Contents:
Subtotal petrosectomy 1 Removing mastoid tip Mastoid tip removed Removing retrofacial cells Exposing tensor tympani muscle Tensor tympani muscle detached Tensor tympani muscle closing off protympanum Subtotal petrosectomy 2 Bluelining semicircular canals Semicircular canals opened Following endolymphatic duct Endolymphatic duct, common crus posterior and superior canal Localizing cochlear aquaduct 1 Localizing cochlear aquaduct 2 Cochlear aquaduct opened Lowering jugular bulb 1 Inferior vestibular nerve cut Opened internal acoustic canal Lowering jugular bulb 2 Cochlea opened 1 Cochlea opened 2 Transotic approach to internal acoustic canal 1 Transotic approach to internal acoustic canal 2 Lowering jugular bulb 3 Drilling petrous apex 1 Drilling petrous apex 2 Following medial part carotid artery 1 Following medial part carotid artery 2 Mobilizing facial nerve at geniculate ganglion 1 Mobilizing facial nerve at geniculate ganglion 2 Mobilizing facial nerve at geniculate ganglion 3 Posterior rerouted facial nerve 1 Posterior rerouted facial nerve 2 Posterior rerouted facial nerve 3.
Click here for a review by Prof Dr. Had this simply been a manual based on over 40 years of running the Nijmegen course in ear surgery, it would still have appealed. The conventional book is indeed a well set out guide to drilling a temporal bone into dust and getting the maximum benefit from what is a scarce resource.
Thieme is an award-winning international medical and science publisher serving health professionals and students for more than years. The second edition of this indispensable guide provides a step-by-step approach to learning the anatomy and principal procedures of temporal bone dissection.
There are accompanying monochrome diagrams, nicely labelled without obscuring the images, and the text is a series of clear, stepwise instructions. This is a hardwearing book which will stand up to the temporal bone lab, with spiral binding and glossy almost waterproof? It is everything you would expect.
The novelty comes in the second book in the blue box, the 3D colour presentations. A few weeks ago, I reviewed a large atlas of temporal bone surgery by Tuncay Ulug , and commented that, even with the best photography, colours in this field can only ever be shades of cream, brown and black. I felt this topic cried out for 3D imaging - after all, a technology now available on a domestic TV.
I gather that Ugo Fisch who wrote the foreword pioneered 3D monitoring on his surgical microscope decades ago!
The second book in the manual provides over 80 high quality, 3D, colour photographs, taking the reader from the mastoid surface landmarks to the petrous apex. The 3D glasses provided are somewhat fragile, but replacements are inexpensive and widely available. The effect - the illusion of depth - is quite incredible, especially as the cavity deepens and widens. I swear I saw the burr move on the posterior tympanotomy!
A potential limitation of the manual is that it does not provide images of cadaveric or intraoperative temporal bone dissection, which could help readers further hone their understanding of the complex 3D anatomy. The accurate and concise information presented in the dissection manual reflects the cumulative surgical and teaching experience of the contributing authors.
Although several temporal bone dissection manuals have been published with an emphasis on temporal bone anatomy as it pertains to surgical approaches, a distinguishing feature of this publication is the insight provided by the contributing authors concerning clinical or surgical pearls, potential pitfalls, and the management of complications.
Mastoidectomy, sinodural angle Select Rating 1 2 3 4 5. Videos of cadaveric and surgical dissections highlight critical technical steps and appropriate execution More than meticulous, expertly illustrated pen and ink drawings of progressive dissections A new chapter on middle ear endoscopy details key anatomical features and technical maneuvers integral to this approach New chapters on infratemporal surgical dissection and the intraoperative management of complications are also presented Expanded coverage of the middle fossa approach to the internal auditory canal and methods of assessing competencies when training novice surgeons in temporal bone dissection This is a must-have tool that will enable residents and novice surgeons to translate laboratory skills to the operating room and perform safe, efficacious and efficient dissection of the temporal bone. Remodeled incus 2 This atlas accomplishes with admirable ease the difficult task to acquaint the inexperienced otologist with the surgical strategies needed to carry out safely the most relevant procedures of temporal bone surgery.
Furthermore, the genuine commitment of the contributing authors to teaching and mentorship gleams throughout the manual with words of encouragement, advice on how to remain motivated for lifelong learning, and recommendations for the assessment of competence.
The text and illustrations, as well as supplementary online videos, collectively provide focused fundamentals for even the most inexperienced surgeon to understand and apply to procedural technique. The manual also provides descriptions of more advanced temporal bone dissections and surgical approaches, which can challenge even the most advanced surgeons seeking mastery of lateral skull base surgery.
Critical neurovascular structures traverse complex pathways through the temporal bone, which itself has highly variable anatomy.
Tumors and erosive lesions create additional anatomical barriers that make effective access and resection of diseased areas difficult. At the same time, the surgical skills required to navigate this anatomy are indispensable to the management of ear disease and associated disability, and provide alternative approaches with less morbidity to intracranial pathology.
This book presents technical and strategic considerations for safe and effective temporal bone surgery. This is a must-have tool that will enable residents and novice surgeons to translate laboratory skills to the operating room and perform safe, efficacious and efficient dissection of the temporal bone. It is the quintessential learning guide for residents in otolaryngology-head and neck surgery and skull base surgery, as well as an excellent teaching and assessment tool for faculty. Yes, I would like to receive email newsletters with the latest news and information on products and services from Thieme Medical Publishers, Inc and selected cooperation partners in medicine and science regularly about once a week.
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