Teikyo University School of Medicine, Department of Otorhinolaryngology,
Kaga 2-11-1 Itabashi-ku, Tokyo 173, Japan ,
K. Kodera, Teikyo University School of Medicine, Department of Otorhinolaryngology, Kaga 2-11-1 Itabashi-ku, Tokyo 173, Japan ,
Y. Iino, Teikyo University School of Medicine, Department of Otorhinolaryngology, Kaga 2-11-1 Itabashi-ku, Tokyo 173, Japan and
Y. Murakami, Professor Emeritus, Department of Otorhinolaryngology, Yamanashi Medical University, Japan
This book will be a companion for the surgeon performing tympanoplasty. Tympanoplasty is a unique operation which half a century ago appeared as the first functional surgery under microscopy in the history of medicine. There are several different surgical approaches to any case of chronic ear disease, and in each case, the best method of tympanoplasty should be used. The success rate of tympanoplasty should be high enough to be able to operate when there is only one hearing ear and a success rate of 100% is required. Hence, the objective of training ear surgeons is to obtain 100% confidence in their tympanoplasty. Most ear surgeons would agree, that 'closed method tympanoplasty' is the best method, of which two techniques can be chosen, 'closed method, intact posterior canal wall technique' which requires more skills because of a limited visual field, and the 'closed method, posterior canal wall reconstruction method'. The latter is recommended in this book and is shown in detail, from basic knowledge and information to expert advice. The book shows some "secrets" for those who want to be independent surgeons and good enough to dare to operate on the only hearing ear. The book is richly illustrated. In addition it has the unique aspect of many "Box" articles. Important issues appear again in "Boxes" where they are summarized. Several "Box" articles on special subjects are contributed by colleagues who previously worked or studied in the authors' hospital.
The book is recommended as a training aid for ear surgeons and as a handbook for middle ear reconstructive surgery.
Preface. Tympanoplasty: Principles, objectives, indications and methods. General issues, principles and objectives. Indications for 'closed method, posterior canal wall reconstructive tympanoplasty.' Preparation for operation when admitted in the ward. Preparing for surgery in the operation theatre. The steps of 'closed method tympanoplasty with posterior canal wall reconstruction.' Additional techniques. Middle ear anomaly. Tympanoplasty on only hearing ears and better-hearing ears. Indications. Preparation for surgery. Planning and conduction of tympanoplasty the safest possible way. Postoperative care. A case of only hearing ear operation. Cholesteatoma in children and adults. Eradication of cholesteatoma. Emergency cases. Management of labyrinthine fistula. Staged operation, tympanoplasty Type 0. Prevention of postoperative attic retraction. Follow-up of post-operative cases. Management of postoperative ears. Complete middle ear reconstruction in postoperative cases. Avoiding risks. Surgical anatomy and pathology for reconstructive middle ear surgery. Normal anatomy. Histopathology of middle ear infections. Instruments and supplies required for tympanoplasty (18 sections). Learning and training in tympanoplasty. References and Bibliography. Index.