Underlay and Related Techniques
This chapter will cover the underlay tympanoplasty, defined as the reconstruction of the tympanic membrane via placement of graft material medial to the tympanic membrane defect, with the graft positioned…
Surgical Anatomy Relevant to the Chronic Ear
Safe and effective surgery for chronic ear disease demands an understanding of temporal bone anatomy and its relevance to function and pathophysiology. Whereas knowledge of surgical anatomy informs the technical…
Ossiculoplasty with Synthetic PORPS and TORPS
Several factors influence the results in ossiculoplasty, including the middle ear environment, the surgical technique, and the qualities of the prosthesis. There is no question that the first of these…
Reconstruction of the Incudostapedial Articulation
Anatomy The incudostapedial joint connects the incus and stapes and represents the smallest interosseous joint in the human body. Like any other joint, it comprises hyaline cartilage, a synovial membrane,…
Pearls in Audiovestibular Assessment
The goal of surgery for the chronic ear is to create a safe, disease-free ear and improve the hearing as much as possible. With respect to the chronic ear, audiologists…
Skin Grafting in the Management of Chronic Ear Disease
Split-thickness skin grafting has been an important tool in the kit of otologic surgeons for over 100 years. These grafts can be placed primarily at the time of tympanoplasty or…
Tympanic Membrane Tissue Engineering
Although various treatments for tympanic membrane (TM) perforation have been used, almost all of them, especially in cases of larger TM perforations, are surgical treatments, such as myringoplasty or tympanoplasty….
Retrograde Technique for Management of Cholesteatoma
The retrograde technique of cholesteatoma exposure attempts to combine the favorable attributes of canal wall-down and canal wall-up tympanomastoidectomy. The rationale behind this technique is to create a temporary canal…
Tympanostomy Tubes
The placement of tympanostomy tubes (TT) is a well-established procedure in most otolaryngology practices. The relative indications, although still debated, are generally accepted to include recurrent acute otitis media affecting…
Autograft Ossicular Reconstruction
Autograft ossicular reconstruction was first described in 1957 by Hall and Rytzner.1 The technique of using the patient’s own tissue to reconstruct the ossicular chain seemed to the authors to…
