Canal Wall Reconstruction Using the Titanium Mesh Cage
As mentioned in Chapter 36, there has been a trend in the development of hybrid techniques that combine the advantages of canal wall-down and canal wall-up surgery for cholesteatoma. Many…
Canal Wall Removal and Replacement with Obliteration
The major advantages of the canal wall reconstruction (CWR) procedure are that it provides the improved exposure to eradicate disease afforded by canal wall-down techniques and, when reconstructed, it provides…
Microbiology of Chronic Ear Disease
Definitions Otitis media is defined as inflammation of the middle ear and mastoid, and the duration of the process defines the subtype: acute (<3 weeks), subacute (3–12 weeks), and chronic…
Myringitis
Myringitis is a poorly understood inflammatory disease of the tympanic membrane and external auditory canal. It has been referred to by other names in the literature, including granular myringitis, chronic…
Chronic Ear Disease in the Modern Era: Evolution of Treatment, Epidemiology, and Classification
Historical Perspective Prior to the modern era of antibiotics, otitis media was very often accompanied by deleterious outcomes, as evidenced by this quote from Hippocrates: “Acute pain of the ear…
Office Evaluation and Management of a Canal Wall-Down Mastoid Cavity
The canal wall-down (CWD) tympanomastoid scenario poses several unique challenges in the practice of otology. Although the question of when to perform CWD mastoidectomy is somewhat controversial, all otologists are…
Overview and Introduction
The evolution of mastoidectomy has been a defining aspect of the development of modern otologic practice (see the historic review in Chapter 33). However, for a procedure that is often…
