All approaches to the middle ear and all myringoplasty and ossiculoplasty methods described in the major literature are included. Through detailed step-by-step drawings, the reader is guided through each of the procedures, thus enabling the young otologist to learn and the experienced physician to refocus on the preferred method of choice. A major didactic goal is achieved by the categorization of the many modifications into related groups and subgroups. Through over three decades of practice and teaching, the author has achieved in this work the perfect blend of the fundamental and the practical. If anyone would be restricted to a single source on this subject, this work would be his most likely choice. It is a definitive reference for any professional involved in middle ear surgery.
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.
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.
Endoscopic Ear Surgery: Principles, Indications, and Techniques Increasingly used as an adjunctive tool in the diagnosis and management of ear disease, middle ear endoscopy has the potential to decrease patient morbidity, prevent disease recurrence, and reduce costs. Its capacity to uncover "hidden" anatomy within the small dimensions of the ear has made it essential for functional surgery, allowing surgeons to preserve key anatomic structures such as the cochlea and facial nerve. Now for the first time, the physicians who pioneered this groundbreaking minimally invasive technique review its indications, advantages, disadvantages, and surgical approaches: Written by the foremost leaders in the field, all members of the International Working Group on Endoscopic Ear Surgery Features nearly 1,000 intraoperative endoscopic images filmed with high-definition cameras, plus outstanding line drawings that aid in understanding all concepts Comprehensively covers the field, including chapters on endoscopic and combined endoscopic-microscopic management of cholesteatoma, surgical restoration of middle ear ventilation, myringoplasty, Meniere disease, tympanoplasty and stapes surgery, revision surgery, and much more Demonstrates state-of-the-art endoscopic procedures in 19 instructive videos From the unique anatomy and pathophysiology of the middle ear through diagnosis, surgical indications, procedures, and instrumentation, this book is indispensable for all otolaryngologists and neurotologists. It offers a full picture of the field today, as well as exploring the future possibilities of ear endoscopes alone or in combination with operative microscopes for the most effective treatment of middle ear pathologies.
Praise for this book: [Four stars] "Innovative...This is an outstanding surgical reference and manual...[and] a welcome addition to the body of literature." --Doody's Review Once again, Prof. Tos undertakes the enormous task of describing all existing oto-surgical methods, providing one critical source for specialists and residents alike. In Volume 3, he focuses on ear canal surgery, covering abnormalities, diseases and surgical procedures and featuring: Classification, description, and pathogenesis of congenital and acquired atresias and stenosesA complete survey of the literature on incidence and indications for surgery More than 700 clear, step-by-step surgical illustrations Descriptions of new and established procedures and modifications, with pros and cons of each Full coverage of both common and rare procedures For practitioners and residents in ontologic surgery and otolaryngology, the Tos' volumes are standards of practice, essential for achieving good operation results and satisfactory hearing function. Share the wisdom and experience of more than three decades of practices and teaching, distilled into the definitive reference on all aspects middle ear surgery.
This book takes the reader step-by-step through routine temporal bone surgeries while maximizing the use of the cadaver tissue. In an effort to improve visual realism, the book provides high-resolution photographs and anatomically accurate illustrations to allow the reader to better appreciate the three-dimensional relationship of the internal constructs of the temporal bone. Special emphasis is placed on describing the latest techniques for cochlear implantation and active middle ear implants. The book is further enhanced by additional links to edited videos of surgical cases and will therefore serve as a valuable reference guide to otologic surgeons of all experience levels.
The key reference dedicated to surgery for cholesteatoma... The cholesteatoma, strictly speaking a cyst and not a cancer, nevertheless shows expansive and destructive growth patterns that may give rise to serious symptoms and consequences, including fatality, not unlike those seen for malignant neoplasms. The great challenge of therapy is to eradicate the pathologic growth while preserving hearing and other critical functions of the middle ear and petrous bone, respecting the proximity of vital neural and vascular structures, and the intricate three-dimensional relationships involved. Mario Sanna's Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma is the ultimate illustrated guide to complete management of the cholesteatoma, including assessment of the full expansion and degree of destruction caused by the growths, and short- and long-term follow-up to assess and treat for recurrence. Key Features Brilliantly illustrated with diagnostic images from otoscopy and radiology, both normal and pathological Step-by-step description of approaches and techniques for the procedures Special coverage of petrous bone cholesteatoma, which is less frequent than other forms but more difficult to diagnose and treat, with introduction and description of a new function-sparing procedure, the subtotal petrosectomy Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma extends Mario Sanna's passionate dedication to excellence in otologic teaching and training into this highly complex surgical area. Practitioners, residents, and fellows will find it indispensable.
In this book the best surgical solutions for conductive hearing loss due to ossicular fixations are thoroughly described and discussed. The first section covers thympanosclerosis, collating all knowledge on the pathogenesis and pathology of this obscure condition, as well as the surgical methods used in fixation of the ossicular chain, when caused by myringosclerosis and tympanosclerosis. The second section covers postinflammatory, posttraumatic, and postoperative bony fixations of the ossicular chain. In the third section, the voluminous topic of otosclerosis, in particular the evolution of stapes surgery, the various stapedectomy and stapedotomy methods, and the complications of surgery for otosclerosis, are covered in great detail. This section also includes the problems that are encountered in otosclerosis surgery when the ear has been affected with chronic otitis. In the fourth section, congenital ossicular fixations and defects are covered along with some new aspects on the classification and embryology of these problems. For all topics, there is in-depth discussion of the pathogenesis and pathology of the diseases in question. Excellent hand-drawn illustrations provide a level of detail and comprehension not attainable through photography. This book covers tympanosclerotic, bony, and fibrous fixations, retractions, atelectasis, secretory and adhesive otitis, ventilation problems of the middle ear, cholesteatoma in the tympanic cavity and more!
This richly illustrated ear microsurgery atlas shows a picture is worth a thousand words! In order to envision a three-dimensional picture of the surgical space and ultimately to master surgery, surgeons need thorough visual and clinical knowledge of anatomy. Ear Surgery Illustrated: A Comprehensive Atlas of Otologic Microsurgical Techniques by renowned surgeon Robert Jackler and illustrator Christine Gralapp reflects more than three decades of collaboration. The color illustrations herein communicate a wealth of surgical anatomy and technique with exceptional clarity and precision. Succinct, insightful text paired with the drawings delineate key landmarks, define crucial relationships, and elucidate complex concepts. Fifteen chapters encompass the broad spectrum of modern otological surgery practice — from commonplace procedures to complex tertiary-quaternary operative care. The appendix features helpful educational handouts surgeons can give to patients. Key Features More than 1,100 precise full-color illustrations with explanatory text cover a broad range of microsurgical approaches A wide range of surgical procedures including stapes surgery, tympanoplasty, ossiculoplasty, mastoidectomy, vestibular surgery, cochlear implants, temporal bone resection, and petrous apicectomy Management of various diseases and conditions such as cholesteatoma, facial nerve issues, temporal bone fractures, hearing loss, encephaloceles, cerebrospinal fluid leaks, and pulsatile tinnitus Stepwise procedural guidance throughout the atlas enables novice otolaryngologists and subspecialty otologists to achieve optimal surgical outcomes. Experienced surgeons will find insightful tips and helpful tricks to refine skills and tackle more complex technical challenges encountered in practice. Paired with Robert Jackler's and Christine Gralapp's Atlas of Skull Base Surgery and Neurotology Second Edition, the two books meld visual and clinical knowledge into remarkable resources covering otological, neurotological, and lateral skull base surgery techniques.
The Chronic Ear There are many different ways to treat complex chronic middle ear disease, with ongoing advancements being made globally. Diverse approaches are necessitated for variations in patient age, degree of infection, extent of middle ear remodeling, inflammation severity, and underlying mechanisms of Eustachian tube dysfunction. Addressing multinational and clinical nuances, the editors have compiled 48 chapters with eclectic perspectives from otology experts in 13 countries. The surgical anatomy of the middle ear cleft and mastoid and underlying pathophysiological mechanisms of chronic otitis media are clinically challenging. Articles cover anatomy, physiology, disease characterizations and manifestations, clinical evaluation, office management, surgical procedures, and new horizons. Traditional and newer hybrid techniques for systematic disease and inflammatory conditions are presented in roundtable format, for example, underlay fascia tympanoplasty as well as the use of cartilage and bioengineered materials. Selected Key Topics: Applied middle ear anatomy and physiology Pathologic mechanisms of chronic otitis media Office evaluation, management and surgical decision making Mastoid cavity obliteration and canal wall reconstruction Challenges in tympanoplasty and ossicular chain reconstruction Traditional and hybrid tympanomastoid surgery Hearing implants in the chronic ear This is an exceptional teaching tool for ear surgeons in training as well as a must-have clinical resource for practicing otolaryngologists.
