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Doody's Review ServiceReviewer: David I. Kutler(Northwestern University Feinberg School of Medicine)
Description: This book is a description of the authors' experience with tympanoplasty and includes reviews of the indications, technique, and advantages of posterior canal wall reconstruction. The basics of tympanoplasty are also reviewed, with emphasis on surgical anatomy and pathophysiology.
Purpose: The purpose is to discuss why tympanoplasty with posterior canal reconstruction is an advantageous procedure compared to standard open or closed tympanoplasties. While the authors do provide detailed explanations of their technique for posterior canal reconstruction, they do not provide published data or references to support the idea that their technique is a better procedure.
Audience: This book is intended for otolaryngology residents who are interested in pursuing a career in otology. It will be up to the individual resident to decide if Dr. Suzuki's method is an improvement to either canal wall up or down tympanoplasties. The authors recommend this book to younger generation otolaryngologists interested in tympanoplasty.
Features: The indications and techniques of tympanoplasty are discussed in great detail, with emphasis on the advantages of posterior canal reconstruction versus standard open or closed techniques. There are several specific chapters covering choleteatoma, surgery on post-operative ears, and surgical anatomy. The chapter on surgical anatomy is exceptionally well written with excellent photomicrographs of the middle ear. I believe this chapter would be extremely helpful for otolaryngology residents to review and learn. However, the grammar and syntax of the book are poor. I think some of the sentence structures used are confusing and difficult to follow. There are also several obvious spelling mistakes throughout the book. It reads unevenly, as if the translation from Japanese to English was not done correctly.
Assessment: This book is a description of the authors' experience with their technique of tympanoplasty with posterior canal reconstruction. They describe their technique in detail and state that they have successful outcomes when using it. Unfortunately, the book does not adequately support their conclusions. No comparison data are given to support the hypothesis that posterior canal reconstruction is an improvement over standard techniques. This book is essentially a "How I do it" book with additional chapters covering the basics of choleastoma and surgical anatomy for residents.