By Mirko Tos

Written through a pioneering grasp within the box, Cartilage Tympanoplasty: class of Methods-Techniques-Results, is a accomplished reference for the entire
currently used equipment of cartilage tympanoplasty. within the establishing chapters of
the booklet, Mirko Tos offers a radical assessment of this classification of strategies,
including a class of 23 unique cartilage tympanoplasty tools. every one
of the subsequent chapters bargains an in depth exposition of a distinct process,
presenting its definition, indication, graft harvesting and shaping, surgical
technique, and an research of the anatomical and sensible effects in line with a
review of the literature and on own adventure. within the final chapters,
the writer discusses long term results and compares the result of many of the
cartilage tympanoplasty equipment.

"Mirko Tos has written a notable book...The whole neighborhood of otologic surgeons will reap the benefits of this contribution."--From the foreword by way of John Dornhoffer, MD, FACS

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Extra resources for Cartilage Tympanoplasty: Classification of Methods - Techniques - Results

Sample text

In addition to stapes surgery and surgery for hearing loss from any other cause, all sequelae of chronic otitis media with perforations can be and should be managed by surgery via the transmeatal approach. Furthermore, all pars tensa retractions, atelectasis, adhesive otitis, and sinus and tensa retraction cholesteatoma should be operated via the transmeatal approach. Transmeatal surgery is highly recommended in children. It is advantageous and beneficial to operate in children through the fixed speculum without incision of the Fig.

Nine years´ experience. Arch Otolaryngol 1970; 91:228–241. Helms J. Moderne Aspekte der Tympanoplastik. Eine Ûbersicht. Laryngorhinootologie 1995;74:465–467. Hildmann H, Lockhaupt H, Schmelzer A. Die Verwendung von Knorpel in der Mittelohrchirurgie. HNO 1996;44:597–603. Jansen C. Cartilage tympanoplasty. Laryngoscope 1963;73: 1288–1302. Jansen C. The combined approach for tympanoplasty. J. Laryngol Otol 1968;779–793. Kazikdas KC, Onal K, Boyraz I, Karabulut E. Palisade cartilage tympanoplasty for management of subtotal perforations: a comparison with the temporalis fascia technique.

The periosteum flap is elevated with a raspatory, exposing the ear canal skin (Fig. 13a). Drilling of the entrance of the bony ear canal wall, starting at the suprameatal spine and continuing to the 6-o’clock position, enlarges the exposure of the ear canal skin. At the level of 4–5 mm medially to the suprameatal spine, a circumferential incision of the meatal skin is made from the 12-o’clock to the 6-o’clock position (Plester 1963; Plester et al 1989; Hildmann and Sudhoff 2006). 5 cm long outward-directed incision is made, allowing elevation of an inferiorly based and laterally based ear canal skin flap (Fig.

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