Guest guest Posted June 25, 2004 Report Share Posted June 25, 2004 Hi Tom! I've been on the group site for a few months, mostly lurking and learning. So, I am glad to have found this group, too. The doctor we used is Jed Kwartler in Sprigfield, NJ. He was referred to me by my brother in law who is a family practice doctor in Syracuse, NY. When he found out Noah had to have this surgery, he consulted his colleagues regarding who in the NJ are we should go to. He said that Dr. Kwartler was one of the best guys on the East Coast for this particular type of surgery. We didn't really want to go all the way to Manhattan but he gave us some references for there, as well. We were surprised that he put the prostetic in so fast. However, the ENT that was originally going to do our surgery said that he was going to make an attempt at the reconstuction in the first surgery, also. So, it may be because this was a congenital case and Noah has had no other ear problems prior to this. We found it in a hearing test. I would think that would make a big difference with the wait and see approach, maybe? Thanks for the response! I'll keep an eye on this group...Though, I don't feel I have much to contribute educationally since most of what I'm learning I'm learning here! LOL:) Thanks again, Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2004 Report Share Posted June 26, 2004 I had acquired ctoma and my doc did the reconstruction on the first surgery as well. So far everything is working great, since my hearing was back to normal less than 2 months after the surgery. Maybe they do reconstruction because they are confident they've removed the ctoma. Or maybe it's a new way to treat it that some of the top otologists are trying out. I have no plans to see my doc for awhile (hopefully not until next year when I'm due for the follow-up surgery), but I'll try to remember to ask him on my next visit. Dave > Hi Tom! > > I've been on the group site for a few months, mostly lurking and > learning. So, I am glad to have found this group, too. > > The doctor we used is Jed Kwartler in Sprigfield, NJ. He was > referred to me by my brother in law who is a family practice doctor > in Syracuse, NY. When he found out Noah had to have this surgery, > he consulted his colleagues regarding who in the NJ are we should go > to. He said that Dr. Kwartler was one of the best guys on the East > Coast for this particular type of surgery. We didn't really want to > go all the way to Manhattan but he gave us some references for > there, as well. > > We were surprised that he put the prostetic in so fast. However, > the ENT that was originally going to do our surgery said that he was > going to make an attempt at the reconstuction in the first surgery, > also. So, it may be because this was a congenital case and Noah has > had no other ear problems prior to this. We found it in a hearing > test. I would think that would make a big difference with the wait > and see approach, maybe? > > Thanks for the response! I'll keep an eye on this group...Though, I > don't feel I have much to contribute educationally since most of > what I'm learning I'm learning here! LOL:) Thanks again, Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 26, 2004 Report Share Posted June 26, 2004 I just found this on the web that may explain it better: http://www.michiganear.com/library/O/ossicular.pdf It's a document talking about a new top of prostheses used for ossicular reconstruction (OSSICULAR RECONSTRUCTION USING HYDROXYLAPATITE STRUTS). Here's the paragraph that explains why they do the reconstruction on the first surgery: Prior to the availability of HA, I had abandoned reconstructing the ossicular chain during the first phase of intact canal wall mastoidectomy due to the relatively high chance of infection and extrusion of plastic prostheses. With the superior tolerance of HA, I now routinely reconstruct the ossicular chain during the first surgery. The self-locking nature of the Strut design increases the probability that the implant will remain in good position despite the anticipated fluid and pressure changes which occur following tympanomastoidectomy. Furthermore, the Strut, in combination with the cartilage blocks, helps maintain a ventilated middle ear. My doc did say he was using the latest and greatest prostheses for the reconstruction. He also used a laser as mentioned at the end of the document. Dave > > Hi Tom! > > > > I've been on the group site for a few months, mostly lurking and > > learning. So, I am glad to have found this group, too. > > > > The doctor we used is Jed Kwartler in Sprigfield, NJ. He was > > referred to me by my brother in law who is a family practice doctor > > in Syracuse, NY. When he found out Noah had to have this surgery, > > he consulted his colleagues regarding who in the NJ are we should > go > > to. He said that Dr. Kwartler was one of the best guys on the East > > Coast for this particular type of surgery. We didn't really want > to > > go all the way to Manhattan but he gave us some references for > > there, as well. > > > > We were surprised that he put the prostetic in so fast. However, > > the ENT that was originally going to do our surgery said that he > was > > going to make an attempt at the reconstuction in the first surgery, > > also. So, it may be because this was a congenital case and Noah > has > > had no other ear problems prior to this. We found it in a hearing > > test. I would think that would make a big difference with the wait > > and see approach, maybe? > > > > Thanks for the response! I'll keep an eye on this group...Though, > I > > don't feel I have much to contribute educationally since most of > > what I'm learning I'm learning here! LOL:) Thanks again, Tara Quote Link to comment Share on other sites More sharing options...
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