By Michel Gersdorff, Jean-Marc Gérard
Packed with basically classified, full-color drawings on each web page, Atlas of heart Ear Surgery courses readers throughout the commonest and cutting edge surgeries used to control center ear pathology.
The authors, specialists during this technically challenging box, start through delivering sensible history details on surgical anatomy and pathophysiology through a quick advent to anesthesia issues and working room etiquette. Full-color drawings then show many of the surgical thoughts in a step by step format
that is superb for studying. Succinct, easy-to-understand descriptions accompany each drawing in a didactic demeanour that enhances basic suggestions because it teaches.
- The most up-to-date at the surgical administration of tympanic
membrane abnormalities, power otitis media, cholesteatoma, and ossicular
- 254 full-color drawings and schematics reveal
anatomy and critical surgical steps
- Numerous callout bins in each one bankruptcy spotlight key
surgical assistance, pearls, and pitfalls
Concise and functional, this atlas is
essential analyzing for otolaryngology citizens, fellows, budding otologic
surgeons, or practising ENTs who have to hone their surgical abilities and remain abreast of the most recent advances within the field.
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Extra resources for Atlas of middle ear surgery
The graft is shaped using blunt curved scissors, respecting the mold shape. It must be large enough to cover the entire tympanic membrane surface, the bony annulus, and the meatus with a margin of at least 5 mm. After cutting, the graft is placed using microforceps. The graft is slid onto the tympanic membrane remnant with microforceps. Using a needle or spatula, the position of the graft is adjusted to cover the denuded bone of the meatus with a minimum overlap of 5 mm. A mark is made on the graft with an electrocautery needle at the level of the superior half of the malleus handle.
Epidermal debris on the tympanic membrane and the malleus handle is removed. The edge of the perforation is excised. Fig. 64 Fig. 10 Management of Tympanic Membrane Abnormalities Graft Placement The temporalis fascia is then placed to cover the perforation and enough of the surface of the eardrum so as not to fall through. Fig. 65 The ear is moved back into position. There is quasi-spontaneous redraping of the tympanomeatal flap. Packing is completed through the meatus with large pieces of Spongostan, using a nasal speculum, after depositing a small amount of fibrin glue onto the tympanic reconstruction.
Fig. 44 Fig. 44 Packing A thin blue Silastic sheet is placed on the tympanic membrane and posterior wall. The canal is packed with Spongostan using a spatula and microsuction anteriorly first, then superiorly and inferiorly, taking care not yet to cover the posterior wall. The Silastic sheet on the posterior wall is elevated, the mastoid retractor is removed, and the gauze string is cut at the level of the external canal and pulled out from the retroauricular side. The auricle is moved back into position after stretching the lateral meatal skin flap using anatomical forceps or a spatula.