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BOOK
Endoscopic Ear and Eustachian Tube Surgery, An Issue of Otolaryngologic Clinics of North America, E-Book
Muaaz Tarabichi | João Flávio Nogueira
(2016)
Additional Information
Book Details
Abstract
This issue of Otolaryngologic Clinics of North America, devoted to Endoscopic Ear and Eustachian Tube Surgery, is guest edited by Drs. João Flávio Nogueira and Muaaz Tarabichi. Articles in this outstanding issue include: Anatomy of the Eustachian Tube; Physiology of the Eustachian Tube; Eustachian Tube Function and Testing; Radiology of the Eustachian Tube; Middle Ear and Eustachian Tube Dysfunction; Endoscopic Eustachian Tube Transnasal Surgery; Endoscopic Anatomy of the Protympanic Space; Outcomes Following Endoscopic Ear Surgery; Endoscopic Management of Superior Semicircular Canal Dehiscence; Endoscopic Management of Tumors in Middle Ear and Mastoid; Outcomes Following Endoscopic Stapes Surgery; Transtympanic Balloon Dilation of the Eustachian Tube; Selective Dysventilation Syndrome; Restoring Petrous Bone Ventilation; and Endoscopic Techniques in Tympanoplasty.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Endoscopic Ear and Eustachian Tube Surgery\r | i | ||
Copyright\r | ii | ||
CME Accreditation Page | iii | ||
PROGRAM OBJECTIVE | iii | ||
LEARNING OBJECTIVES | iii | ||
ACCREDITATION | iii | ||
DISCLOSURE OF CONFLICTS OF INTEREST | iii | ||
UNAPPROVED/OFF-LABEL USE DISCLOSURE | iii | ||
TO ENROLL | iv | ||
METHOD OF PARTICIPATION | iv | ||
CME INQUIRIES/SPECIAL NEEDS | iv | ||
Contributors | v | ||
EDITORS | v | ||
AUTHORS | v | ||
Contents | ix | ||
Preface: Functional Endoscopic Chronic Ear Surgery: A New Horizon\r | ix | ||
Editorial: The Eustachian Tube Redefined\r | ix | ||
Anatomy of the Eustachian Tube\r | ix | ||
Endoscopic Anatomy of the Protympanum\r | ix | ||
Eustachian Tube Function\r | ix | ||
Preoperative and Intraoperative Evaluation of the Eustachian Tube in Chronic Ear Surgery\r | x | ||
The Role of Transtympanic Dilatation of the Eustachian Tube During Chronic Ear Surgery\r | x | ||
Transnasal Endoscopic Eustachian Tube Surgery\r | x | ||
Endoscopic Facial Nerve Surgery\r | x | ||
Endoscopic-Assisted Repair of Superior Canal Dehiscence\r | xi | ||
Endoscopic Management of Middle Ear and Temporal Bone Lesions\r | xi | ||
Outcomes Following Endoscopic Stapes Surgery\r | xi | ||
The Fully Endoscopic Acoustic Neuroma Surgery\r | xi | ||
Incorporating Endoscopic Ear Surgery into Your Clinical Practice\r | xii | ||
Endoscopic Techniques in Tympanoplasty\r | xii | ||
Endoscopic Management of Attic Cholesteatoma: Long-Term Results\r | xii | ||
Outcomes in Endoscopic Ear Surgery\r | xii | ||
Special Article | xiii | ||
Size as a Risk Factor for Growth in Conservatively Managed Vestibular Schwannomas: The Birmingham Experience\r | xiii | ||
OTOLARYNGOLOGIC CLINICS\rOF NORTH AMERICA\r | xiv | ||
FORTHCOMING ISSUES | xiv | ||
December 2016 | xiv | ||
February 2017 | xiv | ||
April 2017 | xiv | ||
RECENT ISSUES | xiv | ||
August 2016 | xiv | ||
June 2016 | xiv | ||
April 2016 | xiv | ||
Preface:\rFunctional Endoscopic Chronic Ear Surgery: A New Horizon | xv | ||
Editorial:\rThe Eustachian Tube Redefined | xvii | ||
Anatomy of the Eustachian Tube | 1097 | ||
Key points | 1097 | ||
SPATIAL ORIENTATION | 1097 | ||
LENGTH | 1097 | ||
COMPARTMENTS | 1098 | ||
Cartilage | 1098 | ||
Lumen | 1098 | ||
Ligaments and Fasciae | 1100 | ||
Membranous Wall | 1101 | ||
Muscles | 1101 | ||
Tensor veli palatini muscle | 1101 | ||
Medial pterygoid muscle | 1102 | ||
Levator veli palatini muscle | 1104 | ||
Salpingopharyngeal muscle | 1104 | ||
REFERENCES | 1104 | ||
Endoscopic Anatomy of the Protympanum | 1107 | ||
Key points | 1107 | ||
INTRODUCTION | 1107 | ||
EMBRYOLOGY | 1108 | ||
BOUNDARIES | 1108 | ||
Superior Boundary | 1108 | ||
Inferior Boundary | 1110 | ||
Anterior Boundary | 1111 | ||
Medial and Posterior Boundary | 1112 | ||
Lateral Boundary | 1112 | ||
CONFORMATIONS | 1113 | ||
NEUROLYMPHOVASCULAR SUPPLY OF THE PROTYMPANUM | 1113 | ||
MORPHOFUNCTIONAL IMPORTANCE OF THE PROTYMPANUM | 1115 | ||
SURGICAL IMPORTANCE OF THE PROTYMPANUM | 1115 | ||
Final Common Pathway of Ventilation | 1115 | ||
Cholesteatoma in the Protympanum | 1115 | ||
Cerebrospinal Fluid Leak | 1116 | ||
Otic Neuralgia | 1116 | ||
Surgical Access to the Eustachian Tube | 1117 | ||
SUPPLEMENTARY DATA | 1117 | ||
REFERENCES | 1117 | ||
Eustachian Tube Function | 1121 | ||
Key points | 1121 | ||
GENERAL INTRODUCTION | 1121 | ||
TUBAL MECHANICS | 1122 | ||
THE PLACE OF TUBAL PHYSIOLOGY IN PRESSURE BALANCING OF THE MIDDLE EAR CLEFT MORPHOFUNCTIONAL PARTITION | 1123 | ||
Gas Exchanges | 1125 | ||
Regulating Systems | 1127 | ||
The in situ adaptation systems | 1127 | ||
The compliance of the tympanic membrane lamina propria | 1127 | ||
The fibrocartilaginous eustachian tube function | 1127 | ||
The vascular system in combination with the mastoid gas cell system | 1127 | ||
The peripheral and central nervous regulating systems | 1129 | ||
Sensors located in the middle ear cleft | 1129 | ||
Chemosensors | 1129 | ||
Barosensors | 1129 | ||
Sensors located at the pharyngeal orifice of the fibrocartilaginous eustachian tube | 1129 | ||
Neural connection between sensors | 1130 | ||
How the System Operates | 1130 | ||
REFERENCES | 1131 | ||
Preoperative and Intraoperative Evaluation of the Eustachian Tube in Chronic Ear Surgery | 1135 | ||
Key points | 1135 | ||
INTRODUCTION | 1135 | ||
Valsalva Computed Tomography | 1136 | ||
Case discussion | 1136 | ||
COMPUTED TOMOGRAPHY ASSESSMENT OF SEGMENTAL VENTILATION FAILURES | 1137 | ||
MEASURING THE OPENING PRESSURE OF THE EUSTACHIAN TUBE PREOPERATIVELY | 1141 | ||
VISUAL INTRAOPERATIVE INSPECTION OF THE PROTYMPANIC SPACE | 1143 | ||
Case Discussion | 1143 | ||
MANAGEMENT ALGORITHM | 1145 | ||
SUPPLEMENTARY DATA | 1147 | ||
REFERENCES | 1147 | ||
The Role of Transtympanic Dilatation of the Eustachian Tube During Chronic Ear Surgery | 1149 | ||
Key points | 1149 | ||
INTRODUCTION | 1149 | ||
Technique | 1150 | ||
Case study | 1152 | ||
Anatomic Considerations: Relationship of the Carotid to the Eustachian Tube | 1153 | ||
Anatomic Considerations: Anatomy of Protympanum | 1155 | ||
Safety Considerations | 1157 | ||
RESULTS | 1158 | ||
DISCUSSION | 1158 | ||
SUMMARY | 1161 | ||
SUPPLEMENTARY DATA | 1161 | ||
REFERENCES | 1161 | ||
Transnasal Endoscopic Eustachian Tube Surgery | 1163 | ||
Key points | 1163 | ||
INTRODUCTION | 1163 | ||
CONTENT/DISCUSSION | 1164 | ||
SUMMARY | 1169 | ||
SUPPLEMENTARY DATA | 1170 | ||
REFERENCES | 1170 | ||
Endoscopic Facial Nerve Surgery | 1173 | ||
Key points | 1173 | ||
INTRODUCTION | 1173 | ||
ANATOMICAL CONSIDERATIONS | 1174 | ||
Precochleariform Segment of Tympanic Portion of Facial Nerve | 1174 | ||
Geniculate Ganglion | 1174 | ||
Greater Petrosal Nerve | 1175 | ||
Postcochleariform Segment of Tympanic Portion of Facial Nerve | 1177 | ||
Intralabyrinthine portion of facial nerve | 1177 | ||
TRANSCANAL ENDOSCOPIC APPROACHES TO THE FACIAL NERVE | 1177 | ||
Endoscopic Transcanal Transpromontorial Approach | 1178 | ||
Surgical steps | 1179 | ||
Endoscopic Transcanal Suprageniculate Approach | 1179 | ||
Surgical steps | 1182 | ||
Postoperative care and follow-up | 1182 | ||
Endoscopic Transcanal Facial Nerve Decompression | 1182 | ||
Surgical steps | 1183 | ||
Postoperative care and follow-up | 1184 | ||
DISCUSSION | 1184 | ||
SUMMARY | 1186 | ||
REFERENCES | 1186 | ||
Endoscopic-Assisted Repair of Superior Canal Dehiscence | 1189 | ||
Key points | 1189 | ||
INTRODUCTION | 1189 | ||
DIAGNOSIS OF SUPERIOR CANAL DEHISCENCE | 1190 | ||
Audiometric Testing | 1191 | ||
Vestibular Evoked Myogenic Potential | 1191 | ||
Diagnostic Imaging | 1191 | ||
ROLE OF ENDOSCOPE IN MIDDLE FOSSA CRANIOTOMY APPROACH SUPERIOR CANAL DEHISCENCE REPAIR | 1191 | ||
PREOPERATIVE PLANNING | 1194 | ||
MASSACHUSETTS EYE AND EAR INFIRMARY ENDOSCOPIC-ASSISTED REPAIR OF SUPERIOR CANAL DEHISCENCE | 1196 | ||
ENDOSCOPIC EQUIPMENT | 1198 | ||
SURGICAL OVERVIEW OF ENDOSCOPIC-ASSISTED MIDDLE FOSSA CRANIOTOMY SUPERIOR CANAL DEHISCENCE REPAIR | 1198 | ||
SUMMARY | 1201 | ||
REFERENCES | 1202 | ||
Endoscopic Management of Middle Ear and Temporal Bone Lesions | 1205 | ||
Key points | 1205 | ||
INTRODUCTION | 1205 | ||
TECHNIQUE | 1206 | ||
MIDDLE EAR PARAGANGLIOMA | 1207 | ||
MIDDLE EAR ADENOMA | 1209 | ||
PETROUS APEX CHOLESTEROL GRANULOMA | 1210 | ||
OTHER LESIONS | 1211 | ||
SUMMARY | 1212 | ||
REFERENCES | 1213 | ||
Outcomes Following Endoscopic Stapes Surgery | 1215 | ||
Key points | 1215 | ||
INTRODUCTION | 1215 | ||
SURGICAL TECHNIQUE | 1216 | ||
INTRAOPERATIVE ISSUES | 1217 | ||
Audiologic Outcomes | 1220 | ||
Patient Outcomes | 1223 | ||
SUMMARY | 1224 | ||
SUPPLEMENTARY DATA | 1224 | ||
REFERENCES | 1224 | ||
The Fully Endoscopic Acoustic Neuroma Surgery | 1227 | ||
Key points | 1227 | ||
INTRODUCTION | 1227 | ||
TRANSCANAL TRANSPROMONTORIAL ENDOSCOPIC APPROACH TO THE INTERNAL AUDITORY CANAL | 1228 | ||
Indications | 1229 | ||
Surgical Technique | 1229 | ||
Postoperative Care | 1232 | ||
DISCUSSION | 1232 | ||
SUMMARY | 1235 | ||
REFERENCES | 1235 | ||
Incorporating Endoscopic Ear Surgery into Your Clinical Practice | 1237 | ||
Key points | 1237 | ||
INTRODUCTION | 1238 | ||
INDICATIONS FOR ENDOSCOPIC EAR SURGERY | 1240 | ||
OPTIMIZED SURGICAL ERGONOMICS FOR ENDOSCOPIC EAR SURGERY | 1242 | ||
Operating Room Setup | 1242 | ||
Hand Positioning and Placement of the Endoscope | 1242 | ||
Left Versus Right Ears | 1243 | ||
INSTRUMENTATION | 1243 | ||
Light Sources and Camera Systems | 1243 | ||
Endoscopes | 1243 | ||
Dissection Instruments | 1243 | ||
Pearls and Pitfalls | 1245 | ||
SUMMARY | 1250 | ||
REFERENCES | 1251 | ||
Endoscopic Techniques in Tympanoplasty | 1253 | ||
Key points | 1253 | ||
INTRODUCTION | 1253 | ||
HAS THE ENDOSCOPE OUTPERFORMED THE MICROSCOPE? | 1254 | ||
ENDOSCOPIC TYMPANOPLASTY AND GRAFTING SELECTION | 1256 | ||
Temporalis Muscle Fascia | 1256 | ||
Cartilage and Perichondrium | 1256 | ||
Fat | 1257 | ||
SURGICAL TECHNIQUE | 1258 | ||
Step 1: Optimizing Hemostasis | 1258 | ||
Step 2: Graft Harvest | 1258 | ||
Step 3: Preparing the Tympanic Membrane and Approach to the Middle Ear | 1258 | ||
Step 4: Ossicular Chain and Ventilation Routes Assessment | 1260 | ||
Step 5: Grafting | 1261 | ||
SUMMARY | 1261 | ||
SUPPLEMENTARY DATA | 1261 | ||
REFERENCES | 1261 | ||
Endoscopic Management of Attic Cholesteatoma | 1265 | ||
Key points | 1265 | ||
INTRODUCTION | 1265 | ||
MATERIAL AND METHODS | 1266 | ||
RESULTS | 1266 | ||
DISCUSSION | 1267 | ||
SUMMARY | 1269 | ||
REFERENCES | 1269 | ||
Outcomes in Endoscopic Ear Surgery | 1271 | ||
Key points | 1271 | ||
INTRODUCTION | 1271 | ||
OBSERVATIONAL ENDOSCOPIC EAR SURGERY FOR CHOLESTEATOMA: ANALYSIS OF OUTCOMES | 1273 | ||
OPERATIVE ENDOSCOPIC EAR SURGERY/TRANSCANAL ENDOSCOPIC EAR SURGERY FOR CHOLESTEATOMA: ANALYSIS OF OUTCOMES | 1276 | ||
ENDOSCOPIC EAR SURGERY FOR PEDIATRIC CHOLESTEATOMA | 1279 | ||
ENDOSCOPIC MYRINGOPLASTY, TYMPANOPLASTY, OSSICULOPLASTY | 1282 | ||
ENDOSCOPIC COCHLEAR IMPLANTATION | 1282 | ||
ENDOSCOPIC SKULL BASE SURGERY | 1284 | ||
ENDOSCOPIC EAR SURGERY AT MASSACHUSETTS EYE AND EAR INFIRMARY | 1284 | ||
NEED FOR PROSPECTIVE AND SAFETY STUDIES | 1285 | ||
SUMMARY | 1286 | ||
REFERENCES | 1286 | ||
Size as a Risk Factor for Growth in Conservatively Managed Vestibular Schwannomas | 1291 | ||
INTRODUCTION | 1291 | ||
METHOD | 1292 | ||
RESULTS | 1292 | ||
DISCUSSION | 1293 | ||
SUMMARY | 1294 | ||
REFERENCES | 1294 | ||
Index | 1297 |