By Michel Gersdorff, Jean-Marc Gérard
Packed with sincerely categorised, full-color drawings on each web page, Atlas of center Ear Surgery courses readers in the course of the most typical and leading edge surgeries used to regulate center ear pathology.
The authors, specialists during this technically not easy box, start by way of offering functional heritage details on surgical anatomy and pathophysiology by way of a short creation to anesthesia issues and working room etiquette. Full-color drawings then display a few of the surgical thoughts in a step by step format
that is superb for studying. Succinct, easy-to-understand descriptions accompany each drawing in a didactic demeanour that boosts basic strategies because it teaches.
- The most recent at the surgical administration of tympanic
membrane abnormalities, continual otitis media, cholesteatoma, and ossicular
- 254 full-color drawings and schematics reveal
anatomy and significant surgical steps
- Numerous callout packing containers in each one bankruptcy spotlight key
surgical tips, pearls, and pitfalls
Concise and useful, this atlas is
essential examining for otolaryngology citizens, fellows, budding otologic
surgeons, or training ENTs who have to hone their surgical talents and remain abreast of the most recent advances within the field.
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Additional info for Atlas of middle ear surgery
6 Tragal cartilage and perichondrium can be used for a simple cartilage graft, a perichondrial graft, or a cartilage–perichondrial graft. Except in specific cases of footplate interposition, where we only use the posterior tragal perichondrium, the tragal cartilage is harvested with its perichondrium. Preparation of the tragal support is always the same but the way it is used depends on surgical requirements. 11 scalpel blade. The cartilage edge lies just beneath the incision. Fig. 7 Tip: Note the position of the finger on the illustration.
10 Tympanic Membrane Perforations Anterior Skin Flap Repositioning After tympanoplasty, the skin flap is repositioned and glued. Â€50). Fig. 32 Tip: Be sure that the flap is repositioned on the right side. Â€26). Tympanic Membrane Perforations Fig. 32 Posteroinferior Perforation Meatal Skin Counterincision A circumferential incision of the laterally based meatal skin flap is made approximately 8Â€mm from the ear drum. Fig. 33 Optimal Exposure The vascular strip is elevated with a strip of gauze and a self-retaining retractor is used to hold the musculoperiosteal and skin flaps in place (see Figs.
19 Tip: After placement, do not touch the speculum change the position of the table instead. 18 Fig. 20 Musculoperiosteal Flap The self-retaining retractor is utilized to pull up the skin flap. Using electrocautery, the superior incision of the musculoperiosteal flap starts anteriorly at the level of the temporal line, running toward the posterior skin incision. Inferiorly, it ends at the inferior edge of the external auditory canal, creating an anteriorly based isoscel triangle centered on the inferior edge of the Henle spine.