Stapes Surgery

Aug 2, 2020 by in OTOLARYNGOLOGY Comments Off on Stapes Surgery

Introduction to Stapes Surgery Many otologists would describe stapes surgery as among the most satisfying of all ear operations. The procedure is elegant, technically sophisticated, and most patients are highly…

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External Ear

Aug 2, 2020 by in OTOLARYNGOLOGY Comments Off on External Ear

It is more than a little ironic that most patients think of the ear in terms of the pinna, whereas many ear surgeons relegate pinna surgery to their facial plastic…

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Cholesteatoma

Aug 2, 2020 by in OTOLARYNGOLOGY Comments Off on Cholesteatoma

Primary acquired cholesteatoma is an invagination of the tympanic membrane, of variable aggressiveness, with accumulation of desquamated keratin and a notable tendency to destroy bone. It is controversial whether cholesteatoma…

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Tympanoplasty

Aug 2, 2020 by in OTOLARYNGOLOGY Comments Off on Tympanoplasty

The invention of microsurgical repair of chronic tympanic membrane perforation was one of the great contributions of 20th century otology. With success rates in experienced hands well over 90%, it…

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Mastoidectomy

Aug 2, 2020 by in OTOLARYNGOLOGY Comments Off on Mastoidectomy

While most mastoid surgery is conducted for infection, mastoidectomy is also performed to create a pathway to the deeper recesses of the temporal bone. These include surgery for neoplasia, vestibular…

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Fundamentals of Ear Surgery

Aug 2, 2020 by in OTOLARYNGOLOGY Comments Off on Fundamentals of Ear Surgery

2.2 Patient Positioning Fig. 2.1 The three variables for positioning of the head in ear microsurgery: rotation, tilt, and flexion–extension. Fig. 2.2 Incorrect positioning with the head under rotated, extended, and tilted. This…

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Surgical Anatomy of the Ear

Aug 2, 2020 by in OTOLARYNGOLOGY Comments Off on Surgical Anatomy of the Ear

A rigorous understanding of anatomy underlies safe and effective ear microsurgery. Traditionally, anatomical dissection of temporal bones was the primary educational means of being introduced to the complex and convoluted…

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Facial Nerve

Aug 2, 2020 by in OTOLARYNGOLOGY Comments Off on Facial Nerve

Facial nerve injury is a risk in virtually all ear procedures and its injury is the most dreaded complication in routine otologic surgery. Historically, it was sometimes said that “God…

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Ossiculoplasty

Aug 2, 2020 by in OTOLARYNGOLOGY Comments Off on Ossiculoplasty

Diseases of the ossicular chain most often occur as an aftermath of infection and less commonly due to trauma or tumor. Conductive hearing loss may result from either discontinuity of…

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