<p><strong><em>The Chronic Ear</em></strong></p><p>There are many different ways to treat complex chronic middle ear disease, with ongoing advancements being made globally. Diverse approaches are necessitated for variations in patient age, degree of infection, extent of middle ear remodeling, inflammation severity, and underlying mechanisms of Eustachian tube dysfunction. Addressing multinational and clinical nuances, the editors have compiled 48 chapters with eclectic perspectives from otology experts in 13 countries. </p><p>The surgical anatomy of the middle ear cleft and mastoid and underlying pathophysiological mechanisms of chronic otitis media are clinically challenging. Articles cover anatomy, physiology, disease characterizations and manifestations, clinical evaluation, office management, surgical procedures, and new horizons. Traditional and newer hybrid techniques for systematic disease and inflammatory conditions are presented in roundtable format, for example, underlay fascia tympanoplasty as well as the use of cartilage and bioengineered materials.</p><p><strong>Selected Key Topics:</strong><ul><li>Applied middle ear anatomy and physiology</li><li>Pathologic mechanisms of chronic otitis media </li><li>Office evaluation, management and surgical decision making</li><li>Mastoid cavity obliteration and canal wall reconstruction</li><li>Challenges in tympanoplasty and ossicular chain reconstruction</li><li>Traditional and hybrid tympanomastoid surgery</li><li>Hearing implants in the chronic ear</li></ul></p><p>This is an exceptional teaching tool for ear surgeons in training as well as a must-have clinical resource for practicing otolaryngologists.</p>
Зміст
<p><strong>Part 1. The Fundamentals of Chronic Ear Disease</strong><br>1. Chronic Ear Disease in the Modern Era: Evolution of Treatment, Epidemiology, and Classification<br>2. Eustachian Tube Dysfunction, Mucosal Gas Exchange, and Effusion<br>3. Tympanic Membrane Wound Healing and Epithelial Migration<br>4. Pathophysiology of Cholesteatoma<br>5. Microbiology of Chronic Ear Disease<br>6. Histopathology of Chronic Otitis Media<br>7. Surgical Anatomy Relevant to the Chronic Ear<br>8. Biomaterials in Tympanomastoid Surgery<br>9. Middle Ear Mechanics in Hearing Reconstruction<br><strong>Part 2. Clinical Evaluation and Office Management of Chronic Ear Disease</strong><br>10. Pearls in Audiovestibular Assessment<br>11. Radiographic Evaluation of Chronic Ear Disease<br>12. Inflammatory Conditions and Systemic Diseases Affecting the Middle Ear<br>13. Myringitis<br>14. Office Evaluation and Management of a Canal Wall-Down Mastoid Cavity<br>15. Tubo-Tympanic Diseases: Retraction, Atelectasis, and Middle Ear Effusion<br>16. Evaluation and Nonsurgical Management of Chronic Suppurative Otitis Media<br>17. Intratemporal and Intracranial Complications of Otitis Media<br><strong>Part 3. Introduction to Surgical Management of Chronic Ear Disease</strong><br>18. General Principles of Surgery for Chronic Ear Disease<br>19. Tympanostomy Tubes<br>20. Canalplasty and Meatoplasty<br>21. Cholesteatoma Dissection: Problems and Solutions<br><strong>Part 4. Roundtable on Tympanic Membrane Reconstruction</strong><br>22. Overview and Introduction<br>23. Underlay and Related Techniques<br>24. Overlay Tympanoplasty Technique<br>25. Cartilage Tympanoplasty<br><strong>Part 5. Roundtable on Ossiculoplasty</strong><br>26. Overview and Introduction<br>27. Reconstruction of the Incudostapedial Articulation<br>28. Autograft Ossicular Reconstruction<br>29. Ossiculoplasty with Synthetic PORPS and TORPS<br>30. The Malleus in Ossicular Reconstruction<br>31. Surgical Management of the Fixed Stapes in Chronic Ear Disease<br><strong>Part 6. Roundtable on Tympanomastoidectomy</strong><br>32. Overview and Introduction<br>33. Canal Wall-Up Techniques<br>34. Epitympanectomy<br>35. Canal Wall-Down Mastoidectomy<br><strong>Part 7. Roundtable on Hybrid Tympanomastoid Surgical Techniques</strong><br>36. Overview and Introduction<br>37. Retrograde Technique for Management of Cholesteatoma<br>38. Canal Wall Removal and Replacement with Obliteration<br>39. Soft-Wall Canal Reconstruction<br>40. Canal Wall Reconstruction Using the Titanium Mesh Cage<br><strong>Part 8. Special Topics and New Horizons in Surgery for Chronic Ear Disease</strong><br>41. Mastoid Cavity Obliteration<br>42. Skull Base Approaches in Chronic Ear Surgery<br>43. Implantable Hearing Devices and Chronic Otitis Media<br>44. Endoscopic Ear Surgery<br>45. Eustachian Tuboplasty<br>46. Tympanic Membrane Tissue Engineering<br>47. Chronic Otitis Media in the Setting of Congenital Ear Disease<br>48. Skin Grafting in the Management of Chronic Ear Disease</p>
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