Manual of Otologic Surgery

By Christoph Arnoldner, Vincent Y.W. Lin and Joseph M. Chen

This book takes the reader step-by-step through routine temporal bone surgeries while maximizing the use of the cadaver tissue. In an effort to improve visual realism, the book provides high-resolution photographs and anatomically accurate illustrations to allow the reader to better appreciate the three-dimensional relationship of the internal constructs of the temporal bone. Special emphasis is placed on describing the latest techniques for cochlear implantation and active middle ear implants. The book is further enhanced by additional links to edited videos of surgical cases and will therefore serve as a valuable reference guide to otologic surgeons of all experience levels.

• Language: English
• Publisher: Springer
• Release date: Dec 8, 2014
• ISBN: 9783709114902

Book preview

Christoph Arnoldner, Vincent Y. W. Lin and Joseph M. Chen

Manual of Otologic Surgery

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Christoph Arnoldner

Department of Otorhinolaryngology, Medical University of Vienna, Vienna, Austria

Vincent Y. W. Lin

Department of Otolaryngology Head & Neck Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada

Joseph M. Chen

Department of Otolaryngology Head & Neck Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada

ISBN 978-3-7091-1489-6e-ISBN 978-3-7091-1490-2

DOI 10.1007/978-3-7091-1490-2

Springer Wien Heidelberg New York Dordrecht London

Library of Congress Control Number: 2014957315

© Springer-Verlag Wien 2015

Videos to this book can be accessed at http://​www.​springerimages.​com/​videos/​978-3-7091-1489-6

This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law.

The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.

While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.

Printed on acid-free paper

Springer is part of Springer Science+Business Media (www.springer.com)

Preface

The gold standard of otological training remains the use of cadaver temporal bones to generate the highest-fidelity simulation model in terms both of visual and tactile realism. Generations of surgeons have relied on this type of training to gain anatomical knowledge and confidence. Many experienced otologists routinely spend time in temporal bone labs to refresh their skills and practice uncommon approaches.

This manual is written for trainees in Otolaryngology, novice surgeons, and those interested in concise descriptions of modern temporal bone dissections. It is not meant to serve as a surgical textbook but a compendium reference source that provides

Step-by-step introduction to modern temporal bone procedures

Real-life pictures as seen in the OR without any post processing

Tips and pearls for surgical dissection in the OR

We would like to acknowledge Prof. Tschabitscher, Prof. Gstöttner, Dr. Riss, and Dr. Honeder for their collaboration and help in the preparation of this manuscript.

Christoph Arnoldner

Vincent Y. W. Lin

Joseph M. Chen

Contents

1 General Considerations 1

2 Cortical Mastoidectomy 5

3 Facial Nerve 15

4 Facial Recess (Posterior Tympanotomy or Wullstein Window) 19

5 Round Window Exposure 27

6 Alternative Approaches to the Cochlea 31

Scala Vestibuli Approach 31

Middle/​Apical Turn Cochleostomy 32

Middle Fossa Approach to the Cochlea 34

7 Unroofing the Epitympanum 35

8 Canal Wall Down (Radical Cavity) 37

9 Skeletonizing the Facial Nerve 39

10 Endolymphatic Sac Dissection (Retro-/​Infralabyrinthin​e) 41

11 Labyrinthectomy 45

12 Internal Auditory Canal (IAC) 53

13 Middle Fossa Approach (Anterior Transpetrosal/​Subtemporal Approach) 59

Index67

© Springer-Verlag Wien 2015

Christoph Arnoldner, Vincent Y.W. Lin and Joseph M. ChenManual of Otologic Surgery10.1007/978-3-7091-1490-2_1

1. General Considerations

Christoph Arnoldner¹ , Vincent Y. W. Lin² and Joseph M. Chen²

(1)

Department of Otorhinolaryngology, Medical University of Vienna, Vienna, Austria

(2)