Please access Videos to view the corresponding videos for this chapter. Many otologic surgeons prefer placing connective tissue grafts medial to the tympanic membrane remnant. This graft placement can be accomplished through either a transcanal or postauricular approach. This chapter…
Please access Videos to view the corresponding videos for this chapter. The use of cartilage in middle ear surgery is not a new concept. From the original description by Salen of using septal cartilage for myringoplasty, interest and techniques have…
Please access Videos to view the corresponding videos for this chapter. The aims of tympanoplasty are the elimination of disease and restoration of function. Restoration of function requires a tympanic membrane; an air-containing, mucosa-lined middle ear (so that the membrane…
Introduction Otorrhea occurs most often from chronic otitis media secondary to a tympanic membrane perforation or indwelling pressure equalization tubes; however, less common conditions such as granular myringitis, cholesteatoma, cerebrospinal fluid (CSF) fistula, and neoplasms should be considered. Otorrhea can…
Please access Videos to view the corresponding videos for this chapter. A patulous or abnormally patent (“stuck open”) eustachian tube (ET) causes an amplified perception of one’s own voice and breathing (termed autophony of voice and breathing) that can range…
Bilateral myringotomy with ventilation tube placement is the most common surgical procedure performed in the United States, where an estimated 1.05 million tympanostomy tube procedures are performed, annually. In addition, otitis media is the most common diagnosis of patients who…
Acknowledgment The authors thank Antonio De la Cruz, MD, and Karen Teufert, MD, authors of this chapter in the previous edition. Please access Videos to view the corresponding videos for this chapter. Preoperative assessment with comprehensive audiometry and high-resolution computed…
Please access Videos to view the corresponding videos for this chapter. Introduction Although carcinoma of the temporal bone is uncommon and aggressive, the best outcome depends on careful evaluation and planning that result in a complete resection with pathologically clear…
Please access Videos to view the corresponding videos for this chapter. Although clinical disease caused by exostoses of the external auditory canal (EAC) is infrequent, it occurs often enough that a method of surgical management should be in the armamentarium…
Acknowledgment We would like to acknowledge and thank previous contributors, including Jose N. Fayad. Sophisticated micro-otosurgical techniques mandate that the otologic surgeon and surgical team have an in-depth understanding of the operating room (OR) layout and surgical instrumentation. This chapter…