Endoscopic ear surgery : principles, indications, and techniques

✍ Scribed by Marchioni, Daniele; Presutti, Livio

• Publisher: Thieme
• Year: 2014
• Tongue: English
• Leaves: 422
• Edition: 1st edition
• Category: Library

✦ Synopsis

"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"--Provided by publisher. �Read more...

Abstract: "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"--Provided by publisher

✦ Table of Contents

Content: Endoscopic Ear Surgery Principles, Indications, and Techniques
Media Center Information
Title Page
Copyright
Contents
List of Videos
Foreword
Preface
Contributors
1 Starting off with Endoscopic Ear Surgery
1.1 Instrumentation and Equipment
1.1.1 Overview
1.1.2 Choice of Endoscope
1.2 Your First Case
1.2.1 Patient Factors
1.2.2 Disease Factors
1.2.3 Investigations
1.2.4 Issues of Consent
1.2.5 Preparing the Operating Room
1.2.6 Preparing the Patient
1.3 Pitfalls
1.3.1 Giving Up Too Early
1.3.2 Controlling Hemorrhage
1.3.3 Narrow Canal
1.3.4 Fogging of the Endoscope 2 Principles of Endoscopic Ear Surgery2.1 Introduction
2.2 Advantages of Transcanal Access to Cholesteatoma
2.3 Transcanal Access Allows Better Understanding of Anatomy, Function, and Disease
2.4 Disadvantages of the Endoscope
2.5 Safety Concerns
2.6 Procedural Options in Cholesteatoma
2.6.1 Endoscopic Transcanal Management of Limited Cholesteatoma
2.6.2 Endoscopic Open Cavity Management of Cholesteatoma
2.6.3 Expanded Transcanal Access to the Middle Ear and Petrous Apex
2.7 Management Algorithm
References
3 Ear Embryology
3.1 Introduction
3.2 Outer Ear Development 3.2.1 External Auditory Canal, Tympanic Ring, and Eardrum3.3 Middle Ear Development
3.3.1 Ossicular Chain
3.3.2 Development of the Eustachian Tube and the Tympanum-Antrum Mastoid Portion
3.3.3 Development of the Primary Tympanic Cavity
3.3.4 Development of the Tympanic Atrium
3.3.5 Formation of Middle Ear Spaces and Folds
3.4 Inner Ear Development
3.4.1 Early Development of the Membranous Labyrinth
3.4.2 Duct and Endolymphatic Sac
3.4.3 Saccus and Utricle
3.4.4 Semicircular Canals
3.4.5 Cochlear Duct
3.4.6 Development of the Otic and Perilymphatic Spaces
References 4 Endoscopic Middle Ear Anatomy4.1 Introduction
4.2 Retrotympanum
4.2.1 Sinus Tympani
4.2.2 Ponticulus
4.2.3 Subiculum
4.2.4 Pyramidal Eminence and Subpyramidal Space
4.2.5 Inferior Retrotympanum
4.3 Epitympanic Diaphragm and Prussak Space
4.4 Facial Nerve
4.5 Epitympanum
4.5.1 Posterior Epitympanic Space
4.5.2 Anterior Epitympanic Space
4.5.3 Tensor Fold
4.5.4 Transverse Crest (or "Cog")
4.6 Protympanum
4.7 Hypotympanum
References
5 Ventilation and Physiopathology of the Middle Ear
5.1 Introduction
5.2 Eustachian Tube
5.3 Transmucosal Gas Exchange
5.4 Mastoid Buffer 5.5 Blockage of Middle Ear Ventilation RoutesReferences
6 Radiological Considerations for Endoscopic Middle Ear Surgery
6.1 Introduction
6.2 Preoperative CT Evaluations and Their Influence in Surgical Planning
6.2.1 The External Ear Canal
6.2.2 Sinus Tympani
6.2.3 Antral and Mastoid Involvement
6.2.4 Dural Plane Assessment
6.2.5 Involvement of Subsites
6.2.6 Epitympanic Dimensions
6.3 Postoperative CT Results
6.4 Use of Diffusion-Weighted MRI
References
7 Surgical Armamentarium
7.1 Introduction
7.2 Positioning and General Equipment
7.2.1 Operating Room Setup

✦ Subjects

Ear -- Endoscopic surgery. MEDICAL / Surgery / General Ear -- surgery -- Atlases. Ear Diseases -- surgery -- Atlases. Endoscopy -- methods -- Atlases. Otologic Surgical Procedures -- instrumentation -- Atlases. Otologic Surgical Procedures -- methods -- Atlases. Ear -- Atlases -- surgery. Ear Diseases -- Atlases -- surgery. Endoscopy -- Atlases -- methods. Otologic Surgical Procedures -- Atlases -- instrumentation. Otologic Surgical Procedures -- Atlases -- methods.