After removing the MicroWick, we now routinely anesthetize the perforation with Gelfoam
impregnated with lidocaine gel 2%, freshen the edge with a pick, and place a cigarette-paper patch over the perforation.
La grasa peridural es luxada para revestir a la raiz, colocandose Gelfoam
was placed on the fascia, a meatoplasty was performed and the mastoid bowl was packed with ribbon gauze smeared with antibiotic ointment.
1) Currently available materials include bovine collagen, hydroxyapatite, Gelfoam
, autologous fat, micronized acellular human dermis, hyaluronan, and Teflon (polytetrafluoroethylene).
2) placed on the stapes footplate and stabilized by gelfoam
As soon as the middle ear is exposed, apply Gelfoam
soaked with the injection solution into the middle ear.
The outer gelfoam
is suctioned after 2 weeks and the ear drops are continued for 2 more weeks.
Among the products not mentioned earlier are devices that provide direct pressure via an inflatable balloon or a central lumen and products that have hemostatic properties, such as Gelfoam