By Michel Gersdorff, Jean-Marc Gérard
Packed with in actual fact categorized, full-color drawings on each web page, Atlas of heart Ear Surgery publications readers throughout the most typical and leading edge surgeries used to regulate center ear pathology.
The authors, specialists during this technically not easy box, commence by means of delivering functional historical past info on surgical anatomy and pathophysiology by way of a short creation to anesthesia concerns and working room etiquette. Full-color drawings then display some of the surgical options in a step by step format
that is great for studying. Succinct, easy-to-understand descriptions accompany each drawing in a didactic demeanour that boosts basic thoughts because it teaches.
- The most modern at the surgical administration of tympanic
membrane abnormalities, power otitis media, cholesteatoma, and ossicular
- 254 full-color drawings and schematics show
anatomy and critical surgical steps
- Numerous callout containers in each one bankruptcy spotlight key
surgical assistance, pearls, and pitfalls
Concise and functional, this atlas is
essential examining for otolaryngology citizens, fellows, budding otologic
surgeons, or working towards ENTs who have to hone their surgical talents and remain abreast of the newest advances within the field.
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Extra resources for Atlas of middle ear surgery
Fig. 10 Management of Tympanic Membrane Abnormalities Anterior Canal Wall Protrusion Anterior Meatal Skin Flap This technique is a slight variant of the posterior vascular strip technique described by Sheehy and Patterson (1967). 11 scalpel blade. 11 scalpel blade 2–3 mm above the protrusion. The meatal skin is first elevated from the bone a few millimeters above the annulus along the circumferential incision, then pushed gradually from inferior to superior. The skin is completely removed and kept flat in gauze soaked in physiological saline solution or in a press.
39 Fig. 10 Tympanic Membrane Perforations Elevation of the Tympanic Membrane from the Malleus Handle The epithelium on the malleus handle is elevated using a sickle knife, starting in the middle of the malleus handle where it is easier to detach. Longitudinal movements are required to prevent trauma to the ossicular chain and damage to the inner ear. Fig. 40 Umbo Detachment Fig. 40 The umbo of the malleus handle is then detached using the same instrument or cut with microscissors. Finally, the malleus handle is cleared of any possible residual epithelium.
Bulges of the posterior bony canal, protrusions of the anterior bony canal, and prominent bony sutures are frequent. In such cases, a canaloplasty should be performed by drilling the wall in the following order: posterior, inferior, superior, anterior. Difficult Retroauricular Approaches Protrusion of the Posterior Bony Canal Wall Henle Spine Protrusion A protruding Henle spine is removed using a cutting burr or chisel. Drilling the posterior bony canal wall may be sufficient to expose the anterior annulus.