Endoscopic ear surgery principles, indications, and techniques
"Increasingly used as an adjunctive tool in the diagnosis and management of ear disease, middle ear endoscopy has the potential to decrease patient morbidity, prevent disease recurrence, and reduce costs. Its capacity to uncover hidden anatomy within the small dimensions of the ear has made it...
Otros Autores: | , |
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Formato: | Libro electrónico |
Idioma: | Inglés |
Publicado: |
Stuttgart ; New York :
Thieme
2014.
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Colección: | EBSCO Academic eBook Collection Complete.
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Acceso en línea: | Conectar con la versión electrónica |
Ver en Universidad de Navarra: | https://innopac.unav.es/record=b33628348*spi |
Tabla de Contenidos:
- Endoscopic Ear Surgery Principles, Indications, and Techniques; Media Center Information; Title Page; Copyright; Contents; List of Videos; Foreword; Preface; Contributors; 1 Starting off with Endoscopic Ear Surgery; 1.1 Instrumentation and Equipment; 1.1.1 Overview; 1.1.2 Choice of Endoscope; 1.2 Your First Case; 1.2.1 Patient Factors; 1.2.2 Disease Factors; 1.2.3 Investigations; 1.2.4 Issues of Consent; 1.2.5 Preparing the Operating Room; 1.2.6 Preparing the Patient; 1.3 Pitfalls; 1.3.1 Giving Up Too Early; 1.3.2 Controlling Hemorrhage; 1.3.3 Narrow Canal; 1.3.4 Fogging of the Endoscope.
- 2 Principles of Endoscopic Ear Surgery2.1 Introduction; 2.2 Advantages of Transcanal Access to Cholesteatoma; 2.3 Transcanal Access Allows Better Understanding of Anatomy, Function, and Disease; 2.4 Disadvantages of the Endoscope; 2.5 Safety Concerns; 2.6 Procedural Options in Cholesteatoma; 2.6.1 Endoscopic Transcanal Management of Limited Cholesteatoma; 2.6.2 Endoscopic Open Cavity Management of Cholesteatoma; 2.6.3 Expanded Transcanal Access to the Middle Ear and Petrous Apex; 2.7 Management Algorithm; References; 3 Ear Embryology; 3.1 Introduction; 3.2 Outer Ear Development.
- 3.2.1 External Auditory Canal, Tympanic Ring, and Eardrum3.3 Middle Ear Development; 3.3.1 Ossicular Chain; 3.3.2 Development of the Eustachian Tube and the Tympanum-Antrum Mastoid Portion; 3.3.3 Development of the Primary Tympanic Cavity; 3.3.4 Development of the Tympanic Atrium; 3.3.5 Formation of Middle Ear Spaces and Folds; 3.4 Inner Ear Development; 3.4.1 Early Development of the Membranous Labyrinth; 3.4.2 Duct and Endolymphatic Sac; 3.4.3 Saccus and Utricle; 3.4.4 Semicircular Canals; 3.4.5 Cochlear Duct; 3.4.6 Development of the Otic and Perilymphatic Spaces; References.
- 4 Endoscopic Middle Ear Anatomy4.1 Introduction; 4.2 Retrotympanum; 4.2.1 Sinus Tympani; 4.2.2 Ponticulus; 4.2.3 Subiculum; 4.2.4 Pyramidal Eminence and Subpyramidal Space; 4.2.5 Inferior Retrotympanum; 4.3 Epitympanic Diaphragm and Prussak Space; 4.4 Facial Nerve; 4.5 Epitympanum; 4.5.1 Posterior Epitympanic Space; 4.5.2 Anterior Epitympanic Space; 4.5.3 Tensor Fold; 4.5.4 Transverse Crest (or "Cog"); 4.6 Protympanum; 4.7 Hypotympanum; References; 5 Ventilation and Physiopathology of the Middle Ear; 5.1 Introduction; 5.2 Eustachian Tube; 5.3 Transmucosal Gas Exchange; 5.4 Mastoid Buffer.
- 5.5 Blockage of Middle Ear Ventilation RoutesReferences; 6 Radiological Considerations for Endoscopic Middle Ear Surgery; 6.1 Introduction; 6.2 Preoperative CT Evaluations and Their Influence in Surgical Planning; 6.2.1 The External Ear Canal; 6.2.2 Sinus Tympani; 6.2.3 Antral and Mastoid Involvement; 6.2.4 Dural Plane Assessment; 6.2.5 Involvement of Subsites; 6.2.6 Epitympanic Dimensions; 6.3 Postoperative CT Results; 6.4 Use of Diffusion-Weighted MRI; References; 7 Surgical Armamentarium; 7.1 Introduction; 7.2 Positioning and General Equipment; 7.2.1 Operating Room Setup.