1. Otology and Neurotology Health Services

Our Otorhinolaryngology (ORL) department at Mansoura University treats variety of conditions related to Ear, Nose, Larynx (voice box), Pharynx, Head and Neck surgery, Maxillofacial and Skull base.

Our Otology and Neurotolgy expert staff deals with many diseases of the Ear including diseases of the           inner ear. Our health service at Mansoura University hospitals (MUH) has many tools in our outpatient clinic and ORL Operating Room to help diagnose the patient precisely and make a treatment plan with inpatient section for appropriate follow up of patients.

Otology and Neurotology deals with a lot of conditions as hearing loss, chronic ear infection and profound sensorineural hearing. These services and procedures include:

1. • Myringotomy with/without ventilation tube insertion:
   • In cases of patients who have persistent otitis media with effusuion (OME)
   • Selected cases with complicated acute otitis media (AOM)
   • Tympanoplasty with/without mastoidectomy:

This type of surgery is directed to treating an ear with chronic infection. Chronic ear infection range from a small dry perforation in tympanic membrane to complicated cases with cholesteatoma. There must be appropriate selection of the procedure to be done in each patient. It can be done either through microscope or endoscope (endoscopic ear surgery). These procedures include:

• • Myringoplasty (Tympanoplasty type I) either microscopic or endoscopic
  • Endoscopic ear surgery
  • Tympanoplasty with canal wall up mastoidectomy
  • Canal wall down mastoidectomy

3. Stapes surgery:

Otosclerosis is a disease that cause fixation of the ossicles leading to hearing loss. Stapedectomy is the surgery that replace the fixed stapes with a prosthetic one to regain hearing.

4. Ossicular reconstruction:

Patients who have hearing loss due to loss of the connection between tympanic membrane and oval window which is the opening of the middle ear into the sensory inner ear. Reconstruction of sound transferring mechanism by reconstruction of the bony ossicles is done to treat those patients with a different technique directed to each patient’s need.

5. Cochlear implantation:

We have one of the best teams of cochlear impanation for patients with profound sensorineural hearing loss, especially children born with such disability. This great effort is done in collaboration with health insurance providing needed implants for those kids.

6. Surgery for benign ear tumors:

Surgery is done for benign ear tumors such as osteoma of external auditory canal.

7. Glomus surgery:

Glomus is a vascular benign tumor that originate either in middle ear (Glomus tympanicum) or in jugular foramine (Glomus jugulare).

8. Lateral skull base surgery:

This is an advanced type of surgery for large Glomus jugulare and other lesions in this difficult to access

2- Rhinology and Skull Base Health Service

Minor surgery

1. Adenoidectomy
2. Foreign body removal
3. cauterization of little's area for epistaxis
4. Inferior turbinate reduction
5. Septoplasty
6. Sphenopalatine artery ligation
7. Septal hematoma incision & drainage
8. Septal abscess incision & drainage

Major surgery ( endoscopic sinus surgery ESS )

1. Chronic rhinosinusitis with or without nasal polyps (ESS)
2. CSF rhinorrhea repair (ESS)
3. Angiofibroma excision (ESS)
4. Excision of benign sinonasal tumors
5. Excision of malignant sinonasal tumors ( ESS ± open approaches )
6. Septorhinoplasty
7. Debridement for Invasive fungal sinusitis
8. Nasal dermoid surgery
9. Congenital choanal atresia repair

3. Laryngology, Head & Neck Surgery Health Service

1.  Head and neck lymph node and tumour biopsy techniques

2.Laryngofissure technique

3.Vertical  partial laryngectomy

4.Modified and radical neck dissection technique

5.Neck dissection using the fascial plane technique

6.Oropharyngeal cancer resection

7.Parathyroidectomy

8.Parotidectomy

9.Partial glossectomy for tongue cancer

10.Percutaneous dilational tracheostomy surgical technique

11.Ranula and sublingual salivary gland excision

12.Resecting branchial cysts, fistulae and sinuses

13.Resection of cancers of the base of tongue

14.Resection of extratemporal paragangliomas including carotid body and glomus

15.Resection of floor of mouth cancers

16.Rigid laryngoscopy, oesophagoscopy and bronchoscopy in adults

17.Selective neck dissection operative technique

18.Submandibular gland excision

19.laser transoral microsurgery _TLM_

20.Total laryngectomy

21.Vertical partial laryngectomy

22.Supracricoid laryngectomym

23.Management of salvage laryngectomy defects and related wound complications Supraglottic laryngectomy

24.Surgery for Laryngocoeles _Laryngoceles_

25.Surgery for pharyngeal pouch _Zenker_s diverticulum_

26.Surgical drainage of deep neck abscesses

27.Surgical management of facial fractures

28.Surgical resection of cancer of the buccal mucosa

29.Thyroglossal remnants surgery.

30.Thyroidectomy

31.Total glossectomy for tongue cancer

32.Inferior Maxillectomy

33.Medial Maxillectomy

34.Total Maxillectomy and Orbital Exenteration

35.Tracheostomy