Middle ear and mastoid microsurgery / Mario Sanna [and others] ; with the collaboration of Giuseppe De Donato [and others].

Includes bibliographical references and index.

"Based on more than 30 years experience and over 20,000 clinical cases, the second edition of Middle Ear and Mastoid Microsurgery presents detailed, step-by-step procedures for the full spectrum of otologic disorders, from assessment and preoperative considerations to descriptions of both common and complex surgeries. The superb intraoperative images and schematic drawings, combined with instructional text, facilitate an in-depth understanding of surgical anatomy and operative steps that is unparalleled in the literature. New to the second edition of this landmark text: Nearly 1,800 vivid, full-color intraoperative images that take readers through every operative sequence and offer a unified management approach to all procedures expanded chapter on temporal bone anatomy and dissection with CT scans correlated to dissection images of normal temporal bone, which is crucial for a full understanding of surgical anatomy and 3-D relationships between important structures. Updated chapter on paragangliomas, offering proven surgical solutions to this difficult pathology. Revised section on hemipetrosectomy, with treatments for intractable otorrhea in dead ears and other severe pathologies widely infiltrating the middle ear. Overview of new approaches to glomus tumor surgery. Coverage of the remarkable advances in cochlear implant technology for profound sensorineural hearing loss Complete with general operating room principles, anesthesia, and technical considerations, plus guidance, pitfalls, problems and potential complications, this comprehensive book is an in-depth review of modern middle ear surgery. From temporal bone anatomy to canalplasty to stapes surgery, it sets the standard as the authoritative, one-stop reference for all otologic surgeons, residents, and medical students"--Provided by publisher

Print version record.

Middle Ear and Mastoid Microsurgery; Title Page; Copyright; Preface; Contents; 1 Anatomy and Radiology of the Temporal Bone; The External Auditory Canal; The Tympanic Membrane; The Ossicular Chain; The Tympanic Cavity; The Medial Wall; The Posterior Wall; The Attic; The Antrum; The Labyrinth; The Jugular Bulb; The Carotid Artery; The Facial Nerve; Surgical Anatomy of the Canal Wall Down (Open) Tympanoplasty; Surgical Anatomy of the Canal Wall Up (Closed) Tympanoplasty; Computed Tomography of the Temporal Bone and Related Anatomy; Axial Sections; Coronal Sections; 2 Operating Room Setup.

Arrangement of the RoomPosition of the Patient; Special Considerations in Stapes Surgery; Preparation of the Operative Site; Position of the Surgeon; Position of the Surgeon's Hands; Suction and Irrigation; Monopolar and Bipolar Coagulation; Microscope; Facial Nerve Monitoring; Instruments; Hints and Pitfalls for Operating Room Setup; 3 Anesthesia; Local Anesthesia; General Anesthesia; Hints and Pitfalls for Anesthesia; 4 General Technical Considerations; Rules and Hints; Drilling; Suction and Irrigation; Hemostasis; Dissection; 5 Decision Making in Middle Ear Surgery.

How Should We Choose Our Patients?Canalplasty; Myringoplasty; Ossiculoplasty; Tympanoplasty; Stapes Surgery; Strategy in the Only Hearing Ear; Tympanostomy Tube; Noncholesteatomatous Chronic Otitis Media; Cholesteatoma; Ossiculoplasty; Neoplasm; Stapes Surgery; Staging Strategy; Noncholesteatomatous Chronic Otitis Media; Cholesteatoma; Stapes Surgery; Strategy for Revision Surgery; Canal Stenosis; Myringoplasty; Ossiculoplasty; Tympanoplasty in Cholesteatoma; Stapes Surgery; 6 Ventilation Tube Insertion; Indications; Contraindications; 7 General Otosurgical Procedures.

Retroauricular Skin IncisionSurgical Steps; Harvesting Grafting Material; Temporalis Fascia (Retroauricular Scar Tissue); Surgical Steps; Tragal Cartilage and Perichondrium; Split-thickness Skin Graft; Incision of the External Auditory Canal; Surgical Steps; Case 7.1 (right ear); Canalplasty (Calibration of the Bony Canal Walls); Surgical Steps; Case 7.4 (right ear); Skin Closure; 8 Preoperative and Postoperative Care; Preoperative Care; Postoperative Care; Dressing; Postoperative Management; 9 External Auditory Canal; Exostosis and Osteoma; Surgical Steps; Case 9.1 (left ear).

Hints and Pitfalls for ExostosisHints for Beginners; Stenosis of the External Auditory Canal; Postinflammatory and Postoperative Stenoses; Surgical Steps; Case 9.3 (left ear); Hints and Pitfalls for Canal Stenosis; Cholesteatoma of the External Auditory Canal; Case 9.5 (right ear); 10 Myringoplasty; Indications; Contraindications; Retroauricular Myringoplasty; Surgical Steps; Case 10.1 (left ear); Transcanal Myringoplasty; Surgical Steps; Case 10.7 (right ear); Problems and Solutions in Myringoplasty; Pathological Status of the Anterior Part of the Tympanomeatal Flap.

© 2012 Georg Thieme Verlag KG

English.

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