Middle Ear Surgery

Cover -- Contents -- 1 Surgical Anatomy -- 2 Preoperative Evaluation -- Audiology -- Imaging -- Patient Information -- Signed Consent -- Medical Treatment -- Nerve Monitoring and Computer-Assisted Surgery -- 3 When Not To Do Surgery -- 4 Postoperative Treatment -- 5 Local Anaesthesia -- General Anaesthesia -- 6 Approaches to the Middle Ear -- Transcanal Approach -- Endaural Approach -- Retroauricular Approach -- Tympanomeatal Flap -- 7 Harvesting and Processing of Soft Tissues -- Harvesting Cartilage -- Preparation of Cartilage -- Harvesting Perichondrium -- 8 External Ear Canal Surgery -- Postoperative Changes -- Postoperative Stenosis -- Other Postoperative Changes -- Trauma -- Fractures Into the Medial Cranial Fossa -- Post-traumatic Atresia -- Inflammation and Sequelae -- Postinflammatory Stenosis -- Necrosis of the Floor or the External Auditory Canal -- Postinflammatory Meatal Fibrosis -- Malignant External Otitis -- Idiopathic Changes -- Exostosis -- 9 Tympanic Membrane Closure -- Transmeatal Approach -- Central Perforations -- Endaural Incision -- Harvesting of the Graft -- Preparation of the Skin Flap -- Cartilage -- 10 Cartilage Palisade Tympanoplasty -- Surgical Technique -- Evaluation -- Results -- Conclusions -- 11 Ossicular Chain Reconstruction -- 12 Materials for Ossicular Chain Reconstruction -- 13 Antrotomy and Mastoidectomy -- Definition -- Indications -- 14 Cholesteatoma Surgery -- Introduction -- General Principles for Surgery -- Surgical Steps -- 15 Mastoid Cavity -- Indications -- Definition of Open and Closed Techniques -- Open Cavity -- Surgical Steps -- Reduction of Volume -- Meatoplasty -- Closed Techniques -- Intact Canal Wall Technique -- Surgical Steps -- Obliteration -- Reconstruction -- Fistulas of the Semicircular Canals -- Packing -- 16 Specific Infections -- 17 Complications -- Labyrinthitis and Facial Palsy -- Extradural Complications -- Intracranial Complications -- 18 Tympanosclerosis -- 19 The Atelectatic Ear -- 20 Revision Surgery -- Early Revisions -- Late Revisions -- Special Problems -- 21 Facial Nerve Surgery -- Indications -- Facial Nerve Palsy After Temporal Bone Fracture and Other Traumas -- Approaches for Facial Nerve Exploration and Decompression -- Techniques of Facial Nerve Reconstruction -- Iatrogenic Lesions During Ear Surgery -- Postoperative Complete Palsy After Ear Surgery in Patients with Normal Preoperative Facial Nerve Function -- Facial Nerve Palsy in Patients with Chronic Inflammatory Disease -- Postoperative Adjuvant Treatment -- 22 Stapes Surgery -- Floating Footplate -- Abnormal Course of the Facial Nerve -- Malleovestibulopexy -- 23 Laser Stapedotomy -- Introduction -- Laser Equipment -- CO2 Laser -- Micromanipulator -- Scanner System -- Safe and Effective Energy Parameters for CO2 Laser Stapedotomy -- Surgical Technique of CO2 Laser Stapedotomy -- Special Cases -- Obliterative Otosclerosis -- Overhanging Facial Nerve -- Overhanging Promontory.