Additional Information
Book Details
Abstract
Otologic Surgery—the third edition of this invaluable surgical reference—has been thoroughly updated to reflect the latest advances in the field and covers all aspects of surgery of the ear and skull base. Derald E. Brackmann, MD, Clough Shelton, MD, and Moises A. Arriaga, MD bring you seven new chapters on the hot topics of Cartilage Tympanoplasty, Reversible Canal Wall Down Mastiodectomy, Superior Semicircular Canal Dehiscence Syndrome, Endoscopic Skull Base Surgery, Far Lateral Transcondylar Approach, Stereotactic Radiation Therapy, and Vascular Considerations in Neurotology. These extensive updates, along with the inclusion of new contributors and the elimination of redundant chapters, ensure that this book provides you with the essential information you need to choose and perform state-of-the-art surgical techniques. The companion web site at expertconsult.com features the fully searchable text, as well as a video library and question and answer section.
- Discusses controversies and alternate approaches so you can make a well-informed decision from the full range of choices.
- Presents the expertise and insights from more than 50 leading specialists to provide you with authoritative advice on surgical problems.
- Provides detailed visual guidance on how to perform procedures through step-by-step illustrations.
- Features the fully searchable text online at expertconsult.com, with references linked to Medline, a question and answer section ideal for board review, and a video library of procedures for convenient access and reference.
- Includes seven new chapters—Cartilage Tympanoplasty, Reversible Canal Wall Down Mastiodectomy, Superior Semicircular Canal Dehiscence Syndrome, Endoscopic Skull Base Surgery, Far Lateral Transcondylar Approach, Stereotactic Radiation Therapy, and Vascular Considerations in Neurotology—for coverage of hot topics and the latest advances in technique.
- Presents new contributors for 14 chapters to provide you with authoritative coverage and the dynamic perspectives of leaders in the field.
- Streamlines the content by eliminating four redundant chapters of dated techniques so you only have the information you need.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover\r | Cover | ||
| OTOLOGIC SURGERY | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| In Memoriam | vii | ||
| Contributors | ix | ||
| Acknowledgements | xvii | ||
| Contents | xix | ||
| Chapter 1\rOtologic Instrumentation | 1 | ||
| OPERATING ROOM\r | 1 | ||
| STAPES SURGERY | 3 | ||
| TYMPANOPLASTY AND TYMPANOPLASTY WITH MASTOIDECTOMY | 7 | ||
| ENDOLYMPHATIC SAC SURGERY | 10 | ||
| NEUROTOLOGIC PROCEDURES | 11 | ||
| MIDDLE CRANIAL FOSSA SURGERY | 15 | ||
| CONCLUSION | 17 | ||
| APPENDIX 1: INSTRUMENTS AND EQUIPMENT FOR OTOLOGIC SURGERY\r | 18 | ||
| Chapter 2\rCanalplasty for Exostoses of the External Auditory Canal and Miscellaneous Auditory Canal Problems | 21 | ||
| EXOSTOSES OF THE EXTERNALAUDITORY CANAL | 21 | ||
| MISCELLANEOUS EXTERNAL AUDITORY CANAL CONDITIONS | 28 | ||
| REFERENCES | 31 | ||
| Chapter 3\rMalignancies of the Temporal Bone-Limited Temporal Bone Resection | 33 | ||
| TUMOR CONSIDERATIONS\r | 34 | ||
| HISTORY AND PHYSICAL EXAMINATION | 35 | ||
| BIOPSY | 35 | ||
| DIAGNOSTIC TESTS | 36 | ||
| STAGING | 36 | ||
| SURGICAL TREATMENT | 38 | ||
| RECONSTRUCTION | 38 | ||
| COMPLICATIONS | 40 | ||
| RADIATION | 41 | ||
| CHEMOTHERAPY | 41 | ||
| REHABILITATION OF LOWER CRANIAL NERVE DEFICITS | 41 | ||
| CONCLUSION | 41 | ||
| REFERENCES | 41 | ||
| Chapter 4\rMalignancies of the Temporal Bone—Radical Temporal Bone Resection | 43 | ||
| DIAGNOSTIC EVALUATION\r | 43 | ||
| PREOPERATIVE PREPARATION | 44 | ||
| SURGICAL PROCEDURE | 44 | ||
| POSTOPERATIVE CARE | 50 | ||
| POTENTIAL COMPLICATIONS | 50 | ||
| ADJUVANT TREATMENT | 50 | ||
| REHABILITATION | 50 | ||
| FOLLOW-UP | 51 | ||
| RESULTS | 51 | ||
| SUMMARY | 52 | ||
| REFERENCES | 52 | ||
| Chapter 5\rCongenital Malformation of the External Auditory Canal and Middle Ear | 55 | ||
| EMBRYOLOGY | 55 | ||
| CLASSIFICATION SYSTEMS | 56 | ||
| INITIAL EVALUATION AND PATIENT SELECTION | 57 | ||
| TIMING OF AURICULAR RECONSTRUCTION AND ATRESIAPLASTY | 58 | ||
| PREOPERATIVE EVALUATION AND PATIENT COUNSELING | 60 | ||
| SURGICAL APPROACH | 60 | ||
| POSTOPERATIVE CARE | 65 | ||
| PITFALLS | 66 | ||
| RESULTS | 67 | ||
| COMPLICATIONS AND THEIR MANAGEMENT | 68 | ||
| UNILATERAL ATRETIC EAR | 69 | ||
| REFERENCES | 69 | ||
| Chapter 6\rSurgery of Ventilation and Mucosal Disease | 73 | ||
| TERMINOLOGY | 73 | ||
| EPIDEMIOLOGY | 74 | ||
| PATHOPHYSIOLOGY | 75 | ||
| DIAGNOSIS | 76 | ||
| TREATMENT AND PATIENT SELECTION | 77 | ||
| PATIENT COUNSELING | 79 | ||
| SURGICAL TECHNIQUE | 80 | ||
| POSTOPERATIVE CARE AND FOLLOW-UP | 84 | ||
| SURGICAL PITFALLS | 84 | ||
| RESULTS | 86 | ||
| COMPLICATIONS AND MANAGEMENT | 86 | ||
| ALTERNATIVE TECHNIQUES | 87 | ||
| ALLERGY TREATMENT | 87 | ||
| BIOFILMS | 88 | ||
| GUIDELINES FOR THE MANAGEMENTOF ACUTE OTITIS MEDIA AND OTITIS MEDIA WITH EFFUSION | 88 | ||
| REFERENCES | 89 | ||
| Chapter 7\rDiagnosis and Management of the Patulous Eustachian Tube | 93 | ||
| ANATOMY AND \rPATHOPHYSIOLOGY OF THE PATULOUS EUSTACHIAN TUBE | 93 | ||
| ETIOLOGY AND CLINICAL PRESENTATION | 94 | ||
| DIAGNOSIS | 95 | ||
| TREATMENT | 97 | ||
| TECHNIQUE OF TRANSNASAL AND TRANSORAL OCCLUSION OF THE PATULOUS EUSTACHIAN TUBE DEFECT | 98 | ||
| CONCLUSION | 104 | ||
| REFERENCES | 104 | ||
| Chapter 8\rOffice Management of Tympanic Membrane Perforation and the Draining Ear | 107 | ||
| OTORRHEA FROM \rCEREBROSPINAL FLUID FISTULA | 107 | ||
| CHRONIC SUPPURATIVE OTITIS MEDIA | 107 | ||
| ACUTE OTITIS MEDIA WITH AN OPEN TYMPANIC MEMBRANE | 109 | ||
| MANAGEMENT OF OTORRHEA | 109 | ||
| OFFICE TECHNIQUES FOR CLOSURE OF TYMPANIC MEMBRANE PERFORATIONS | 115 | ||
| REFERENCES | 116 | ||
| Chapter 9\rTympanoplasty—Outer Surface Grafting Technique | 119 | ||
| HISTORICAL ASPECTS | 119 | ||
| PATIENT SELECTION AND EVALUATION | 119 | ||
| PATIENT COUNSELING | 120 | ||
| PREOPERATIVE PREPARATION | 120 | ||
| PREPARATION IN THE OPERATING ROOM | 120 | ||
| SURGICAL TECHNIQUE | 122 | ||
| POSTOPERATIVE CARE | 124 | ||
| PROS AND CONS OF OUTER SURFACE TECHNIQUE | 126 | ||
| REFERENCES | 127 | ||
| APPENDIX 1 RISKS AND COMPLICATIONS OF MYRINGOPLASTY, TYMPANOPLASTY, MASTOID SURGERY, AND OTHER OPERATIONS FOR CORRECTION OF CHRONIC EAR INFECTIONS | 128 | ||
| APPENDIX 2 POSTOPERATIVE INSTRUCTION FOLDER: MYRINGOPLASTY, TYMPANOPLASTY, AND MASTOIDECTOMY\r | 129 | ||
| Chapter 10\rCartilage Tympanoplasty | 131 | ||
| PATIENT SELECTION\r | 131 | ||
| SURGICAL TECHNIQUE | 132 | ||
| POSTOPERATIVE CARE | 135 | ||
| PROBLEMS AND PITFALLS | 135 | ||
| RESULTS | 138 | ||
| CONCLUSION | 138 | ||
| REFERENCES | 139 | ||
| Chapter 11\rTympanoplasty—Undersurface Graft Technique | 141 | ||
| RATIONALE AND REQUIREMENTS\r | 141 | ||
| PREOPERATIVE EVALUATION AND PATIENT SELECTION | 141 | ||
| GRAFT SELECTION | 141 | ||
| SURGICAL TECHNIQUE | 142 | ||
| POSTOPERATIVE CARE | 145 | ||
| REFERENCES | 148 | ||
| Chapter 12\rTympanoplasty—Undersurface Graft Technique | 149 | ||
| HISTORICAL ASPECTS\r | 149 | ||
| PREOPERATIVE FUNDAMENTAL PRINCIPLES | 150 | ||
| FUNDAMENTALS | 150 | ||
| PREOPERATIVE PREPARATION | 150 | ||
| BASIC TECHNICAL PRINCIPLES | 151 | ||
| SURGICAL TECHNIQUE | 153 | ||
| POSTOPERATIVE CARE | 156 | ||
| RESULTS | 157 | ||
| CARTILAGE GRAFT TYMPANOPLASTY | 157 | ||
| SUMMARY | 159 | ||
| REFERENCES | 160 | ||
| Chapter 13\rOssicular Reconstruction | 161 | ||
| HISTORICAL PERSPECTIVE\r | 161 | ||
| PATIENT SELECTION AND EVALUATION | 162 | ||
| SURGICAL CONSIDERATIONS | 163 | ||
| PROSTHESIS SELECTION | 165 | ||
| SURGICAL TECHNIQUE | 167 | ||
| POSTOPERATIVE CARE | 170 | ||
| FACTORS THAT MAKE A DIFFERENCE | 170 | ||
| SUMMARY | 170 | ||
| REFERENCES | 171 | ||
| Chapter 14\rCanal Wall Reconstruction Tympanomastoidectomy | 173 | ||
| ADVANTAGES AND \rDISADVANTAGES OF CANAL WALL UP AND CANAL WALL DOWN TECHNIQUES | 173 | ||
| RATIONALE FOR CANAL WALL RECONSTRUCTION TYMPANOMASTOIDECTOMY WITH MASTOID OBLITERATION | 174 | ||
| PATIENT SELECTION | 174 | ||
| PATIENT PREPARATION | 174 | ||
| SURGICAL TECHNIQUE | 175 | ||
| POSTOPERATIVE CARE | 177 | ||
| POTENTIAL PITFALLS | 180 | ||
| HEARING RESULTS | 181 | ||
| SUMMARY | 181 | ||
| REFERENCES | 181 | ||
| Chapter 15\rSurgery of Acute Infections and Their Complications | 183 | ||
| DEFINITION AND CLINICAL \rSIGNIFICANCE | 183 | ||
| ETIOLOGY AND PATHOGENESIS | 183 | ||
| CLINICAL PRESENTATION | 185 | ||
| DIAGNOSIS | 186 | ||
| TREATMENT | 188 | ||
| SUMMARY | 193 | ||
| REFERENCES | 193 | ||
| Chapter 16\rMastoidectomy—Intact Canal Wall Procedure | 195 | ||
| DEFINITIONS\r | 195 | ||
| EVOLUTION OF TECHNIQUE | 195 | ||
| CONTROVERSY | 196 | ||
| INDICATIONS FOR MASTOIDECTOMY | 196 | ||
| INDICATIONS FOR EXTERIORIZED MASTOID CAVITY | 197 | ||
| PREOPERATIVE EVALUATION AND TREATMENT | 197 | ||
| PREOPERATIVE COUNSELING | 198 | ||
| PREOPERATIVE PREPARATION OF THE PATIENT | 198 | ||
| SURGICAL TECHNIQUE | 198 | ||
| FACIAL NERVE IN SURGERY OF CHRONIC OTITIS MEDIA | 203 | ||
| MANAGEMENT OF THE LABYRINTHINE FISTULA | 205 | ||
| REPAIR OF CANAL WALL DEFECTS | 206 | ||
| REFERENCES | 206 | ||
| Chapter 17\rMastoidectomy—Canal Wall Down Procedure | 209 | ||
| DEFINITIONS\r | 209 | ||
| INDICATIONS FOR CANAL WALL DOWN MASTOIDECTOMY | 209 | ||
| DECISION MAKING | 210 | ||
| PREOPERATIVE EVALUATION | 210 | ||
| PREOPERATIVE COUNSELING | 210 | ||
| SURGICAL TECHNIQUES | 211 | ||
| BONDY MODIFIED RADICAL MASTOIDECTOMY | 213 | ||
| CANAL WALL DOWN MASTOIDECTOMY WITH TYMPANOPLASTY | 214 | ||
| ATTICOTOMY | 215 | ||
| RADICAL MASTOIDECTOMY | 216 | ||
| MASTOID OBLITERATION PROCEDURE | 216 | ||
| RECONSTRUCTION OF A RADICAL CAVITY | 217 | ||
| REVISION CANAL WALL DOWN SURGERY | 218 | ||
| POSTOPERATIVE CARE | 218 | ||
| POTENTIAL PITFALLS | 219 | ||
| FACIAL NERVE | 219 | ||
| FACIAL NERVE MONITORING | 220 | ||
| OUTCOMES | 225 | ||
| Chapter 18\rTympanoplasty—Staging and Use of Plastic | 221 | ||
| POSTOPERATIVE COLLAPSE \rOF TYMPANIC MEMBRANE | 221 | ||
| INDICATIONS FOR STAGING | 221 | ||
| PREOPERATIVE EVALUATION AND COUNSELING | 223 | ||
| PLASTIC IN THE MIDDLE EAR | 223 | ||
| CONTROVERSY | 225 | ||
| REFERENCES | 225 | ||
| Chapter 19\rComplications of Surgery for Chronic Otitis Media | 227 | ||
| PREOPERATIVE COUNSELING\r | 227 | ||
| LABYRINTHINE FISTULA SECONDARY TO CHRONIC OTITIS MEDIA | 227 | ||
| INTRAOPERATIVE MANAGEMENT OF LABYRINTHINE FISTULAS | 229 | ||
| IATROGENIC LABYRINTHINE FISTULA | 231 | ||
| SENSORINEURAL HEARING LOSS | 233 | ||
| FACIAL NERVE INJURY | 234 | ||
| FACIAL NERVE GRAFTING | 236 | ||
| OSSICULOPLASTY COMPLICATIONS | 237 | ||
| DURAL INJURY | 237 | ||
| VASCULAR INJURY | 238 | ||
| SUMMARY | 241 | ||
| REFERENCES | 241 | ||
| Chapter 20\rDural Herniation and Cerebrospinal Fluid Leaks | 245 | ||
| PATHOGENESIS | 245 | ||
| DIAGNOSIS | 246 | ||
| TREATMENT | 248 | ||
| REFERENCES | 250 | ||
| Chapter 21\rTotal Stapedectomy | 253 | ||
| PATIENT COUNSELING | 253 | ||
| SELECTION OF PATIENTS FOR STAPES SURGERY | 253 | ||
| SURGICAL TECHNIQUE | 254 | ||
| POSTOPERATIVE CARE | 257 | ||
| INTRAOPERATIVE PITFALLS | 257 | ||
| SUMMARY | 261 | ||
| AUTHORS’ NOTE | 261 | ||
| REFERENCES | 261 | ||
| rChapter 22 Laser Stapedotomy | 263 | ||
| PREOPERATIVE EVALUATION | 263 | ||
| PATIENT COUNSELING | 263 | ||
| SURGERY | 263 | ||
| SPECIAL CONDITIONS | 269 | ||
| INTRAOPERATIVE COMPLICATIONS | 271 | ||
| POSTOPERATIVE CARE | 271 | ||
| RESULTS | 272 | ||
| REFERENCES | 273 | ||
| Chapter 23\rPartial Stapedectomy | 275 | ||
| HISTORY\r | 275 | ||
| SURGICAL TECHNIQUE | 276 | ||
| MODIFICATIONS OF THE CUP/PISTON STAPES PROSTHESIS | 278 | ||
| INDICATIONS FOR CUP/PISTON PROSTHESIS | 278 | ||
| POSTOPERATIVE RESULTS | 278 | ||
| DISCUSSION | 278 | ||
| SUMMARY | 280 | ||
| REFERENCES | 280 | ||
| Chapter 24\rLaser Revision Stapedectomy | 281 | ||
| LASER PHYSICS AND \rPRINCIPLES | 281 | ||
| HISTORY OF REVISION STAPEDECTOMY | 282 | ||
| TECHNIQUE | 288 | ||
| SUMMARY | 290 | ||
| REFERENCES | 290 | ||
| Chapter 25\rSpecial Problems of Otosclerosis Surgery | 293 | ||
| INTRAOPERATIVE AUDIOMETRY\r | 293 | ||
| ROUTINE STAPEDECTOMY | 294 | ||
| INTRAOPERATIVE PROBLEMS\r | 295 | ||
| REVISION STAPEDECTOMY | 298 | ||
| FAR ADVANCED OTOSCLEROSIS | 301 | ||
| STAPEDECTOMY FOR SMALL AIR-BONE GAPS | 301 | ||
| STAPEDECTOMY IN CHILDREN | 302 | ||
| STAPEDECTOMY IN ELDERLY PATIENTS | 302 | ||
| STAPEDECTOMY IN PILOTS | 302 | ||
| STAPEDECTOMY IN PATIENTS WITH CHRONIC OTITIS MEDIA | 302 | ||
| FINDINGS IN BILATERAL STAPEDECTOMIES | 302 | ||
| REFERENCES | 302 | ||
| Chapter 26\rAvoidance and Management of Complications of Otosclerosis Surgery | 305 | ||
| PREOPERATIVE EVALUATION\r | 305 | ||
| OPERATING ROOM | 306 | ||
| MANAGEMENT OF COMPLICATIONS ENCOUNTERED AT PRIMARY SURGERY | 312 | ||
| COMPLICATIONS AFTER PRIMARY SURGERY | 316 | ||
| SURGICAL RISK REDUCTION IN REVISION SURGERY | 320 | ||
| CONCLUSION | 320 | ||
| REFERENCES | 320 | ||
| Chapter 27\rPerilymphatic Fistula | 323 | ||
| PATIENT SELECTION | 325 | ||
| PREOPERATIVE EVALUATION | 325 | ||
| PATIENT COUNSELING | 326 | ||
| SURGICAL PROCEDURE | 327 | ||
| RESULTS | 330 | ||
| RECURRENT PERILYMPHATIC FISTULA | 331 | ||
| SUMMARY | 331 | ||
| REFERENCES | 331 | ||
| Chapter 28\rManagement of Bell’s Palsy and Ramsay Hunt Syndrome | 335 | ||
| BELL’S PALSY\r | 335 | ||
| RAMSAY HUNT SYNDROME | 338 | ||
| FACIAL NERVE DECOMPRESSION FOR BELL’S PALSY | 339 | ||
| SUMMARY | 344 | ||
| REFERENCES\r | 344 | ||
| Chapter 29\rTraumatic Facial Paralysis | 347 | ||
| INTRACRANIAL INJURY TO THE \rFACIAL NERVE | 347 | ||
| INTRATEMPORAL INJURY TO THE FACIAL NERVE | 347 | ||
| EXTRATEMPORAL INJURY TO THE FACIAL NERVE | 349 | ||
| PATIENT EVALUATION | 349 | ||
| ASSOCIATED TRAUMA | 354 | ||
| SURGICAL TREATMENT | 355 | ||
| POSTOPERATIVE CARE | 359 | ||
| PITFALLS OF SURGERY | 359 | ||
| RESULTS | 360 | ||
| COMPLICATIONS | 360 | ||
| REFERENCES | 360 | ||
| Chapter 30\rPATIENT SELECTION | 363 | ||
| PATIENT SELECTION | 363 | ||
| SURGICAL TECHNIQUES | 365 | ||
| PITFALLS OF SURGERY | 369 | ||
| RESULTS | 369 | ||
| COMPLICATIONS AND MANAGEMENT | 371 | ||
| REFERENCES | 371 | ||
| Chapter 31\rSurgery for Cochlear Implantation | 373 | ||
| PATIENT SELECTION | 373 | ||
| MEDICAL EVALUATION | 373 | ||
| SELECTION OF EAR | 375 | ||
| SURGICAL TECHNIQUE | 375 | ||
| COMPLICATIONS | 378 | ||
| REVISION COCHLEAR IMPLANTATION | 379 | ||
| BILATERAL COCHLEAR IMPLANTATION | 379 | ||
| COMBINED ELECTROACOUSTIC STIMULATION | 380 | ||
| REFERENCES | 380 | ||
| Chapter 32\rImplantable Hearing Devices | 383 | ||
| REQUIREMENTS OF IMPLANTABLE DEVICES | 384 | ||
| CONVENTIONAL VERSUS IMPLANTABLE HEARING AIDS | 384 | ||
| TYPES OF MIDDLE EAR IMPLANTS | 385 | ||
| HISTORY OF MIDDLE EAR IMPLANTS | 385 | ||
| SPECIFIC DEVICES | 386 | ||
| RION | 386 | ||
| MET | 394 | ||
| CONCLUSION | 394 | ||
| REFERENCES\r | 396 | ||
| Chapter 33\rThe Bone-Anchored Cochlea Stimulator (Baha) | 397 | ||
| HISTORICAL ASPECTS | 397 | ||
| HEARING THROUGH BONE CONDUCTION | 397 | ||
| OSSEOINTEGRATION | 398 | ||
| PATIENT SELECTION | 398 | ||
| PATIENT COUNSELING | 399 | ||
| AUDIOMETRIC CRITERIA | 400 | ||
| CONTRAINDICATIONS | 401 | ||
| SURGICAL TREATMENT | 402 | ||
| SURGICAL TECHNIQUE | 410 | ||
| POSTOPERATIVE MANAGEMENT | 406 | ||
| ALTERNATIVES IN SURGERY | 407 | ||
| PITFALLS AND COMPLICATIONS IN SURGERY AND DURING FOLLOW-UP | 407 | ||
| HANDLING OF COMPLICATIONS | 408 | ||
| BAHA IN CHILDREN | 408 | ||
| SUMMARY | 409 | ||
| REFERENCES | 409 | ||
| Chapter 34\rSurgery of the Endolymphatic Sac | 411 | ||
| ENDOLYMPHATIC ANATOMY AND \rEMBRYOLOGY | 411 | ||
| ENDOLYMPHATIC SAC PHYSIOLOGY | 413 | ||
| ENDOLYMPHATIC HYDROPS: PATHOPHYSIOLOGY | 413 | ||
| MENIERE’S DISEASE | 414 | ||
| ENDOLYMPHATIC SAC SURGERY | 417 | ||
| COMPLICATIONS | 418 | ||
| VESTIBULAR OUTCOMES | 418 | ||
| REFERENCES | 425 | ||
| Chapter 35\rMiddle Cranial Fossa—Vestibular Neurectomy | 429 | ||
| PATIENT SELECTION\r | 429 | ||
| PREOPERATIVE EVALUATION \rAND COUNSELING | 429 | ||
| PREOPERATIVE MEDICATION | 430 | ||
| SURGICAL SITE PREPARATION, POSITIONING, AND DRAPING | 430 | ||
| INTRAOPERATIVE MONITORING AND ANESTHETIC CONCERNS | 430 | ||
| SPECIAL INSTRUMENTS | 430 | ||
| SURGICAL TECHNIQUE | 430 | ||
| DRESSING AND POSTOPERATIVE CARE | 435 | ||
| TIPS AND PITFALLS | 437 | ||
| RESULTS | 439 | ||
| COMPLICATIONS | 439 | ||
| ALTERNATIVE TECHNIQUES | 439 | ||
| REFERENCES | 440 | ||
| Chapter 36\rRetrolabyrinthine and Retrosigmoid Vestibular Neurectomy | 441 | ||
| HISTORICAL BACKGROUND\r | 441 | ||
| PREOPERATIVE EVALUATION | 442 | ||
| PERTINENT NEUROANATOMY | 442 | ||
| RETROLABYRINTHINE APPROACH | 443 | ||
| RETROSIGMOID OR SUBOCCIPITAL APPROACH | 446 | ||
| COMBINED RETROLABYRINTHINE/RETROSIGMOID APPROACH | 448 | ||
| ENDOSCOPIC ASSISTED VESTIBULAR NEURECTOMY | 448 | ||
| POSTOPERATIVE COURSE | 448 | ||
| EFFICACY | 449 | ||
| COMPLICATIONS | 451 | ||
| REFERENCES\r | 452 | ||
| CHAPTER 37\rTranslabyrinthine Vestibular Neurectomy | 455 | ||
| HISTORY\r | 455 | ||
| DIAGNOSTIC CONSIDERATIONS | 455 | ||
| TREATMENT OF VESTIBULAR DISORDERS: AN OVERVIEW | 457 | ||
| PREOPERATIVE TESTING | 458 | ||
| SURGICAL PROCEDURE | 459 | ||
| POSTOPERATIVE CARE AND FOLLOW-UP | 461 | ||
| COMPLICATIONS | 464 | ||
| RESULTS AND LITERATURE OVERVIEW | 464 | ||
| CONCLUSION | 464 | ||
| REFERENCES | 464 | ||
| Chapter 38\rPosterior Semicircular Canal Occlusion for Benign Paroxysmal Positional Vertigo | 467 | ||
| PATHOPHYSIOLOGY | 468 | ||
| PREOPERATIVE PATIENT COUNSELING AND CONSERVATIVE MANAGEMENT | 468 | ||
| SURGICAL PATIENT SELECTION | 470 | ||
| PREOPERATIVE EVALUATION | 471 | ||
| SURGICAL TECHNIQUE | 471 | ||
| RESULTS | 471 | ||
| FURTHER APPLICATIONS OF CANAL OCCLUSION SURGERY | 473 | ||
| SUMMARY | 474 | ||
| REFERENCES | 474 | ||
| Chapter 39\rCochleosacculotomy | 477 | ||
| PHYSIOLOGIC, ANATOMIC, AND \rPATHOLOGIC RATIONALE | 477 | ||
| PATIENT SELECTION | 478 | ||
| SURGICAL TECHNIQUE | 478 | ||
| RESULTS | 481 | ||
| REFERENCES | 482 | ||
| Chapter 40\rTranscanal Labyrinthectomy | 483 | ||
| PATIENT SELECTION\r | 483 | ||
| PREOPERATIVE EVALUATION | 484 | ||
| PREOPERATIVE PATIENT COUNSELING AND INFORMED CONSENT | 484 | ||
| SURGICAL TECHNIQUE | 484 | ||
| POSTOPERATIVE CARE | 485 | ||
| SURGICAL COMPLICATIONS AND MANAGEMENT | 488 | ||
| HISTOPATHOLOGY OF LABYRINTHECTOMY | 489 | ||
| RESULTS OF SURGERY | 490 | ||
| SPECIAL CONSIDERATIONS | 490 | ||
| REFERENCES | 490 | ||
| CHAPTER 41\rChemical Treatment of the Labyrinth | 493 | ||
| INTRAMUSCULAR APPLICATION OF STREPTOMYCIN | 494 | ||
| APPLICATION OF STREPTOMYCIN TO LATERAL SEMICIRCULAR CANAL | 496 | ||
| INTRATYMPANIC GENTAMICIN THERAPY | 497 | ||
| RESULTS | 501 | ||
| TREATMENT OF LABYRINTHINE DISORDERS WITH INTRATYMPANIC CORTICOSTEROIDS | 502 | ||
| SUMMARY | 503 | ||
| REFERENCES | 503 | ||
| Chapter 42\rSuperior Semicircular Canal Dehiscence Syndrome1 | 507 | ||
| DIAGNOSTIC EVALUATION | 507 | ||
| DIFFERENTIAL DIAGNOSIS | 509 | ||
| PREOPERATIVE DECISION MAKING | 510 | ||
| BILATERAL DEHISCENCES | 512 | ||
| OPERATIVE TECHNIQUE | 512 | ||
| POSTOPERATIVE CARE | 515 | ||
| LONG-TERM RESULTS | 516 | ||
| SUMMARY | 516 | ||
| REFERENCES | 516 | ||
| Chapter 43\rOverview of TranstemporalSkull Base Surgery | 519 | ||
| OBJECTIVE | 519 | ||
| NOMENCLATURE | 520 | ||
| COLLABORATION IN TRANSTEMPORAL SURGERY | 520 | ||
| SUMMARY | 521 | ||
| REFERENCES | 521 | ||
| Chapter 44\rOperations for Vascular Compressive Syndromes | 523 | ||
| PREOPERATIVE EVALUATION\r | 523 | ||
| TRIGEMINAL NEURALGIA | 523 | ||
| HEMIFACIAL SPASM | 529 | ||
| DISABLING POSITIONAL VERTIGO AND TINNITUS | 530 | ||
| GLOSSOPHARYNGEAL NEURALGIA | 531 | ||
| NEUROGENIC HYPERTENSION | 532 | ||
| SUMMARY | 533 | ||
| REFERENCES | 533 | ||
| Chapter 45\rDrainage Procedures for Petrous Apex Lesions | 537 | ||
| PATIENT SELECTION | 538 | ||
| PREOPERATIVE EVALUATION AND PATIENT COUNSELING | 538 | ||
| SURGICAL TECHNIQUES | 540 | ||
| RESULTS | 544 | ||
| COMPLICATIONS AND MANAGEMENT | 544 | ||
| ALTERNATIVE TECHNIQUES | 545 | ||
| CONCLUSION | 546 | ||
| REFERENCES | 549 | ||
| Chapter 46\rSurgery for Glomus Tumors and Other Lesions of the Jugular Foramen | 551 | ||
| PATIENT SELECTION\r | 551 | ||
| PREOPERATIVE EVALUATION | 553 | ||
| PATIENT COUNSELING | 554 | ||
| SURGICAL APPROACHES | 554 | ||
| RESULTS | 564 | ||
| COMPLICATIONS | 565 | ||
| RADIATION | 566 | ||
| SUMMARY | 567 | ||
| REFERENCES | 567 | ||
| Chapter 47\rRehabilitation of Lower Cranial Nerve Deficits after Neurotologic Skull Base Surgery | 569 | ||
| PATIENT EVALUATION | 569 | ||
| LOWER CRANIAL NERVE DEFICITS AND REHABILITATION | 569 | ||
| SUMMARY | 578 | ||
| REFERENCES | 578 | ||
| Chapter 48\rMiddle Fossa Approach | 581 | ||
| INDICATIONS\r | 581 | ||
| PREOPERATIVE EVALUATION | 581 | ||
| PATIENT COUNSELING | 582 | ||
| SURGERY | 582 | ||
| RESULTS | 586 | ||
| SUMMARY | 588 | ||
| REFERENCES | 588 | ||
| Chapter 49\rTranslabyrinthine Approach | 591 | ||
| PATIENT SELECTION\r | 591 | ||
| SURGICAL PROCEDURE | 593 | ||
| POSTOPERATIVE CARE | 597 | ||
| COMPLICATIONS | 597 | ||
| RESULTS | 600 | ||
| SUMMARY | 600 | ||
| EDITORIAL COMMENT | 600 | ||
| NEUROSURGICAL TECHNIQUES IN ACOUSTIC TUMOR SURGERY | 600 | ||
| REFERENCES | 602 | ||
| CHAPTER 50\rRetrosigmoid Approach to Tumorsof the Cerebellopontine Angle | 603 | ||
| SURGICAL ANATOMY | 603 | ||
| PREOPERATIVE EVALUATIONAND PATIENT COUNSELING | 605 | ||
| PATIENT SELECTION | 605 | ||
| PATIENT PREPARATION AND POSITIONING | 607 | ||
| SURGICAL SITE PREPARATION | 607 | ||
| SPECIAL INSTRUMENTS | 607 | ||
| SURGICAL TECHNIQUE | 608 | ||
| DRESSING | 614 | ||
| POSTOPERATIVE CARE | 614 | ||
| RESULTS | 615 | ||
| COMPLICATIONS | 616 | ||
| REFERENCES | 618 | ||
| Chapter 51\rTransotic Approach | 621 | ||
| INDICATIONS\r | 621 | ||
| PREOPERATIVE EVALUATION | 621 | ||
| SURGICAL TECHNIQUE | 622 | ||
| DRESSING AND POSTOPERATIVE CARE | 628 | ||
| TIPS AND PITFALLS | 628 | ||
| RESULTS | 629 | ||
| COMPLICATIONS AND MANAGEMENT | 629 | ||
| ALTERNATIVE TECHNIQUES | 629 | ||
| REFERENCES | 630 | ||
| Chapter 52\rTranscochlear Approach to Cerebellopontine Angle Lesions | 631 | ||
| ADVANTAGES OF TRANSCOCHLEAR APPROACH\r | 631 | ||
| DISADVANTAGES OF TRANSCOCHLEAR APPROACH | 632 | ||
| PATIENT EVALUATION AND PREOPERATIVE COUNSELING | 632 | ||
| SURGICAL ANATOMY | 632 | ||
| SURGICAL TECHNIQUE | 632 | ||
| POSTOPERATIVE CARE | 637 | ||
| RESULTS | 637 | ||
| COMPLICATIONS AND THEIR MANAGEMENT | 639 | ||
| SUMMARY | 640 | ||
| REFERENCES | 640 | ||
| Chapter 53\rExtended Middle Cranial Fossa Approach | 641 | ||
| TECHNIQUE\r | 641 | ||
| SURGICAL ANATOMY | 641 | ||
| SURGICAL TECHNIQUE | 642 | ||
| LIMITATIONS | 645 | ||
| ADVANTAGES | 647 | ||
| CONCLUSION | 647 | ||
| REFERENCES | 647 | ||
| Chapter 54\rAnterior and Subtemporal Approaches to the Infratemporal Fossa | 649 | ||
| PATIENT SELECTION\r | 649 | ||
| PREOPERATIVE EVALUATION | 649 | ||
| SURGICAL APPROACHES | 652 | ||
| POSTOPERATIVE CARE | 662 | ||
| PITFALLS AND COMPLICATIONS | 663 | ||
| REFERENCES | 664 | ||
| Chapter 55\rEndoscopic Endonasal Approaches to the Skull Base and Paranasal Sinuses | 667 | ||
| INTRODUCTION/BACKGROUND\r | 667 | ||
| BASIC ENDOSCOPIC ENDONASAL CONCEPTS | 667 | ||
| EXPANDED ENDONASAL APPROACHES: ANATOMIC MODULES | 668 | ||
| COMPLICATIONS AND LEARNING CURVE | 679 | ||
| RECONSTRUCTION | 679 | ||
| CONCLUSIONS | 680 | ||
| REFERENCES | 680 | ||
| Chapter 56\rPetrosal Approach | 681 | ||
| COMBINED PETROSAL VARIATIONS\r | 681 | ||
| PREOPERATIVE EVALUATION | 682 | ||
| PREOPERATIVE PREPARATION | 683 | ||
| SURGICAL TECHNIQUES | 683 | ||
| CLOSURE | 687 | ||
| RESULTS | 688 | ||
| SUMMARY | 689 | ||
| REFERENCES | 689 | ||
| Chapter 57\rNeurofibromatosis 2 | 691 | ||
| NEUROFIBROMATOSIS 2 DIFFERENTIATED FROM NEUROFIBROMATOSIS 1\r | 691 | ||
| CLINICAL CHARACTERISTICS OF NEUROFIBROMATOSIS 2 | 691 | ||
| TREATMENT OPTIONS FOR VESTIBULAR SCHWANNOMAS IN NEUROFIBROMATOSIS 2 | 696 | ||
| MANAGEMENT OF NEUROFIBROMATOSIS 2 | 698 | ||
| GENETIC TESTING | 699 | ||
| SUMMARY | 699 | ||
| REFERENCES | 699 | ||
| Chapter 58\rAuditory Implants for the Central Nervous System | 703 | ||
| PATIENT SELECTION\r | 703 | ||
| PREOPERATIVE EVALUATION AND COUNSELING | 704 | ||
| DEVICE | 704 | ||
| ANATOMIC CONSIDERATIONS | 704 | ||
| SURGICAL CONSIDERATIONS | 705 | ||
| IMPLANTATION TECHNIQUE | 707 | ||
| POSTOPERATIVE CARE | 709 | ||
| POSTOPERATIVE COMPLICATIONS | 709 | ||
| RESULTS | 710 | ||
| OTHER RESEARCH | 711 | ||
| SUMMARY | 712 | ||
| References | 713 | ||
| Chapter 59\rExtreme Lateral Infrajugular Transcondylar (ELITE) Approach for Resection of Skull Base Tumors | 715 | ||
| SURGICAL PROCEDURE | 716 | ||
| COMPLICATIONS | 724 | ||
| RESULTS | 724 | ||
| DISCUSSION | 726 | ||
| REFERENCES | 726 | ||
| Chapter 60\rManagement of Postoperative Cerebrospinal Fluid Leaks | 727 | ||
| PRESSURE DRESSING\r | 727 | ||
| LUMBAR DRAIN | 727 | ||
| WOUND EXPLORATION AND RECLOSURE | 731 | ||
| REFRACTORY CEREBROSPINAL FLUID LEAKS | 731 | ||
| SUMMARY | 732 | ||
| REFERENCES | 732 | ||
| Chapter 61\rCare of the Eye in Facial Paralysis | 733 | ||
| CRITERIA FOR SURGERY\r | 733 | ||
| PREPARATION OF THE PATIENT | 733 | ||
| ANESTHESIA AND SURGICAL PREPARATION | 733 | ||
| DRAPING | 734 | ||
| GENERAL CONSIDERATIONS | 735 | ||
| UPPER LID REANIMATION PROCEDURES | 735 | ||
| LOWER LID REAPPOSITION PROCEDURES | 742 | ||
| ANCILLARY PROCEDURES | 749 | ||
| TEMPORIZING MEASURES | 750 | ||
| CONCLUSION | 752 | ||
| REFERENCES | 752 | ||
| Chapter 62\rHypoglossal Facial Anastomosis | 755 | ||
| PATIENT SELECTION\r | 755 | ||
| SURGICAL TECHNIQUE | 756 | ||
| NERVE GROWTH FACTORS AND CONDUITS | 757 | ||
| NEWER MODIFICATIONS OF HYPOGLOSSAL-FACIAL ANASTOMOSIS | 758 | ||
| RESULTS | 759 | ||
| SUMMARY | 761 | ||
| REFERENCES | 761 | ||
| Chapter 63\rFacial Reanimation Techniques | 765 | ||
| DYNAMIC PROCEDURES FOR FACIAL REANIMATION\r | 765 | ||
| STATIC PROCEDURE FOR FACIAL REHABILITATION | 770 | ||
| SUMMARY | 771 | ||
| REFERENCES | 771 | ||
| Chapter 64\rIntraoperative Neurophysiologic Monitoring | 773 | ||
| MONITORING FACIAL NERVE\r | 773 | ||
| MONITORING HEARING | 778 | ||
| CONCLUSION | 782 | ||
| REFERENCES | 782 | ||
| Chapter 65\rStereotactic Radiosurgery of Skull Base Tumors | 785 | ||
| PATIENT SELECTION\r | 785 | ||
| PREOPERATIVE COUNSELING | 786 | ||
| SURGICAL TECHNIQUE | 786 | ||
| GAMMA KNIFE SURGERY OUTCOMES | 791 | ||
| ALTERNATIVE TECHNIQUES | 794 | ||
| ALTERNATIVE APPLICATIONS | 796 | ||
| SUMMARY | 797 | ||
| FINANCIAL DISCLOSURE | 797 | ||
| REFERENCES | 797 | ||
| Chapter 66\rVascular Considerations in Neurotologic Surgery | 799 | ||
| VASCULAR ANATOMY OF THE PETROUS BONE AND CEREBELLOPONTINE ANGLE \r | 799 | ||
| VASCULAR CONSIDERATIONS IN NEUROTOLOGIC APPROACHES | 801 | ||
| VASCULAR LESIONS OF THE PETROUS BONE AND CEREBELLOPONTINE ANGLE | 803 | ||
| VASCULAR TUMORS OF THE PETROUS BONE AND CEREBELLOPONTINE ANGLE | 807 | ||
| CONCLUSION | 813 | ||
| REFERENCES | 813 | ||
| Index | 815 | ||
| Self-Assessment Questions | e1 |