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A Practical Guide to the Eustachian Tube by John L. Dornhoffer

By John L. Dornhoffer

This publication, written through overseas specialists, is a close consultant to the Eustachian tube, with emphasis on these facets of such a lot relevance to the practitioner. the hole chapters rfile the scientific anatomy and supply crucial info on body structure, with clarification of the hot version of tubal mechanics. prognosis and treatment for the patulous Eustachian tube are then mentioned, putting unique emphasis on a unique conservative remedy routine that has confirmed to be a leap forward for sufferers with this scientific syndrome. one other huge bankruptcy examines total functionality of the Eustachian tube, essentially from the center ear surgeon’s standpoint. Tuboplasty tactics, together with laser tuboplasty, and tympanoplasty are defined, and the consequences of alternative center ear pathologies for surgical procedure are defined. The formerly unpublished remedy equipment which are defined during this booklet should be helpful in making sure the absolute best medical outcomes.

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The second aim in treating chronic middle ear disease is restoration of hearing. Since the beginning of modern tympanoplasty techniques in the 1950s, according to Moritz, Zöllner and Wullstein, attention has been recently more focused on hearing restoration techniques. 2 Materials for Reconstruction of the Tympanic Membrane Many materials have been suggested for tympanic membrane reconstruction. Three tissues of autogenous origin are used today: temporal fascia (likely the material most favoured by surgeons all over the globe), perichondrium and cartilage [65].

6 Reconstruction of right tympanic membrane with palisades co-workers [215]. The results show that there is no obvious acoustical disadvantage using cartilage versus perichondrium or fascia, but the advantages in stability are enormous. 3 Palisade Technique Heermann has used cartilage palisades since the late 1950s. The technique consists of placing longitudinal strips of cartilage parallel to the malleus handle while avoiding blockage of the orifice of the Eustachian tube in the middle ear [64].

It is no wonder, then, that regardless of the large number of patients who experience Eustachian tube dysfunction and middle ear mucosa disorders, the number of patients in studies of direct Eustachian tube treatment is amazingly low. 1 General Assessment Prior to Middle Ear Surgery Preoperative assessment includes a complete ENT examination. Of major interest is the situation in the nasopharynx, the soft palate, the lymphatic tissue, the adenoids and the tubal orifice and its surroundings. The extent of required imaging depends on the need for visualization of the disturbance.

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