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This book will be a companion for the surgeon performing tympanoplasty. Tympanoplasty is a unique operation which half a century ago appeared as the first functional surgery under microscopy in the history of medicine. There are several different surgical approaches to any case of chronic ear disease, and in each case, the best method of tympanoplasty should be used. The success rate of tympanoplasty should be high enough to be able to operate when there is only one hearing ear and a success rate of 100% is required. Hence, the objective of training ear surgeons is to obtain 100% confidence in their tympanoplasty. Most ear surgeons would agree, that 'closed method tympanoplasty' is the best method, of which two techniques can be chosen, 'closed method, intact posterior canal wall technique' which requires more skills because of a limited visual field, and the 'closed method, posterior canal wall reconstruction method'. The latter is recommended in this book and is shown in detail, from basic knowledge and information to expert advice. The book shows some "secrets" for those who want to be independent surgeons and good enough to dare to operate on the only hearing ear. The book is richly illustrated. In addition it has the unique aspect of many "Box" articles. Important issues appear again in "Boxes" where they are summarized. Several "Box" articles on special subjects are contributed by colleagues who previously worked or studied in the authors' hospital.
This comprehensive, richly illustrated textbook provides a systematic approach to frequent otological operations. Procedures in surgery of the ear canal, acute and chronic middle ear diseases, otosclerosis, cochlear implantation and vertigo are visualized step-by-step to acquaint the beginner with proven surgical repertoires. The book is written by two famous experts, and even the experienced surgeon will find valuable hints and suggestions to facilitate routine middle ear operations.
Remarkable progress in the development of new concepts and techniques used in reconstructive surgery of microtia/atresia of the external auditory canal (EAC) has been made since the beginning of the 21st century. Helical computed tomography has made a three-dimensional reconstruction of the soft tissue of the temporal bone surface and the cranium possible, and has laid the groundwork for a collaboration between plastic surgeons and otologists. This book presents the latest findings on reconstructive surgery performed jointly by plastic surgeons and otologists. Based on this concept, information on diagnosis, surgical procedures, outcomes, long-term results and psychology is discussed. Collaborative surgery offers advantages not only in terms of a better reconstruction of morphology and function, but also in terms of the lower number of surgical procedures required which reduces the psychological pressure and economic burden on patients.
Remarkable progress in the development of new concepts and techniques used in reconstructive surgery of microtia/atresia of the external auditory canal (EAC) has been made since the beginning of the 21st century. Helical computed tomography has made a three-dimensional reconstruction of the soft tissue of the temporal bone surface and the cranium possible, and has laid the groundwork for a collaboration between plastic surgeons and otologists. This book presents the latest findings on reconstructive surgery performed jointly by plastic surgeons and otologists. Based on this concept, information on diagnosis, surgical procedures, outcomes, long-term results and psychology is discussed. Collaborative surgery offers advantages not only in terms of a better reconstruction of morphology and function, but also in terms of the lower number of surgical procedures required which reduces the psychological pressure and economic burden on patients. This publication is a valuable reference not only for plastic surgery and otolaryngology departments, but also for speech therapists, school teachers and patients’ families. It can also serve as a clinical textbook for those involved in the surgical and audiological treatment of the microtia/atresia of the EAC within a clinical setting.
Ear reconstruction has developed from the sole plastic reconstruction of the auricle to a more complex procedure that includes the functional rehabilitation of hearing. For the patient's benefit the number of surgeries could be reduced to two or three while still maintaining excellent results. This development is due to improvements in surgical procedures as well as technical developments such as bone-anchored hearing aids or cochlear implants. The authors of this volume have considered different aspects of reconstruction of severe ear malformation. Developments in surgery and the choice of prosthetic materials are closely examined, and the benefits of alloplastic materials in comparison to autologous cartilage are discussed. Cosmetic outcomes are not described in isolation, but with reference to improvements in patients' hearing, particularly in the context of bone-anchored and implantable hearing aids. Related fields, such as tissue engineering, hold vast untapped potential for this area. The impact they will have in the future is discussed in detail, helping to paint a picture of treatment options that will become available to professionals. This volume is an indispensable review that will be of interest to otorhinolaryngologists, plastic surgeons, maxillofacial surgeons and pediatricians
Packed with clearly labeled, full-color drawings on every page, Atlas of Middle Ear Surgery guides readers through the most common and innovative surgical procedures used to manage middle ear pathology.The authors, experts in this technically demanding field, begin by providing practical background information on surgical anatomy and pathophysiology followed by a brief introduction to anesthesia considerations and operating room etiquette. Full-color drawings then demonstrate the various surgical techniques in a step-by-step formatthat is excellent for learning. Succinct, easy-to-understand descriptions accompany every drawing in a didactic manner that reinforces fundamental concepts as it teaches.Features The latest on the surgical management of tympanic membrane abnormalities, chronic otitis media, cholesteatoma, and ossicular chain dysfunction 254 full-color drawings and schematics display anatomy and important surgical steps Numerous callout boxes in each chapter highlight key surgical tips, pearls, and pitfalls Concise and practical, this atlas is essential reading for otolaryngology residents, fellows, budding otologic surgeons, or practicing ENTs who need to hone their surgical skills and stay abreast of the latest advances in the field.
This comprehensive one-volume work presents, compares and assesses procedures developed by world-renowned otologic surgeons, creating a critical source for the specialist and resident-in-training. Methods from such pioneers as Fisch, Morimitsu, Farrior, and Wullstein are objectively reviewed by Dr. Tos and are integrated into his own vast operative experience. Volume 2 consists of two parts: Part I covers mastoidectomies, intact bridge techniques, and canal wall-up mastoidectomies. Part II covers the reconstructions of the tympanic cavity, attic, and ear canal; eustachian tube surgery; cavity obliteration; and partial and total reconstruction of old radical cavities.