.org provides information about Cochlear Implants, including FAQ, Cochlear Implant Surgery, preparation and more.