By John L. Dornhoffer

ISBN-10: 3540786376

ISBN-13: 9783540786375

ISBN-10: 3540786384

ISBN-13: 9783540786382

This booklet, written through overseas specialists, is an in depth consultant to the Eustachian tube, with emphasis on these elements of such a lot relevance to the practitioner. the outlet chapters record the medical anatomy and supply crucial info on body structure, with clarification of the hot version of tubal mechanics. analysis and treatment for the patulous Eustachian tube are then mentioned, putting specific emphasis on a singular conservative remedy routine that has confirmed to be a leap forward for sufferers with this scientific syndrome. one more wide bankruptcy examines total functionality of the Eustachian tube, basically from the center ear surgeon’s perspective. Tuboplasty strategies, together with laser tuboplasty, and tympanoplasty are defined, and the results of alternative center ear pathologies for surgical procedure are defined. The formerly unpublished remedy equipment which are defined during this publication should be priceless in making sure the very best scientific outcomes.

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Extra resources for A Practical Guide to the Eustachian Tube

Sample text

In cleft palate patients, poor Eustachian tube function is assumed. However, one study showed no statistical difference in the postoperative outcome comparing patients with repaired cleft palate to non-cleft patients [48]. 1 Eustachian Tube Function and Mastoid Surgery Mastoidectomy in combination with tympanoplasty is widely used, even in noncholesteatoma cases. However, mastoidectomy does not improve the aeration situation in the middle ear space. Takahashi [192] showed that a postmastoidectomy cavity could not be expected to revive as a functioning gas exchange chamber.

Unfortunately, exact numbers of patients successfully treated are unknown. Another technical approach is to impair the opening force of the tensor veli palatini muscle, either by resection or by toxic inhibition [120, 187, 206]. Stroud et al. [187] cut off the tensor’s tendon in 10 patients with pET, with a reported success rate of 90 % (9 of 10 patients). Virtanen and Palva [206] extended the concept by the fracture or resection of the pterygoid hamulus. According to the authors, 9 of 13 patients remained without pET complaints up to 60 months.

However, because of the risk of transmitting viruses (HIV, hepatitis) and prions (Creutzfeldt–Jakob disease), the use of homogeneous ossicles has been almost completely abandoned. Heterogeneous materials are not used in middle ear surgery. 1 Alloplastic Materials Since the origination of tympanoplasty, alloplastic materials have been used extensively and uncritically. However, as the biology of the implantation site in the middle ear has become better understood, both biocompatible and unacceptable materials have emerged.

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


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