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ISBN 10: 3131495419
ISBN 13: 9783131495419
Author: Mirko Tos
A superbly illustrated atlas of cartilage tympanoplasty methods
Written by a pioneering master in the field, Cartilage Tympanoplasty: Classification of Methods-Techniques-Results, is a comprehensive reference for all the currently used methods of cartilage tympanoplasty. In the opening chapters of the book, Mirko Tos provides a thorough overview of this class of procedures, including a classification of 23 original cartilage tympanoplasty methods. Each of the following chapters offers a detailed exposition of a different method, presenting its definition, indication, graft harvesting and shaping, surgical technique, and an analysis of the anatomical and functional results based on a review of the literature and on personal experience. In the closing chapters, the author discusses long-term outcomes and compares the results of the various cartilage tympanoplasty methods.
“Mirko Tos has written a remarkable book…The entire community of otologic surgeons will benefit from this contribution.”—From the foreword by John Dornhoffer, MD, FACS
Cartilage Tympanoplasty 1st Table of contents:
1. History of Cartilage Tympanoplasty
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Introduction
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Early Innovations
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Cartilage in Ossiculoplasty (Type 2 & Type 3)
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Myringoplasty with Autogenous Septal Cartilage
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Techniques by Pioneers
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Heermann Bridge Techniques
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Tunnelplasty
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Palisade Tympanoplasty
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Goodhill Composite Graft
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2. Classifications and Definitions
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Cartilage Tympanoplasty Methods
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Types of Cartilage Grafts
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Palisades, Strips, Foils, Plates, Composite Grafts
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Tympanoplasty and Ossiculoplasty Classifications
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Visual Guide to Surgical Elements
3. Approaches and Harvesting of Cartilage
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Surgical Approaches
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Transmeatal, Endaural, Retroauricular
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Cartilage Harvesting Techniques
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Tragal, Auricular
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Tools for Shaping
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Hüttenbrink Guide, Groningen Cutter
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4. Cartilage Palisades in Underlay Tympanoplasty
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Techniques and Modifications
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Indications & Results
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Comparisons with Fascia
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Long-Term Outcomes
5. Cartilage Palisades in On-lay Tympanoplasty
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Surgical Methods
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Full-Thickness vs. Half-Thickness
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Outcomes and Clinical Needs
6. Tympanoplasty with Broad Cartilage Palisades
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Techniques for Extensive Perforations
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Results and Recommendations
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Hearing Evaluation
7. Cartilage Strips in Underlay Tympanoplasty
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Techniques and Indications
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Attic Wall Reconstruction
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Results Compared with Fascia
8. Cartilage Strips in On-lay Tympanoplasty
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Surgical Approaches
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Ossiculoplasty with Cartilage Strips
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Clinical Outcomes
9. The Dornhoffer Cartilage Mosaic Tympanoplasty
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Mosaic Technique and Indications
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Surgical Techniques
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Clinical Outcomes
10. Underlay Tympanoplasty with Cartilage Foils and Thin Plates
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Portmann’s Techniques
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Surgical Results
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Recommendations
11. On-lay Tympanoplasty with Cartilage Foils and Thin Plates
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Surgical Indications and Techniques
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Results and Comments
12. On-lay Tympanoplasty with Thick Cartilage Plates
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Jansen Plate Techniques
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Hearing Impact by Thickness
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Research and Results
13. Underlay Tympanoplasty with Thick Cartilage Plates
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Cartilage Shield Techniques
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Results of Modern vs. Historical Methods
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Graft Thickness Research
14. Superior (Attic) Composite Island Graft Tympanoplasty
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Techniques for Scutum Closure
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Reconstruction Methods
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Preventive Attic Surgery
15. Posterior Composite Island Graft Tympanoplasty
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Posterior Retraction and Cholesteatoma Surgery
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Composite Graft with Titanium Mesh
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Functional Outcomes
16. Superior and Posterior Composite Island Grafts
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Dual Graft Techniques
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Pediatric and Adult Outcomes
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Pathogenesis Discussions
17. Total Pars Tensa Composite Island Graft Tympanoplasty
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Tolsdorff, Nitsche, Dornhoffer Methods
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Indications and Results
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Fascia vs. Cartilage Comparison
18. Annular Composite Graft Tympanoplasty
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Goodhill, Klacansky, Borkowski Techniques
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Circular and U-Shaped Grafts
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Canal Wall Reconstruction
19. “Crown Cork” Composite Graft Tympanoplasty
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Congenital and Acquired Indications
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Surgical Principles and Results
20. Cartilage Shield T-Tube Tympanoplasty
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Techniques (Hall, Duckert, Dornhoffer, Elsheikh)
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Postoperative Care and Complications
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Tubal Function Studies
21. Underlay Tympanoplasty with Island Graft
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Surgical Modifications
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Comparisons with Fascia Techniques
22. In-lay Underlay Tympanoplasty Techniques
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Surgical Strategy for All Perforation Types
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Long-Term Outcomes
23. On-lay Tympanoplasty with Composite Island Grafts
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Graft Thinning and Shaping
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Surgical Outcomes and Research Needs
24. In-lay On-lay Tympanoplasty Techniques
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Pediatric Interleave Method
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Minimally Invasive Applications
25. In-lay Butterfly Cartilage Tympanoplasty
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Graft Design and Applications
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Epithelialization Challenges
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Research Needs
26. Composite Chondroperichondrial Clip Tympanoplasty (Triple “C” Technique)
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Surgical Details and Results
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Comments and Future Directions
27. The Fate of Implanted Cartilage Grafts
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Biological Viability
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Animal and Human Studies
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Clinical Implications
28. Clinical Research in Cartilage Tympanoplasties
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Functional and Anatomical Comparisons
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Long-Term Study Proposals
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Methodologies for Outcome Evaluation
Index
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