By Richard R. Gacek (auth.)
Based on forty years’ adventure, this ebook on ear surgical procedure publications the newbie in addition to the skilled health professional via all techniques to heart ear and neurotologic surgical procedure. The lavishly illustrated textual content covers the elemental pathology and body structure desirous about the surgical operation of otologic stipulations such as:
Chronic otitis media
Facial nerve paralysis
Profound listening to loss
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Extra resources for Ear Surgery
Avoid removal of cholesteatoma membrane from bony fistulas of the cochlea to prevent sensorineural hearing loss. Z Pearl • It is safe to remove cholesteatoma lining from . Fig. 16 Venogram in a patient with sigmoid and lateral sinus thrombosis demonstrates obstruction in venous flow (arrow). SS superior sagittal venous sinus a bony fistula of the vestibular labyrinth but not the cochlea. • Repair of fistula of the oval window with adipose tissue to preserve cochlear function. 42 Chapter 4 • Complications of Chronic Otitis Media References 4 1.
12 Base of skull x-ray demonstrates a large cystic lesion of the petrous apex (arrow), with compression of the Eustachian tube and V3 nerve in the foramen ovale (arrowhead) the technical considerations will be discussed together with management of cholesterol cysts or granuloma of the petrous apex. Extension of cholesteatoma toward the petrous apex through perilabyrinthine cell tracts or through the labyrinth is managed by surgical removal of the cholesteatoma membrane after wide exposure of the extension through an open mastoidectomy approach.
Meningitis and brain abscess from COM may occur through a preformed pathway or by retrograde thrombophlebitis. The most serious complications of untreated COM and mastoiditis are labyrinthitis, facial paralysis, and various intracranial complications. The main intracranial complications are meningitis, brain abscess, subdural or epidural abscess, and lateral/sigmoid sinus thrombophlebitis. 1 Labyrinthitis Labyrinthitis or invasion of the perilymphatic space by chronic middle ear and mastoid disease occur over three pathways.