Download Atlas of middle ear surgery by Michel Gersdorff, Jean-Marc Gérard PDF

By Michel Gersdorff, Jean-Marc Gérard

Packed with basically categorised, full-color drawings on each web page, Atlas of heart Ear Surgery publications readers in the course of the commonest and leading edge surgeries used to control heart ear pathology.

The authors, specialists during this technically challenging box, commence through offering sensible history details on surgical anatomy and pathophysiology through a quick advent to anesthesia issues and working room etiquette. Full-color drawings then exhibit some of the surgical strategies in a step by step format
that is great for studying. Succinct, easy-to-understand descriptions accompany each drawing in a didactic demeanour that enhances primary innovations because it teaches.


  • The newest at the surgical administration of tympanic
    membrane abnormalities, power otitis media, cholesteatoma, and ossicular
    chain disorder
  • 254 full-color drawings and schematics reveal
    anatomy and demanding surgical steps
  • Numerous callout bins in each one bankruptcy spotlight key
    surgical assistance, pearls, and pitfalls

Concise and sensible, this atlas is
essential studying for otolaryngology citizens, fellows, budding otologic
surgeons, or working towards ENTs who have to hone their surgical talents and remain abreast of the most recent advances within the field.

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Sample text

10 Tympanic Membrane Approaches Tympanic Membrane Approaches The retroauricular approach is our preferred option because it provides better access to the anterior tympanum and protympanic region. It allows easy harvesting of the temporalis fascia and conchal cartilage, and unplanned implementation of the transmastoid approach. Retroauricular Approach A transcanal approach is used in the majority of stapes surgery, functional revision surgery, explorative surgery for conductive deafness with an intact eardrum, and myringoplasty with xenografts for otoscopically confirmed small posteroinferior perforation.

Fig. 10 Management of Tympanic Membrane Abnormalities Graft Exposure The subcutaneous tissue is dissected posteriorly and anteriorly from the perichondrium using opening movements of pointed curved scissors over the entire surface of the cartilage. Anatomical forceps help to elevate the skin and improve the view. Graft Excision The cartilage is pulled in a superior direction with anatomical forceps to incise the cartilage inferiorly with blunt curved scissors. An anterior incision is made as deep as possible.

11 scalpel blade allows a straight incision to be made, prevents skin tearing, and reduces bleeding. Fig. 36 Tympanomeatal Flap Elevation The meatal skin is elevated toward the fibrous annulus with a small round knife. Microsuction is performed with a small piece of Merocel or a cotton ball soaked in 1% lidocaine with 5 µg/mL epinephrine to protect the fragile skin and reduce bleeding. Fig. 37 Fig. 10 Management of Tympanic Membrane Abnormalities Fibrous Annulus Dislocation With a needle or sickle knife, the fibrous annulus is dislocated from its sulcus, beginning at the chordal eminence, being especially careful around the chorda tympani.

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