In this book the best surgical solutions for conductive hearing loss due to ossicular fixations are thoroughly described and discussed. The first section covers thympanosclerosis, collating all knowledge on the pathogenesis and pathology of this obscure condition, as well as the surgical methods used in fixation of the ossicular chain, when caused by myringosclerosis and tympanosclerosis. The second section covers postinflammatory, posttraumatic, and postoperative bony fixations of the ossicular chain. In the third section, the voluminous topic of otosclerosis, in particular the evolution of stapes surgery, the various stapedectomy and stapedotomy methods, and the complications of surgery for otosclerosis, are covered in great detail. This section also includes the problems that are encountered in otosclerosis surgery when the ear has been affected with chronic otitis. In the fourth section, congenital ossicular fixations and defects are covered along with some new aspects on the classification and embryology of these problems. For all topics, there is in-depth discussion of the pathogenesis and pathology of the diseases in question.
Excellent hand-drawn illustrations provide a level of detail and comprehension not attainable through photography. This book will cover tympanosclerotic, bony, and fibrous fixations, retractions, atelectasis, secretory and adhesive otitis, ventilation problems of the middle ear, cholesteatoma in the tympanic cavity and more!
Rezensionen / Stimmen
A monumental work in the description of a host of solutions to various problems encountered during surgery..a significant contribution by Professor Tos to the field of otology..I would highly recommend this book to anyone practicing otologic surgery..the book is well worth purchasing. --Otology & Neurotology
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ISBN-13
978-3-13-121641-0 (9783131216410)
Schweitzer Klassifikation
CHAPTER 1 TYMPANOSCLEROSIS Pathogenesis Definition Histopathology Classification of tympanosclerosis Histological tympanosclerosis Clinical tympanosclerosis Surgical tympanosclerosis Pathogenesis of tympanosclerosis 1) Stage of inflammation and fibrogenesis 2) Stage of cell degeneration and deposition 3) Stage of calcification 4) Decalcification and improvement Myringosclerosis and grommets Myringosclerosis and chronic otitis Formation of middle ear tympanosclerosis CHAPTER 2 SURGERY OF MYRINGOSCLEROSIS Myringoplasty in fixation of the malleus handle Inferior perforation and antero-superior myringosclerosis Onlay grafting Underlay grafting Posterior perforation with anterior and inferior myringosclerosis Diffuse massive myringosclerosis CHAPTER 3 SURGERY OF TYMPANOSCCLEROSIS Surgery of tympanosclerotic stapes fixation Principles of surgery of stapes fixation Tympanosclerosis of the stapedius tendon Moderate and mild tympanosclerosis of the footplate Moderate tympanosclerotic fixation of the stapes and the footplate Massive stapes tympanosclerosis in intact ossicular chain Stapedotomy in massive stapes tympanosclerosis Stapedectomy with intact ossicular chain Stapes tympanosclerosis in a disrupted ossicular chain Stapes present, tympanoplasty type II Crurotomy in massive stapes tympanosclerosis Stapes crura absent, footplate tympanosclerotic fixated Stapedotomy and stapedectomy with a missing incus Tympanosclerotic stapes fixation with missing malleus Management of attic tympanosclerosis Attic tympanosclerosis with an intact ossicular chain Attic and stapes tympanosclerosis CHAPTER 4 BONY OSSICULAR FIXATION Types of bony fixations Malleus fixation Bony fixation of the incus Bony fixation of the stapes Incidence of bony fixations Etiology and pathogenesis Postinflammatory pathogenesis CHAPTER 5 SURGERY OF BONY FIXATIONS Forcible mobilization of the malleus Atticotomy with bony bridge removal Atticotomy with preservation of the bony annulus Atticotomy with removal of the bony annulus By pass technique Bony fixation in the attic and mobile stapes Atticotomy versus by-pass technique Bony incus fixation Bony fixation of the stapedial arch Resection of the stapes crura Fixated malleus associated with otosclerosis By-pass technique CHAPTER 6 BONY FIXATION OF THE GRAFTS Bony fixation to the posterosuperior bony annulus Bony fixation to the facial nerve prominence Bony fixations to the promontory and oval window niche
