Middle Ear and Mastoid Microsurgery

Produced by international authorities in otosugery, the 2nd updated and expanded edition of Middle Ear and Mastoid Microsurgery is the based on over 30 years of experience and more than 20,000 clinical cases. The distinguishing feature of Sanna#s Middle Ear and Mastoid Microsurgery is that it presents a consistent management philosophy for the complete spectrum of otologic disorders # from offering guidance for assessing the need and potential complexity of an operation to detailed, systematic descriptions of how to perform common and more complex procedures in otologic microsurgery as well as how to solve special surgical problems. This makes this book particularly valuable to both experienced and novice surgeons. The step-by-step sequences of the superb intraoperative images, in combination with excellent drawings, facilitates excellent understanding of surgical anatomy and individual surgical steps. New in the 2nd edition: # Now nearly 1800 images in total: Switching from film-based to digital cameras enabled the authors to obtain and include more detailed and instructive intraoperative images # even in severe conditions. # Remarkable advancements in cochlear implant technology now offer reliable solutions for profound hearing loss. The authors now share their experiences made in one of the most important centers in this field. # Considerable changes were made in the chapter on paraganglioma: The authors present new cases according to their modified Fisch classification and present proven surgical solutions for this difficult pathology. # Revised chapter on hemipetrosectomy followed by middle ear obliteration: This technique is very useful for treating troublesome situations such as intractable otorrhea in dead ears and severe pathologies widely infiltrating the middle ear. # Expanded anatomy chapter: Full knowledge of 3D-anatomy of the temporal bone is of prime importance in otologic microsurgery. To facilitate the understanding of 3-D relationships between important structures, this chapter was enlarged by correlating CT scans and anatomical image of normal temporal bone. 'A comprehensive surgical atlas for microsurgery of the middle ear and mastoid...excellent otologic atlas. The author's experience, the chapter layouts, and the photos make this an attractive and useful atlas.' --Doody's Notes'A wonderfully illustrated atlas and textbook on otologic microsurgery. . .consistent management philosophy for the complete spectrum of otologic disorders. . .beautiful surgical pictures. . .particularly valuable to both experienced and novice surgeons. . .quality of illustrations is superb. . .an outstanding new textbook. It sets the bar quite high for any future textbooks in middle ear surgery. . .recommended for any surgeons considering middle ear and mastoid surgery.' --Otology and Neurology Contents 1 Anatomy of the Temporal Bone 2 Operating Room Setup 3 Anesthesia Local Anesthesia General Anesthesia 4 General Technical Considerations Drilling Suction and Irrigation Hemostasis Dissection 5 Decision Making in Middle Ear Surgery Strategy in the Only Hearing Ear Staging Strategy Strategy for Revision Surgery 6 Ventilation Tube Insertion 7 General Surgical Procedures Retroauricular Skin Incision Harvesting the Grafting Materials Incision of the External Auditory Canal Canalplasty (Calibration of the Bony Canal Walls) Skin Closure 8 Pre- and Postoperative Care Preoperative Care Postoperative Care 9 External Auditory Canal Exostosis and Osteoma Hints and Pitfalls for Exostosis Stenosis of the External Auditory Canal Hints and Pitfalls for Canal Stenosis Cholesteatoma of the External Auditory Canal 10 Myringoplasty Retroauricular Myringoplasty Transcanal Myringoplasty Problems and Solutions in Myringoplasty Revision Myringoplasty Hints and Pitfalls for Myringoplasty 11 Ossiculoplasty Considerations Regarding Atelectasis and Adhesive Otitis Media Considerations Regarding Tympanosclerosis Hints and Pitfalls for Ossiculoplasty Revision Ossiculoplasty 12 Simple Mastoidectomy 13 Canal Wall Up (Closed) Tympanoplasty Second Stage and Revision Surgery after Canal Wall Up Technique Hints and Pitfalls 14 Canal Wall Down (Open) Tympanoplasty Canal Wall Down (Open) Tympanoplasty Meatoplasty Packing and Closure Hints and Pitfalls Modified Bondy Technique Hints and Pitfalls of the Modified Bondy Technique Radical Mastoidectomy Second Stage Surgery in Open Technique Revision Surgery after Open Technique Hints and Pitfalls of Revision Surgery 15 Special Considerations Regarding Glomus Tumor (Class A and B) 16 Problems and Solutions in Mastoid Surgery Labyrinthine Fistula Bone Erosion in the Tegmen Facial Nerve Paralysis New Bone Formation Meningoencephalic and Dural Herniation 17 Stapes Surgery Problems and Solutions Hints and Pitfalls for Stapes Surgery Revision Stapes Surgery Hints and Pitfalls for Revision Stapes Surgery 18 Obliteration of the Middle Ear 19 Cochlear Implant 20 Management of Iatrogenic Injuries Bleeding from the Dura Bleeding from the Sigmoid and Other Sinuses Bleeding from the Jugular Bulb CSF Leak Labyrinthine Fistula Disarticulation of the Incus Fracture of the Stapes Tear in the Tympanic Membrane Tear in the Meatal Skin Facial Nerve Injury References Index

Professor Mario Sanna, M.D.
Casa di Cura {Piacenza}, Gruppo Otologico, Piacenza, Italy (Author)

Professor Hiroshi Sunose, MD
Prof. Hiroshi Sunose, Dept. of Otolaryngology, Medical Center East, Tokyo Women's Medical University, Tokyo, Japan (Author)

Fernando Mancini, MD
Gruppo Otologico, Casa di Cura {Piacenza}, Piacenza; Ospedale Koelleker, Turin, Italy (Author)

Alessandra Russo, MD
Gruppo Otologico, Case di Cura {Piacenza}, Piacenza, Italy (Author)

Abdelkader Taibah, MD
Gruppo Otologico, Casa di Cura {Piacenza} , Piacenza, Italy (Author)