Middle Ear Diseases

499 Pages·2018·33 MB·English

by  Salah Mansour

Middle Ear
Diseases
Advances in Diagnosis
and Management
Salah Mansour
Jacques Magnan
Karen Nicolas
Hassan Haidar
123
Middle Ear Diseases
Salah Mansour • Jacques Magnan
Karen Nicolas • Hassan Haidar
Middle Ear Diseases
Advances in Diagnosis
and Management
Salah Mansour Jacques Magnan
Lebanese University Aix-Marseille University
Department of Otolaryngology Marseille
HNS Amoudi Center Boulevard Mazraa France
Beirut
Lebanon Hassan Haidar
Department of Otolaryngology
Karen Nicolas Hamad Medical Corporation
Department of Radiology Weill Cornell Medical College
Middle East Institute of Health Doha
Bsalim Qatar
Lebanon
Lebanese University
Beirut
Lebanon
ISBN 978-3-319-72961-9 ISBN 978-3-319-72962-6 (eBook)
https://doi.org/10.1007/978-3-319-72962-6
Library of Congress Control Number: 2018931514
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To Ruth, my partner in life, for her love and
constant support.
To my three sons, Jana, Ryhan and Fady, for
filling me with pride.
Salah Mansour
Preface
In recent years, most studies on ear-related illnesses
and their treatment have focused on the latest
advances in implants, especially cochlear implants,
with their particular technical and rehabilitation
requirements. While positive in one sense, this situ-
ation has unfortunately negatively impacted the cur-
rent body of available resources and innovative
studies on middle ear pathologies; specifically for
the purposes of teaching medical candidates and
other academic and clinical users in Otology.
This book has been produced to shed light on the
latest advances that have been achieved in relevant
complementary disciplines addressing the middle ear, such as innovations in the
understanding of its functional anatomy and breakthroughs in physiopathology
which candidates are rarely exposed to. In addition, new audiological investigative
methods and advanced technical approaches in imaging which have had formidable
impacts in the diagnosis and therapeutic processes of these pathologies have also
now been made available. In preparing this book, we have drawn on many sources
that seemed to have advanced applicable merit and we reported these sources accu-
rately in the references.
As a result, a rich and diverse evidentiary base has allowed us to build a new
multidimensional methodology in the diagnosis of middle ear ailments and their
treatment.
As such, this book is equally timely for candidates, academics, and specialists as
it represents a valuable up-to-date learning resource, based on demonstrated clinico-
radiological correlations. It also gathers, under one single cover, most illnesses that
relate to the middle ear and their treatments. The reader will find this book to be a
valuable tool when faced with a difficult diagnosis and when needing to determine
next steps before a complex pathology of the middle ear, especially if contemplating
proceeding with surgery.
vii
viii Preface
In closing I want to thank warmly my colleagues, the co-authors, for their devo-
tion and dedication in working closely together to end up with such achievement.
My special thanks go to my friend Prof Jacques Magnan who, with his unique
expertise, his wide experience and huge knowledge, gave to this work an invaluable
contribution.
Beirut, Lebanon Salah Mansour
Preface ix
Over the past two decades, progress in otology
largely derived from technological improvements,
rather than the accomplishments of clinicians and
pathologists. Among such improvements imaging
technology has dominated the field, sometimes to
the detriment of clinical observations, with some
practitioners forgetting that radiological exams are
intended to complement clinical work. Indeed, radi-
ologists were trained to look to the clinician’s inputs
in order to guide their radiological analyses and
draw diagnostic conclusions.
This evolution highlights the increasing value of
correlations drawn from combined clinical and radiological efforts, as strategic vec-
tors that guide therapeutic attitudes and otological management.
It is in light of this new reality that Professor Salah Mansour called us back to
work in order to assemble and harmonize (conveniently into a single book) the
achievements of basic sciences, together with the clinical, pathological and radio-
logical data that lead to enlightened diagnostics and surgical decisions. Our ambi-
tion is to provide an update on recent developments regarding the diseases of the
middle ear, and outline the space within which the rules of surgical otology will
continue to evolve. We hope that talented individuals will benefit from such outline
and contribute to the progress of our practice.
Colombiers, France Jacques Magnan
x Preface
Nowadays the close correlation between clinical
evaluation and radiological observation is the key to
successful diagnostic and follow up inquiries
regarding most middle ear diseases.
By combining advanced anatomical knowledge
with clinical and scannographic findings, radiolo-
gists were able to develop useful algorithms that
placed modern imaging techniques into the stream
of disease management. My commitment to oto-
radiology during the past 15 years has allowed me
to tackle the challenge of illustrating most patho-
logic entities, and I strongly believe that excellent
and comprehensive imaging has an important
impact in otology practice.
Working on this book was a unique opportunity for me to learn from the great
experience of my respectful co-authors, and I am proud to have contributed to this
great work.
Beirut, Lebanon Karen Nicolas
Preface xi
I was honored to participate in the production of this
state of the art otology book with Prof. Salah
Mansour and Prof. Jacques Magnan, who are two
leading pioneers in the field of otology. I have
learned a great deal from them, and owe my profes-
sional success to their teaching and mentorship.
This book would not exist as it is without the great
contribution of Dr. Karen Nicolas, a brilliant otora-
diologist who is expert in the field of temporal bone
imaging.
This book is the happy culmination of our keen
and long-drawn focus on middle ear diseases. It
addresses complex facts and controversial issues in
the field. Lucid presentation was of particular importance when approaching each
subject, as we intended to facilitate the easy recall and reproduction of concepts by
students and practitioners.
We intended this book for our departments, residents and fellows, our colleagues,
and the patients who will ultimately benefit from advances in our field. We hope our
readers can build upon the achievements described in this book.
I owe my own achievements to my wife Fatima, my daughter Hawraa, my family,
and friends. I cannot thank them enough.
Doha, Qatar Hassan Haidar