DVD Contents

1. Canal wall down Type-3 tympanoplasty — Antonio Soda M
2. Tympanoplasty plus mastoidectomy — Antonio Soda M
3. Postauricular approach — Carmen Gloria Morovic
4. Grafts — Ernesto Ried Goycoolea
5. Stapedectomy — Ernesto Ried Undurraga
6. Retrolabyrinthine Presigmoid — Homero Sariego
7. Steri-strip patching in a double traumatic tympanic perforation — Jorge E Spratley, Ricardo M Vaz
8. Office myringoplasty for traumatic tympanic perforations — Jorge E Spratley, Ricardo M Vaz
9. Meningoencephalo OM — Manuel Tomás Barberán
10. Mastoidectomy conserving posterior canal wall-1 — Marcelo Hueb
11. Mastoidectomy conserving posterior canal wall-2 — Marcelo Hueb
12. Mastoidectomy conserving posterior canal wall-3 — Marcelo Hueb
13. Mastoidectomy conserving posterior canal wall-4 — Marcelo Hueb
14. Mastoidectomy conserving posterior canal wall-5 — Marcelo Hueb
15. Mastoidectomy conserving posterior canal wall-6 — Marcelo Hueb
16. Mastoidectomy conserving posterior canal wall-7 — Marcelo Hueb
17. Meatoplasty — Marcelo Hueb
18. Mastoidotomy–tympanotomy approach in cochlear implant surgery — Marcos Goycoolea
19. Importance of research — Marcos Goycoolea
20. Auditory transduction — Marisa Pedemonte, Ricardo A Velluti
21. Cochlear implants in infant — Mauricio Cohen, Robert Briggs
22. Different locations of the vibrant sound bridge — Santiago Alberto Arauz
23. Cochlear implant — Santiago Alberto Arauz
24. Otosclerosis unconventional techniques — Santiago Alberto Arauz
25. Vestibular and tympanic ramps — Santiago Alberto Arauz
26. Endomeatal approach encapsulated cholesteatoma — Victor Slavutsky
27. Semi-open technique endomeatal approach — Victor Slavutsky
28. Endomeatal approach in children (EMAC) — Victor Slavutsky
29. Surgical results Retro and Endo — Victor Slavutsky
30. Surgical results — Victor Slavutsky
31. Endomeatal approach (large cholesteatoma) semi-open technique — Victor Slavutsky
32. Endomeatal approach (EMA) for CI surgery in adults — Victor Slavutsky
33. Endomeatal approach (EMA) for IC surgery in endopreaural — Victor Slavutsky

CONTENTS

1. Section I: Structure and Function............................................................................................................................1
1.1 General Overview 3
Marcos Goycoolea
Central Transmission 10
Marcos Goycoolea, Ismael Mena, Sonia Neubauer
1.2 External Ear 13
Marcos Goycoolea, Gumaro Martínez
1.3 The Tympanic Membrane 21
Marcos Goycoolea, Arturo Samith
1.4 Middle Ear and Mastoid 27
Marcos Goycoolea
1.5 Inner Ear
1.5.1 Structure 59
Marcos Goycoolea
1.5.2 Function 65
Ricardo Velluti, Marisa Pedemonte
1.6 Central Auditory System 77
Paul Délano
1.7 Temporal Bone: Horizontal Sections 85
Marcos Goycoolea, Marcelo Galvez Moya
1.8 Imagenology of the Temporal Bone 107
Miguel Casals
1.9 Functional Imagenology 127
Ismael Mena
2. Section II: Temporal Bone Dissection.................................................................................................................139
2.1 Temporal Bone Removal and General Principles of Temporal Bone Dissection 141
Rafael Urquiza, Carlos Gómez Velasco
2.2 Surgical Anatomy of the Temporal Bone 151
Ugo Fisch, Rodrigo Posada Trujillo
2.3 Temporal Bone Dissection 179
Edgar Chiossone Lares, Juan A Chiossone Kerdal
2.4 Surgical Procedures 199
Marcos Goycoolea
3. Section III: Principles and General Approaches................................................................................................263
3.1 General Principles 265
Marcos Goycoolea, Verónica Briones
3.2 Anesthesia 283
Pedro Cubillos
3.3 Basic Audiology 289
Marcos Goycoolea, Hortensia Guzmán, Raquel Levy, Viviana Orellana, Josefina Ernst
3.4 Intraoperative Monitoring of the Facial and Acoustic Nerves 299
Francisco Soto
3.5 Surgical Approaches to the External Ear Canal, Middle Ear and Mastoid 307
Marcos Goycoolea
4. Section IV: Surgery of the Pinna and the External Auditory Canal...............................................................339
4.1 Surgery of the Pinna 341
Carmen Gloria Morovic
Atlas of Otologic Surgery and Magic Otology
4.2 Miscellaneous on Plastic Surgery of the Pinna 351
Peter Hilger
4.3 Canalplasty: General Concepts 367
Marcos Goycoolea, Timothy Jung
4.4 Meatoplasty 379
Marcelo Hueb
4.5 Acquired Stenosis of the External Auditory Meatus 387
Mirko Tos
4.6 Congenital Atresia 397
Antonio Soda Merhy, José Javier Zepeda Rodríguez
4.7 Acquired Atresia of the External Auditory Meatus 421
Mirko Tos
4.8 Pertinent Histology 429
Marcos Goycoolea
4.9 Pertinent Audiology 431
Raquel Levy, Viviana Orellana
5. Section V: Middle Ear and Mastoid Surgery...................................................................................................... 433
5.1 Exploratory Tympanotomy 437
5.1.1 Exploratory Tympanotomy 437
Marcos Goycoolea
5.1.2 Anterior Bony Overhang 439
Rick Fox
5.1.3 Tympanic Neurectomy 443
José Miguel Contreras
5.1.4 The Use of Otic Drops and Antiseptics in Otologic Surgery 453
Marcos Goycoolea
5.1.5 Meningeal Tears 459
José Miguel Contreras
5.2 Surgical Procedures in Different Forms of Otitis Media 463
5.2.1 Summary of Concepts 463
Marcos Goycoolea
5.2.1A Medical Assessment of the Ventilation Tube Treatment 491
Sten Hellstrom
5.2.2 Ventilation Tubes 499
Marcos Goycoolea, Axel Christensen
5.2.3 Procedures for Atelectasis and Tympanic Membrane Retractions 515
5.2.3A Atelectasis and Retraction Pockets of the Tympanic Membrane 515
Héctor Rondón Cardoso
5.2.3B The Marquet Technique to Remove Non-Fixed Retraction Pockets at the Time of Tube Placement 523
Carlos Ruah, Bernard Ars
5.2.3C Tympanectomy 531
Gonzalo Bonilla, Luis Dentone
5.2.3D Cartilage Tympanoplasty for Atrophic Tympanic Membrane 533
Marcos Goycoolea, Enrique Valenzuela
5.2.3E Tympanoplasty for Atelectatic Tympanic Membrane (Adhesive Otitis) 541
Marcos Goycoolea, Ricardo Larrea
5.2.4 Tympanoplasty for Tympanic Membrane Perforation 547
5.2.4A Introduction and General Concepts 547
Marcos Goycoolea
I. Influence of the Mechanoacoustic Factors in Tympanoplasty Results 559
Elisa Gil-Carcedo, Luis María Gil-Carcedo, Luis Angel Vallejo, Primitivo Ortega
II. Healing of Tympanic Membrane Perforations by Medical Treatment 593
Sten Hellstrom
III. The Use of Cartilage in Tympanoplasty 597
Hamlet Suárez, Alejo Suárez
IV. Harvesting of Cartilage and Perichondrium 603
Ernesto Ried G Jr
5.2.4B Onlay Tympanoplasty Techniques 611
Mirko Tos
5.2.4C Techniques for Specific Situations 625
I. Cartilage Tympanoplasty 625
Jorge Caro Letelier
II. Cartilage Palisade Tympanoplasty 631
Manuel Bernal Sprekelsen, Angel Lede Barreiro, Miguel Caballero Borrego
III. Medio-lateral Graft Tympanoplasty for Repair of Anterior or Subtotal Tympanic Membrane
Perforation 635
Timothy K Jung
IV. Traumatic Tympanic Membrane Perforation 639
Jorge E Spratley, Ricardo M Vaz
V. The Yo-Yo Technique for Small Central Perforations 651
Ernesto Ried G, Nicolás Albertz
5.2.4D Pertinent Histopathology 655
Marcos Goycoolea
5.2.4E Pertinent Audiology 657
Viviana Orellana, Raquel Levy
5.2.5 Tympanoplasty with Ossiculoplasty 659
5.2.5A Introduction and General Concepts 659
Marcos Goycoolea
I. Cartilage Ossiculoplasty: Functional Tympanochondroplasty 675
Luiz Lavinsky, Joel Lavinsky, Michelle Lavinsky, Luis Henrique Motta
II. Ossiculoplasty with Bone 681
Edgar Chiossone Lares,Juan A Chiossone Kerdal
III. Malleostapedectomy—Newer Applications 691
Marcus D Atlas, Michael Gluth, Mauricio A Cohen
5.2.6 Surgery for Chronic Otitis Media and Cholesteatoma 697
5.2.6A Overall Concepts 697
Marcos Goycoolea
5.2.6B Surgery for Cholesteatoma 701
Rodrigo Posada Trujillo, Ugo Fisch
5.2.6C Surgery for the Contralateral Ear in Chronic Otitis Media 739
Sady Selaimen da Costa
5.2.6D Congenital Cholesteatoma 755
Carlos Ruah, Fernando V Mendonca
5.2.6E Mastoidectomy Conserving the Posterior Canal Wall (Canal Wall Up) 763
Marcelo Hueb
5.2.6F Endomeatal Subcortical Mastoidectomy: Semi-Open Technique 755
Víctor Slavutsky
5.2.6G Mastoidectomy Removing the Posterior Canal Wall (Canal Wall Down) 785
I. Open Tympanomastoidectomy 785
Sady Selaimen da Costa, Mauricio Noschang da Silva, Fábio André Selaimen, Leticia Petersen
II. Intact-Bridge Mastoidectomy 811
Michael M Paparella, Marcos Goycoolea
5.2.6H Mastoid Cavity Obliteration 827
Marcus D Atlas, Michael Gluth, Mauricio A Cohen
5.2.6I Reconstruction of the Posterior Wall—Bone Regeneration Technique (Bone paté and Platelet
Enriched Plasma) 839
Carlos Curet, Adriana Severina, Claudia Romani, Carlos Young
5.2.6J Surgery for Complications of Chronic Otitis Media 845
Marcos Goycoolea
5.2.6K Pertinent Histology in Surgery for Chronic Otitis Media and Cholesteatoma 853
Marcos Goycoolea
5.2.6L Pertinent Audiology 861
Viviana Orellana, Raquel Levy
5.3 Surgery for Stapes Fixation 863
5.3.1 General Concepts 863
Marcos Goycoolea, Marcelo Hueb
5.3.2 Surgical Alternatives and General Principles 875
Marcos Goycoolea, Santiago Arauz
Atlas of Otologic Surgery and Magic Otology
5.3.2A Stapedotomy and Malleo-Stapedotomy: The Fisch Technique 897
Rodrigo Posada Trujillo, Ugo Fisch
5.3.2B Stapedectomy 923
Ernesto Ried U Sr
5.3.2C Surgical Technique for Stapedotomy with a Drill (Skeeter) 927
Carlos Curet
5.3.2D Surgical Technique for Stapedotomy with CO2 Laser 933
Carlos Curet
5.3.3 Stapedectomy Revision 939
Carlos Sttot C
5.3.4 Pertinent Histology 943
Marcos Goycoolea
5.3.5 Pertinent Audiology 949
Raquel Levy, Viviana Orellana
5.4 Implantable Hearing Devices for Hearing Loss 951
5.4.1 The Use of Electronic Implanted Devices for Hearing Loss 951
Rafael Urquiza
5.4.2 Surgery for Bone Conduction Hearing Devices (e.g. BAHA) 957
Gloria Ribalta
5.4.3 Surgery for Implanted Electronic Implants (Vibrant Sound) 977
Alejandro Rivas, José Antonio Rivas
5.4.4 Surgery of Totally Implantable Middle Ear Implant (Otologics) 999
Angel Ramos, Miguel Aristegui
5.4.5 Facial Nerve Surgery 1007
5.4.5A General Concepts: Transcanal and Transmastoid Approach 1007
Marcos Goycoolea
5.4.5B Middle Fossa Approach. Anastomosis Stabilization Techniques 1013
Ricardo Ferreira Bento, Andréa Felice dos Santos
6. Section VI: Surgery of the Middle Ear, Mastoid and Inner Ear.....................................................................1027
6.1 Middle and Inner Ear Interaction 1029
6.1.1 General Concepts 1029
Marcos Goycoolea
6.1.2 Structure, Function and Permeability of the Round Window Membrane 1031
Marcos Goycoolea
6.2 Procedures for Incapacitating Vertigo 1053
6.2.1A General Overview and Basic Concepts 1053
Marcos Goycoolea
6.2.1B The Vestibule with the Utricle and Saccule and the Alternative of Utriculostomy 1059
Luiz Lavinsky, Marcos Goycoolea, José Francisco Zuma e Maia, Michelle Lavinsky
6.2.1C The Endolymphatic Sac in Intractable Vertigo 1071
William PR Gibson, Mauricio A Cohen
6.2.2 Intratympanic Treatment 1079
Hamlet Suárez, Alejo Suárez
6.2.3
6.2.3A Endolymphatic Sac Enhancement 1085
Michael M Paparella, Chandler Marietta
6.2.3B Labyrinthectomy 1095
Marcos Goycoolea
6.2.3C Singular Neurectomy 1099
Richard Gacek
6.2.3D Superior Semicircular Canal Obliteration for Superior Semicircular Canal Dehiscence Syndrome: Middle
Cranial Fossa and Transmastoid Approach 1105
Richard A Chole
6.2.3E Retrolabyrinthine Approach to the Cerebellopontine Angle and Sectioning of the Vestibular Nerve 1111
Marcos Goycoolea, Rick Nissen
6.2.4 Pertinent Histopathology 1115
Marcos Goycoolea
6.2.5 Pertinent Audiology 1119
Viviana Orellana and Raquel Levy
6.3 Procedures for Sensorineural Hearing Loss 1121
Marcos Goycoolea
6.3.1A Genetic Hearing Loss 1127
Viviana Dalamón, Ana Belén Elgoyhen
6.3.1B Hair Cell Regeneration 1139
Juan Cristobal Maass
6.3.1C The Use of Stem Cells in Sensorineural Hearing Loss 1151
Mauricio Cohen, Sharon Oleskevich
6.3.1D Hearing Instruments in Perspective 1163
Donald Hayes
6.3.2 Intratympanic Corticosteroids for Inner Ear Disease 1191
Luiz Lavinsky, Joel Lavinsky, Michelle Lavinsky
6.3.3 Cochlear Implants 1199
6.3.3A Surgical Approaches for Cochlear Implants
I. Anatomical Considerations: General Principles and Description of our Rationale
and Methods 1199
Marcos Goycoolea, Gloria Ribalta
II. Cochlear Implants from an Audiologist and Cochlear Implant Representative
Standpoint 1217
Patricia Faletty
III. Psychological Aspects of Cochlear Implantation: The Role of Psychology in a Cochlear
Implant Program 1225
Carlos Ramírez
6.3.3B Comparative Study of the Different Surgical Techniques for Cochlear Implantation and the Combined
Approach Technique 1227
Michelle Lavinsky, Luiz Lavinsky, Marcos Goycoolea, Joel Lavinsky
6.3.3C Cochlear Implantation and Residual Hearing 1239
Adriana Rivas, Luz Adriana Rincón
6.3.3D Intraoperative Monitoring of the Different Cochlear Implant Systems 1245
Adriana Rivas, Luz Adriana Rincón
6.3.3E Specific Surgical Approaches 1253
I. Mastoidectomy and Posterior Tympanotomy Approach in Cochlear Implant Surgery 1253
Manuel Manrique, Raquel Manrique Huarte
II. Active Electrodes by the Antrum 1259
Santiago Arauz, Marcos Goycoolea
III. The Endomeatal Approach 1263
Víctor Slavutsky, Luis Nicenboim, Rodrigo Posada Trujillo
IV. Cochlear Implants in Radical Cavities 1287
Carlos Curet, Claudia Romani, Adriana Severina, Carlos Young
V. Surgical Technique for Obliterated Cochleas, Partially or Totally Ossified 1291
Carlos Curet, Claudia Romani, Adriana Severina, Carlos Young
VI. Cochlear Implants in Congenital Inner Ear Malformations 1301
Angel Ramos Macias, Levent Sennaroglu
VII. Cochlear Implants in Ears with Chronic Otitis Media 1313
Vicente G Diamante
VIII. Cochlear Reimplantation 1317
Leopoldo Cordero, Silvia Breuning
IX. Surgery for Cochlear Implant Complications 1321
Antonio Soda Merhy
X. Cochlear Implant Replacement: Causes of Failure, Indications for Revision and
Audiological Performance 1335
Stephen O´Leary, Hudaifa Ismail
XI. Surgery for Bilateral Cochlear Implants 1341
Alejandro Rivas, José Antonio Rivas
XII. Hybrid Implants 1351
Tim Connelly, Jason C Lee, Stephen O’Leary
XIII. Cochlear Implants in Infants 1361
Robert Briggs, Mauricio A Cohen
XIV. Pertinent Audiology 1375
Viviana Orellana, Raquel Levy
Atlas of Otologic Surgery and Magic Otology
7. Section VII: Surgery for Brainstem Implants...................................................................................................1383
7.1 History of the Auditory Brainstem Implant 1385
Franco Portillo, William House
7.2 Surgery for Brainstem Implants 1391
Ricardo Ferreira Bento, Andréa Felice dos Santos
7.3 Surgery for Brainstem Implants in Children: Our Experience 1395
Vicente Diamante, Norma Pallares
8. Section VIII: Fistulae.............................................................................................................................................1405
8.1 Surgical Treatment of Spontaneous Cerebrospinal Fluid Otorrhea 1407
Richard Gacek
8.2 Otoliquorrhea 1411
Manuel Tomás Barberán
9. Section IX: Tumors and Intracranial Lesions...................................................................................................1415
9.1 Functional Transmastoid Approach as an Adjunctive Procedure in Surgery for Intracranial Pathology 1417
Homero Sariego
9.2 The Presigmoid Approach 1423
Armando Ortiz, José Miguel Selman, Luis Cabezas, José Miguel Godoy
9.3 Encephaloceles of the Middle Ear 1429
Manuel Tomás Barberán, Luis Ferrán de la Cierva
9.4 Tumors of the Middle Ear and Vascular Tumors 1435
Chong S Kim
9.5 Vestibular Schwannoma—State of the Art 1447
Vicente Diamante, Jorge Salvat
9.6 Tumors of the Internal Acoustic Meatus 1461
Ricardo Ferreira Bento, Andréa Felice dos Santos
10. Section X: Ethics...................................................................................................................................................1469
10.1 Animal Experimentation and Surgical Training in Otology Using Sheep as a Model 1471
Luiz Lavinsky
10.2 How a Chief Editor Thinks about Scientific Progress 1487
Matti Anniko
10.3 Surgical Ethics 1491
Patricio Burdiles, Armando Ortiz
11. Section XI: Glossary.............................................................................................................................................1497
11.1 Glossary of Terms 1499
Mariela Torrente
12. Section XII: The Importance of Research ........................................................................................................1507
12.1 On the Importance of Research in the Development of Science, People and Friendship 1509
Marcos Goycoolea
13. Section XIII: Final Concepts................................................................................................................................1541
Index ......................................................................................................................................................................................................................... 1545