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Questions and Answers
What is the primary purpose of Functional Endoscopic Sinus Surgery (FESS)?
What is the primary purpose of Functional Endoscopic Sinus Surgery (FESS)?
What does a closed reduction of a nasal fracture involve?
What does a closed reduction of a nasal fracture involve?
Which segment of the throat does the hypopharynx belong to?
Which segment of the throat does the hypopharynx belong to?
In nasoseptoplasty, what is the primary goal of the procedure?
In nasoseptoplasty, what is the primary goal of the procedure?
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What is the role of the isthmus in the thyroid anatomy?
What is the role of the isthmus in the thyroid anatomy?
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What is administered by the pituitary gland when thyroid hormone levels decrease?
What is administered by the pituitary gland when thyroid hormone levels decrease?
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What instrument is primarily used in Functional Endoscopic Sinus Surgery (FESS)?
What instrument is primarily used in Functional Endoscopic Sinus Surgery (FESS)?
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What is a common condition treated by nasoseptoplasty?
What is a common condition treated by nasoseptoplasty?
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Which anatomical structure is not part of the throat?
Which anatomical structure is not part of the throat?
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What condition may necessitate Functional Endoscopic Sinus Surgery (FESS)?
What condition may necessitate Functional Endoscopic Sinus Surgery (FESS)?
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What is the primary role of parathyroid hormone (PTH) in the body?
What is the primary role of parathyroid hormone (PTH) in the body?
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Which surgical procedure is indicated for the removal of chronic tonsillitis?
Which surgical procedure is indicated for the removal of chronic tonsillitis?
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What is a significant risk associated with thyroidectomy surgeries?
What is a significant risk associated with thyroidectomy surgeries?
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In a radical neck dissection, which of the following structures is typically removed?
In a radical neck dissection, which of the following structures is typically removed?
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During a parotidectomy, which major risk is especially noted?
During a parotidectomy, which major risk is especially noted?
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What is the typical positioning for a patient undergoing perioperative procedures related to the neck?
What is the typical positioning for a patient undergoing perioperative procedures related to the neck?
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Which of the following is NOT typically preserved during a thyroidectomy?
Which of the following is NOT typically preserved during a thyroidectomy?
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What is the role of a laryngoscope during laryngoscopy?
What is the role of a laryngoscope during laryngoscopy?
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What two surgeries are usually performed simultaneously for pediatric patients with throat infections?
What two surgeries are usually performed simultaneously for pediatric patients with throat infections?
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What method is commonly used to isolate major blood vessels during surgery?
What method is commonly used to isolate major blood vessels during surgery?
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What is the purpose of a tracheostomy prior to a neck dissection?
What is the purpose of a tracheostomy prior to a neck dissection?
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Which procedure involves the removal of the mandible and a radical neck dissection?
Which procedure involves the removal of the mandible and a radical neck dissection?
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When performing a tracheostomy, which item must be tested for leaks before passing it to the surgeon?
When performing a tracheostomy, which item must be tested for leaks before passing it to the surgeon?
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What is a common complication patients may experience post-surgery involving neck dissection?
What is a common complication patients may experience post-surgery involving neck dissection?
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Which instrument is specifically mentioned for securing the tracheostomy tube?
Which instrument is specifically mentioned for securing the tracheostomy tube?
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What condition is NOT typically a reason for performing a tracheostomy?
What condition is NOT typically a reason for performing a tracheostomy?
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Which type of surgical removal does a modified neck dissection refer to?
Which type of surgical removal does a modified neck dissection refer to?
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What specific surgical instrument is used for isolating major vessels during a procedure?
What specific surgical instrument is used for isolating major vessels during a procedure?
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Which type of flap could be used in reconstructive surgery?
Which type of flap could be used in reconstructive surgery?
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What is a critical factor to consider when performing a tracheostomy?
What is a critical factor to consider when performing a tracheostomy?
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What is the primary purpose of myringotomy in patients with acute otitis media?
What is the primary purpose of myringotomy in patients with acute otitis media?
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Which structure within the ear is primarily affected during tympanoplasty?
Which structure within the ear is primarily affected during tympanoplasty?
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What is the most critical consideration during surgical interventions involving the ear?
What is the most critical consideration during surgical interventions involving the ear?
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Which incision technique is commonly used in mastoidectomy?
Which incision technique is commonly used in mastoidectomy?
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What type of hearing loss is a cochlear implant typically used to treat?
What type of hearing loss is a cochlear implant typically used to treat?
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Which type of anesthesia is commonly applied for nasal surgeries to control bleeding?
Which type of anesthesia is commonly applied for nasal surgeries to control bleeding?
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What postoperative care is essential for patients undergoing tympanoplasty?
What postoperative care is essential for patients undergoing tympanoplasty?
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Which anatomical structure is NOT part of the middle ear?
Which anatomical structure is NOT part of the middle ear?
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What is the function of the nasal sinuses?
What is the function of the nasal sinuses?
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Which aspect of perioperative nursing is vital during ear surgeries?
Which aspect of perioperative nursing is vital during ear surgeries?
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What is the primary aim of endoscopic surgery during Functional Endoscopic Sinus Surgery (FESS)?
What is the primary aim of endoscopic surgery during Functional Endoscopic Sinus Surgery (FESS)?
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Which of the following describes a characteristic of nasoseptoplasty?
Which of the following describes a characteristic of nasoseptoplasty?
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What treatment method is employed during closed reduction of nasal fractures?
What treatment method is employed during closed reduction of nasal fractures?
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Which aspect of thyroid function is primarily influenced by the pituitary gland?
Which aspect of thyroid function is primarily influenced by the pituitary gland?
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In which anatomical section is the isthmus located within the thyroid?
In which anatomical section is the isthmus located within the thyroid?
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What purpose does nasal packing or a Denver split serve in the context of nasal fractures?
What purpose does nasal packing or a Denver split serve in the context of nasal fractures?
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What are common reasons for undergoing Functional Endoscopic Sinus Surgery (FESS)?
What are common reasons for undergoing Functional Endoscopic Sinus Surgery (FESS)?
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How long are splints typically kept in situ following a nasoseptoplasty?
How long are splints typically kept in situ following a nasoseptoplasty?
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Which component of the throat connects the oral cavity to the larynx?
Which component of the throat connects the oral cavity to the larynx?
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What is the primary purpose of septoplasty?
What is the primary purpose of septoplasty?
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What is the primary role of parathyroid hormone (PTH) in regulating calcium levels in the blood?
What is the primary role of parathyroid hormone (PTH) in regulating calcium levels in the blood?
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Which surgical procedure involves the risk of injury to the recurrent laryngeal nerves?
Which surgical procedure involves the risk of injury to the recurrent laryngeal nerves?
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In which procedure are laryngoscopes utilized?
In which procedure are laryngoscopes utilized?
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What is a potential postoperative complication following a parotidectomy?
What is a potential postoperative complication following a parotidectomy?
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Which component is typically preserved during a thyroidectomy if there is remaining thyroid tissue?
Which component is typically preserved during a thyroidectomy if there is remaining thyroid tissue?
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What is the primary concern for a nurse when positioning a patient for perioperative care related to neck surgeries?
What is the primary concern for a nurse when positioning a patient for perioperative care related to neck surgeries?
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Which of the following surgeries might involve the removal of malignant tissues from the neck?
Which of the following surgeries might involve the removal of malignant tissues from the neck?
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In relation to oral cavity surgeries, why is an adenoidectomy often performed simultaneously with tonsillectomy?
In relation to oral cavity surgeries, why is an adenoidectomy often performed simultaneously with tonsillectomy?
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Which instrument is used to visualize the vocal cords during a laryngoscopy?
Which instrument is used to visualize the vocal cords during a laryngoscopy?
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What anatomical structures may be removed during a radical neck dissection?
What anatomical structures may be removed during a radical neck dissection?
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What is the primary reason for performing a tracheostomy?
What is the primary reason for performing a tracheostomy?
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Which instrument is essential for securing the tracheostomy tube?
Which instrument is essential for securing the tracheostomy tube?
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Which complication is NOT associated with a modified neck dissection?
Which complication is NOT associated with a modified neck dissection?
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Which procedure must occur before performing a neck dissection?
Which procedure must occur before performing a neck dissection?
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What is a key instrument used to identify major vessels during surgery?
What is a key instrument used to identify major vessels during surgery?
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What aspect must be confirmed with the surgeon regarding tracheostomy?
What aspect must be confirmed with the surgeon regarding tracheostomy?
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Which condition does NOT typically require a tracheostomy?
Which condition does NOT typically require a tracheostomy?
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In which situation would a patient NOT typically experience facial numbness after surgery?
In which situation would a patient NOT typically experience facial numbness after surgery?
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What are vessel loops primarily used for during a surgical procedure?
What are vessel loops primarily used for during a surgical procedure?
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Which flap technique is mentioned in the context of reconstructive surgery?
Which flap technique is mentioned in the context of reconstructive surgery?
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What is the primary purpose of a tympanoplasty procedure?
What is the primary purpose of a tympanoplasty procedure?
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Which condition typically indicates the need for a mastoidectomy?
Which condition typically indicates the need for a mastoidectomy?
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What is the initial action taken during a myringotomy?
What is the initial action taken during a myringotomy?
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Which structure provides structural support to the nose?
Which structure provides structural support to the nose?
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What is a critical nursing consideration for patients undergoing nasal surgery?
What is a critical nursing consideration for patients undergoing nasal surgery?
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What type of hearing loss is a cochlear implant designed to address?
What type of hearing loss is a cochlear implant designed to address?
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What is the reason for using povidone-iodine solution during ear surgeries?
What is the reason for using povidone-iodine solution during ear surgeries?
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Which surgical tool is essential for performing a tympanoplasty?
Which surgical tool is essential for performing a tympanoplasty?
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What is the role of the eustachian tube within the middle ear?
What is the role of the eustachian tube within the middle ear?
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What must be monitored to prevent complications during ear surgery?
What must be monitored to prevent complications during ear surgery?
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Study Notes
Anatomy of the Ear
- External Ear: Comprises the auricle, external auditory canal (cartilage and skin), and tympanic membrane.
- Middle Ear: Contains the Eustachian tube and ossicles (malleus, incus, stapes).
- Inner Ear: Consists of the cochlea and vestibular labyrinth.
Perioperative Nursing Considerations for Ear Surgery
- Monitor facial nerve function during procedures.
- Position patients supine with a shoulder roll.
- Preoperative prepping uses povidone-iodine; avoid chlorhexidine as it is ototoxic.
- Utilize a surgical microscope and appropriate draping techniques.
Ear Surgical Procedures
- Myringotomy: Incision in the tympanic membrane to relieve pressure from acute otitis media; myringotomy tube is placed and removed naturally upon healing.
- Mastoidectomy: Involves removal of diseased mastoid bone to treat cholesteatoma; includes eardrum incision for drainage.
- Tympanoplasty: Repairs tympanic membrane to address hearing loss or perforation, utilizing grafts from the ear or tragus; requires post-operative ear packing with antibiotics.
- Cochlear Implant: Used for profound hearing loss; involves implantation in the cochlea with an external sound processor.
Anatomy of the Nose
- Composed of cartilage and bone with two external nares allowing air passage; functions to humidify and filter air.
- Nasal Septum: Composed of nasal cartilage, perpendicular plate of the ethmoid bone, and vomer bone.
- Nasal Sinuses: Include the frontal, ethmoid, sphenoid, and maxillary sinuses.
Perioperative Nursing Considerations for Nasal Surgery
- Position patients supine; semi-Fowler's or Fowler's during recovery to reduce swelling.
- Employ topical epinephrine on gauze to control bleeding; consider nasal packing and moustache dressings.
Rhinosurgery Procedures
- Functional Endoscopic Sinus Surgery (FESS): Endoscopic approach to drain sinuses by resecting tissue.
- Closed Reduction of Nasal Fracture: Manual realignment of fractures without incision; often requires nasal packing.
- Nasoseptoplasty: Straightens deviated septum for improved airflow; involves placement of splints.
Anatomy of the Throat
- Oral Cavity: Includes the mouth and salivary glands.
- Pharynx: Divided into nasopharynx, oropharynx, and hypopharynx.
- Larynx: Comprises laryngeal cartilages, ligaments, and muscles, as well as the trachea.
Anatomy of the Thyroid
- Produces hormones regulated by the pituitary gland; consists of two lobes connected by isthmus.
- Thyroid hormone levels influence the secretion of thyroid-stimulating hormone (TSH) from the pituitary.
Anatomy of the Parathyroid Gland
- Contains four small, flat masses that secrete parathyroid hormone (PTH), which regulates calcium levels in the blood.
Perioperative Nursing Considerations for Throat Surgery
- Position patients supine with head in gel ring and extended with shoulder roll.
- Prepare for drainage and manage major vessels with ties and vessel loops.
Throat Surgical Procedures
- Laryngoscopy: Visualization of the glottis and vocal cords.
- Tonsillectomy: Removal of tonsils, often alongside adenoidectomy.
- Thyroidectomy: Varies from partial to total removal of the thyroid gland, with risks including injury to vocal cords.
- Parotidectomy: Removal of parotid gland due to benign tumors, with risks to the facial nerve.
- Radical Neck Dissection: Extensive removal of malignant tissues, potentially requiring reconstructive surgery.
- Tracheostomy: Surgical opening of the trachea for emergency airway access, confirmed with a test for leaks.
Instrumentation for Surgical Procedures
- Utilize tracheal dilators, hooks, and appropriate sutures for securing tracheostomy tubes and wound closure.
Classroom/Exam Tips
- Focus on surgical procedures and their indications.
- Understand specific nursing considerations related to positioning and patient management.
- Familiarize with instrumentation needed for various ENT surgeries.
Anatomy of the Ear
- External Ear: Comprises the auricle, external auditory canal (cartilage and skin), and tympanic membrane.
- Middle Ear: Contains the Eustachian tube and ossicles (malleus, incus, stapes).
- Inner Ear: Consists of the cochlea and vestibular labyrinth.
Perioperative Nursing Considerations for Ear Surgery
- Monitor facial nerve function during procedures.
- Position patients supine with a shoulder roll.
- Preoperative prepping uses povidone-iodine; avoid chlorhexidine as it is ototoxic.
- Utilize a surgical microscope and appropriate draping techniques.
Ear Surgical Procedures
- Myringotomy: Incision in the tympanic membrane to relieve pressure from acute otitis media; myringotomy tube is placed and removed naturally upon healing.
- Mastoidectomy: Involves removal of diseased mastoid bone to treat cholesteatoma; includes eardrum incision for drainage.
- Tympanoplasty: Repairs tympanic membrane to address hearing loss or perforation, utilizing grafts from the ear or tragus; requires post-operative ear packing with antibiotics.
- Cochlear Implant: Used for profound hearing loss; involves implantation in the cochlea with an external sound processor.
Anatomy of the Nose
- Composed of cartilage and bone with two external nares allowing air passage; functions to humidify and filter air.
- Nasal Septum: Composed of nasal cartilage, perpendicular plate of the ethmoid bone, and vomer bone.
- Nasal Sinuses: Include the frontal, ethmoid, sphenoid, and maxillary sinuses.
Perioperative Nursing Considerations for Nasal Surgery
- Position patients supine; semi-Fowler's or Fowler's during recovery to reduce swelling.
- Employ topical epinephrine on gauze to control bleeding; consider nasal packing and moustache dressings.
Rhinosurgery Procedures
- Functional Endoscopic Sinus Surgery (FESS): Endoscopic approach to drain sinuses by resecting tissue.
- Closed Reduction of Nasal Fracture: Manual realignment of fractures without incision; often requires nasal packing.
- Nasoseptoplasty: Straightens deviated septum for improved airflow; involves placement of splints.
Anatomy of the Throat
- Oral Cavity: Includes the mouth and salivary glands.
- Pharynx: Divided into nasopharynx, oropharynx, and hypopharynx.
- Larynx: Comprises laryngeal cartilages, ligaments, and muscles, as well as the trachea.
Anatomy of the Thyroid
- Produces hormones regulated by the pituitary gland; consists of two lobes connected by isthmus.
- Thyroid hormone levels influence the secretion of thyroid-stimulating hormone (TSH) from the pituitary.
Anatomy of the Parathyroid Gland
- Contains four small, flat masses that secrete parathyroid hormone (PTH), which regulates calcium levels in the blood.
Perioperative Nursing Considerations for Throat Surgery
- Position patients supine with head in gel ring and extended with shoulder roll.
- Prepare for drainage and manage major vessels with ties and vessel loops.
Throat Surgical Procedures
- Laryngoscopy: Visualization of the glottis and vocal cords.
- Tonsillectomy: Removal of tonsils, often alongside adenoidectomy.
- Thyroidectomy: Varies from partial to total removal of the thyroid gland, with risks including injury to vocal cords.
- Parotidectomy: Removal of parotid gland due to benign tumors, with risks to the facial nerve.
- Radical Neck Dissection: Extensive removal of malignant tissues, potentially requiring reconstructive surgery.
- Tracheostomy: Surgical opening of the trachea for emergency airway access, confirmed with a test for leaks.
Instrumentation for Surgical Procedures
- Utilize tracheal dilators, hooks, and appropriate sutures for securing tracheostomy tubes and wound closure.
Classroom/Exam Tips
- Focus on surgical procedures and their indications.
- Understand specific nursing considerations related to positioning and patient management.
- Familiarize with instrumentation needed for various ENT surgeries.
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Description
Test your knowledge on the anatomy of the ear, including its external, middle, and inner structures. Explore perioperative nursing considerations for ear surgeries and the various surgical procedures like myringotomy, mastoidectomy, and tympanoplasty. This quiz is designed for students and professionals in nursing and otology fields.
