Reconstructive Surgery of the Middle Ear

Overview

This book will be a companion for the surgeon performing tympanoplasty. Tympanoplasty is a unique operation which half a century ago appeared as the first functional surgery under microscopy in the history of medicine. There are several different surgical approaches to any case of chronic ear disease, and in each case, the best method of tympanoplasty should be used. The success rate of tympanoplasty should be high enough to be able to operate when there is only one hearing ear and a success rate of 100% is ...
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Hardcover Good 0444502076 Good+; Hardcover; 1999, Elsevier Publishing; Former library copy with standard library markings; Light wear to covers; Library stamps to endpapers; ... Text pages clean & unmarked; Good binding with straight spine; Blue covers with slide illustrations, and title in white lettering; 200 pages; "Reconstructive Surgery of the Middle Ear, " by J. -I. Suzuki, et al. Read more Show Less

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Overview

This book will be a companion for the surgeon performing tympanoplasty. Tympanoplasty is a unique operation which half a century ago appeared as the first functional surgery under microscopy in the history of medicine. There are several different surgical approaches to any case of chronic ear disease, and in each case, the best method of tympanoplasty should be used. The success rate of tympanoplasty should be high enough to be able to operate when there is only one hearing ear and a success rate of 100% is required. Hence, the objective of training ear surgeons is to obtain 100% confidence in their tympanoplasty. Most ear surgeons would agree, that 'closed method tympanoplasty' is the best method, of which two techniques can be chosen, 'closed method, intact posterior canal wall technique' which requires more skills because of a limited visual field, and the 'closed method, posterior canal wall reconstruction method'. The latter is recommended in this book and is shown in detail, from basic knowledge and information to expert advice. The book shows some "secrets" for those who want to be independent surgeons and good enough to dare to operate on the only hearing ear. The book is richly illustrated. In addition it has the unique aspect of many "Box" articles. Important issues appear again in "Boxes" where they are summarized. Several "Box" articles on special subjects are contributed by colleagues who previously worked or studied in the authors' hospital.

The book contains predominantly color illustrations, with some black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: 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.
David I. Kutler(Northwestern University Medical School)
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. 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. 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. 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 mistakesthroughout the book. It reads unevenly, as if the translation from Japanese to English was not done correctly. 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.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780444502070
  • Publisher: Elsevier Health Sciences
  • Publication date: 7/28/1999
  • Edition number: 1
  • Pages: 184

Table of Contents

Preface.

Tympanoplasty: Principles, objectives, indications and methods.

General issues, principles and objectives. Indications for 'closed method, posterior canal wall reconstructive tympanoplasty.' Preparation for operation when admitted in the ward. Preparing for surgery in the operation theatre. The steps of 'closed method tympanoplasty with posterior canal wall reconstruction.' Additional techniques. Middle ear anomaly.

Tympanoplasty on only hearing ears and better-hearing ears.

Indications. Preparation for surgery. Planning and conduction of tympanoplasty the safest possible way. Postoperative care. A case of only hearing ear operation.

Cholesteatoma in children and adults.

Eradication of cholesteatoma. Emergency cases. Management of labyrinthine fistula. Staged operation, tympanoplasty Type 0. Prevention of postoperative attic retraction. Follow-up of post-operative cases.

Management of postoperative ears.

Complete middle ear reconstruction in postoperative cases. Avoiding risks.

Surgical anatomy and pathology for reconstructive middle ear surgery.

Normal anatomy. Histopathology of middle ear infections.

Instruments and supplies required for tympanoplasty (18 sections).

Learning and training in tympanoplasty.

References and Bibliography. Index.

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