Fungal Sinus Disease

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26 Fungal Sinus Disease • Inhaled fungi can cause both acute and chronic rhinosinusitis • Fungal colonization of the sinuses is common and is rarely of clinical consequence 26.1 Types…

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Physiology of the Ear

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2 Physiology of the Ear 2.1 External Ear • The tympanic membrane (TM) outer layer is keratinizing squamous epithelium • Superficial cells are shed and cleared from the centre of…

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Middle Cranial Fossa Approach

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19 Middle Cranial Fossa Approach Definition Following an approximately 4×4cm craniotomy and retraction of the dura of the temporal lobe, exposure of the superior surface of the petrous bone and…

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Infratemporal Fossa “Type A” Approach

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23 Infratemporal Fossa “Type A” Approach Definition Following a subtotal petrosectomy, permanent anterior transposition of the facial nerve, and performing procedures on the structures located medial to the facial canal….

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Transotic Approach

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29 Transotic Approach Definition Following a subtotal petrosectomy, extirpation of the entire labyrinth, including the cochlea, leaving the tympanic and mastoid segments of the facial nerve covered with a thin…

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Translabyrinthine Approach

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20 Translabyrinthine Approach Definition Following the extended cortical mastoidectomy and exenteration of the posterior part of the labyrinth, exposure of the internal auditory canal, and cerebellopontine angle through the posterior…

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Cortical Mastoidectomy

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II Surgical Techniques 5 Cortical Mastoidectomy 6 Posterior Tympanotomy 7 Cochlear Implantation 8 Transcortical Exposure of the Epitympanum 9 Extended Cortical Mastoidectomy 10 Canalplasty 11 Antrotomy 12 Tympanoplasty 13 Stapedotomy…

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