Middle Ear and Mastoid Surgery

292 Pages·2003·23.584 MB·English

by  Rex S. Haberman

Haberman_Ear_136061 19.11.2003 12:09 Uhr Seite 1
H Middle Ear
a
b
e
r
m
and Mastoid Surgery
a
n

I
I
Middle Ear and Mastoid Surgery
Prepare for any middle ear surgery M Rex S. Haberman II
with this procedure-oriented text! i
d
d
From simple myringoplasty to cochlear implantation, this up-to-date reference l
e
covers virtually all middle ear and mastoid surgeries, and is the first text ofits

E
kind organized by operative procedure, rather than by anatomy or disease.
a
Each chapter is dedicated to a specific surgery, allowing specialists to use the
r
book as a quick reference or refresher when needed. Plus, more than 200 crisp,
a
meticulously labeled illustrations pinpoint the ear’s complex anatomy. n
d

Key Features: M
x Organized by operative procedure for quick and authoritative reference or a
as a refresher before surgery s
t
x More than 200 beautifully drawn illustrations demonstrate every point o
i
x Includes common as well as rare otologic diseases d

x Multiple techniques for each procedure S
u
x Every chapter written by a recognized worldwide expert r
g
e
The easy-to-use book is the reference ofchoice for specialists preparing for r
y
surgery. It is also ideal for residents who need an accessible textbook of
modern otological techniques. With succinct coverage ofevery important
middle ear and mastoid surgical procedure, this is the right-hand tool to have
in the operating room, and a cornerstone ofevery otolaryngologist’s library.
Rex S. HabermanII, M.D., is an Assistant Clinical Professor at the Department
ofOtolaryngology, University ofMinnesota Medical School, Minneapolis. He is
also a consulting otologist at the Department ofOtolaryngology, Hennepin
County Medical Center, Minneapolis, and Department Head ofthe Department
ofOtolaryngology, Aspen Medical Group, St. Paul, Minnesota.
The Americas Rest of World
ISBN 1-58890-173-4 ISBN 1-58890-173-4 (TNY) ISBN 3-13-136061-5
ISBN 3-13-136061-5 (GTV)
www.thieme.com
M E M S
IDDLE AR AND ASTOID URGERY
This Page intentionally left blank
M E M S
IDDLE AR AND ASTOID URGERY
Edited by
Rex S. Haberman II, M.D.
Assistant Clinical Professor
Department of Otolaryngology
University of Minnesota Medical School
Minneapolis, Minnesota
Consulting Otologist
Department of Otolaryngology
Hennepin County Medical Center
Minneapolis, Minnesota
Department Head of Otolaryngology
Aspen Medical Group
St Paul, Minnesota
Thieme
New York (cid:1) Stuttgart
/
Thieme New York
333 Seventh Avenue
New York, NY 10001
Consulting Medical Editor: Esther Gumpert
Associate Editor: Owen Zurhellen
Director, Production and Manufacturing: Anne Vinnicombe
Production Editor: David R. Stewart
Marketing Director: Phyllis Gold
Director of Sales: Ross Lumpkin
Chief Financial Officer: Peter van Woerden
President: Brian D. Scanlan
Medical Illustrator: Anthony M. Pazos
Compositor: Datapage International Limited
Printer: The Maple-Vail Book Manufacturing Group
Library of Congress Cataloging in Publication Data is available from the publisher
Copyright # 2004 by Thieme Medical Publishers Inc. This book, including all parts thereof, is legally
protectedbycopyright.Anyuse,exploitationorcommercializationoutsidethenarrowlimitssetbycopyright
legislation, without the publisher’s consent, is illegal and liable to prosecution. This applies in particular to
photostat reproduction, copying, mimeographing or duplication of any kind, translating, preparation of
microfilms, and electronic data processing and storage.
Important note: Medical knowledge is ever-changing. As new research and clinical experience broaden our
knowledge,changesintreatmentanddrugtherapymayberequired. Theauthorsandeditorsofthematerial
herein have consulted sources believed to be reliable in their efforts to provide information that is complete
and in accord with the standards accepted at the time of publication. However, in view of the possibility of
human error by the authors, editors, or publisher of the work herein, or changes in medical knowledge,
neithertheauthors,editors,orpublisher,noranyotherpartywhohasbeeninvolvedinthepreparationofthis
work, warrants that the information contained herein is in every respect accurate or complete, and they are
notresponsible for anyerrorsoromissionsorfor theresultsobtainedfromuseofsuchinformation.Readers
are encouraged to confirm the information contained herein with other sources. For example, readers are
encouraged to check the product information sheet included in the package of each drug they plan to
administer to be certain that the information contained in this publication is accurate and that changes have
notbeenmadeintherecommendeddoseorinthecontraindicationsforadministration.Thisrecommendation
is of particular importance in connection with new or infrequently used drugs.
Some of the product names, patants, and registered designs referred to in this book are in fact registered
trademarks or proprietary names even though specific reference to this fact is not always made in the text.
Therefore, the appearance of a name without designation as proprietary is not to be construed as a
representation by the publisher that it is in the public domain.
Printed in the United States of America
5 4 3 2 1
TNY ISBN 1-58890-173-4
GTV ISBN 3-13-136061-5
To those who strive for excellence and trust their spirit, for without that, enrichment of the mind
would serve no purpose
This Page intentionally left blank
C
ONTENTS
FOREWORD I ix
FOREWORD II x
PREFACE xi
ACKNOWLEDGMENTS xiii
CONTRIBUTORS xv
1. An Overview of Middle Ear and Mastoid Surgery*Rex S. Haberman II 1
2. Myringoplasty*Raleigh O. Jones 5
3. Underlay Tympanoplasty*Edwin M. Monsell and Tam Q. Nguyen 12
4. Overlay Tympanoplasty*Rick A. Friedman and Marlan R. Hansen 22
5. Over-Under Tympanoplasty: Indications and Technique*Dennis I. Bojrab and
Andrew N. Karpenko 29
6. Cartilage Tympanoplasty*John Dornhoffer and Edward Gardner 37
7. Transcanal Approaches to Cholesteatoma*Jay B. Farrior 49
8. Canal-Wall-Up Mastoidectomy*Rex S. Haberman II and Michele St. Martin 55
9. Canal-Wall-Down Mastoidectomy*Thomas J. McDonald 61
10. Intact-Bridge Mastoidectomy: AVersatile One-Stage Operative Technique*Hamed Sajjadi 67
11. Revision Mastoidectomy*John F. Kveton 74
12. Reconstruction of the Posterior Ear Canal*Peter S. Roland and Joseph L. Leach 81
13. Pediatric Tympanomastoidectomy*Weiru Shao and Frank Rimell 89
14. Surgery for Congenital Cholesteatoma*Norman N. Ge and Karen J. Doyle 98
15. Stapedectomy*Franklin M. Rizer 108
16. Revision Stapes Surgery*William J. Garvis and Gary E. Garvis 120
17. Laser Stapedotomy Minus Prosthesis (Laser STAMP) and Other Minimally Invasive
Otologic Procedures*Seth I. Rosenberg 130
18. Surgery for Traumatic Middle Ear Conditions*Bassem M. Said and Gordon B. Hughes 142
19. Ossiculoplasty I*Dennis I. Bojrab and Seilesh C. Babu 151
20. Ossiculoplasty II*Edward Gardner and John Dornhoffer 159
21. Endoscopic Middle Ear and Mastoid Surgery*Dennis S. Poe 168
22. Canaloplasty for Atresia*Larry K. Burton, Jr. and Colin L.W. Driscoll 177
vii
viii (cid:1) CONTENTS
23. Canaloplasty for Canal Stenosis*Robert A. Battista and Carlos Esquivel 188
24. Endolymphatic Sac Surgery*Sarah L. Pertzborn and Patrick J. Antonelli 198
25. Transmastoid and Transcanal Labyrinthectomy*Tina C. Huang and Samuel C. Levine 205
26. Posterior Semicircular Canal Occlusion for Benign Paroxysmal Positional Vertigo*
Pramit S. Malhotra and Rex S. Haberman II 215
27. Basic Neurotologic Procedures*G. Mark Pyle 219
28. Cochlear Implant Surgery*Phillip A. Wackym and Jill B. Firszt 230
29. Surgical Implantable Hearing Aids*John Stewart, Trang Vo-Nuygen, Weiru Shao, and
Oleg Froymovich 245
AFTERWORD 255
INDEX 257
F I
OREWORD
Itisindeedapleasureandhonortobeaskedtowrite has helped me to understand the differences, ad-
thisforewordtoanoutstandingtextbookonexternal vantages, and disadvantages of all these techniques.
auditory canal, middle ear, and mastoid surgery. I By concentrating on the external ear, middle ear,
have truly enjoyed the opportunity to review the and mastoid, one is able to understand the disease
outstanding chapters. Having grown up with the process and surgery that comprise over 90% of the
many developments in middle ear and mastoid total ear surgery performed today.
surgery over the past 30 years I have particularly This text offers the resident, as well as the
enjoyed the opportunity to review and compare practicing physician and the professor, the opportu-
various surgical techniques and approaches that nitytohaveabasicknowledgeandunderstandingof
are eloquently described in this text. This textbook external ear, middle ear, and mastoid surgery. The
addresses solutions to the multitude of problems textbook is laid out in a well-organized manor,
that present to the otolaryngologist on a daily basis. beginning with basic chronic ear surgery and pro-
Of particular interest is that experts in the field gressing to the more unusual external ear problems
write the chapters. These authors are able to con- and finally the less common labyrinthectomy, mid-
cisely explain and illustrate their techniques. I also dle ear, and cochlear implants.
found it interesting and exciting to know that many In summary, the Editor, Dr. Rex Haberman, is to
ofthese authors studiedwiththegreatprofessorsof be congratulated on assembling an outstanding
the past and therefore are able to bring a personal group of authors and organizing this well-written
perspective to the surgery of the ear. They present and illustrated textbook. This text will be must
the problem, discuss the evaluation of the patient, reading for all those who desire to learn and under-
and describe in detail their surgical technique. It stand external, middle ear, and mastoid surgery.
becomesclearthattherearemanywaystoapproach
the same disease process. This textbook offers the
opportunity to compare and contrast these various John W. House, M.D.
procedures.EventhoughIhaveseen and done most House Ear Clinic
of these techniques, I found reviewing the material Los Angeles, California
ix