Osteoradionecrosis of the Temporal Bone Joseph B. Nadol, Jr. Although the effects of radiation on bone have been known for many years (1), its effects on the temporal bone and…

Complications of Chronic Otitis Media Jeffrey P. Harris David W. Kim David H. Darrow A mastoid abscess was first opened. A sinus persisted; bony sequestra were then removed to expose…

Chronic Otitis Media Joseph B. Nadol, Jr. The management and selection of an appropriate surgical procedure for a patient with chronic otitis media requires that the clinician identify the proper…

Acute Mastoiditis Michael J. McKenna Roland D. Eavey Acute mastoiditis remains a contemporary disease with significant morbidity and even mortality. The clinical diagnosis of this disorder is so entrenched within…

Granular Myringitis and Tympanic Retraction Pockets Richard M. Levinson GRANULAR MYRINGITIS Granular myringitis is a chronic vascular fibroproliferative and ulcerative dermatitis involving focal or diffuse areas of the tympanic membrane…

Perforations of the Tympanic Membrane Dennis S. Poe Perforations of the tympanic membrane are caused by a number of etiologies, most commonly suppurative otitis media. Perforations cause hearing loss and…

Management of Soft Tissue and Osseous Stenosis of the Ear Canal and Canalplasty Steven D. Rauch The functional characteristics of the ear canal are usually assessed by the practicing otologist…

Transtemporal and Transpetrous Approaches to the Cranial Base Michael J. McKenna Advances in surgical technology and technique, intraoperative cranial nerve monitoring, anesthesia, intraoperative stereotactic guidance systems, and stereotactic radiation therapy…

Osseous Approaches to the Temporal Bone Joseph B. Nadol, Jr. A variety of osseous approaches are used in surgery of the ear and temporal bone. Presented in this chapter are…

Incisions and Approaches Joseph B. Nadol, Jr. GENERAL PRINCIPLES The selection of an incision is based on the need to obtain adequate exposure and to minimize risk and morbidity for…