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Cartilage Tympanoplasty 1st edition by Mirko Tos ISBN 3131495419 9783131495419

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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

  • Introduction

  • Early Innovations

    • Cartilage in Ossiculoplasty (Type 2 & Type 3)

    • Myringoplasty with Autogenous Septal Cartilage

  • Techniques by Pioneers

    • Heermann Bridge Techniques

    • Tunnelplasty

    • Palisade Tympanoplasty

    • Goodhill Composite Graft

2. Classifications and Definitions

  • Cartilage Tympanoplasty Methods

  • Types of Cartilage Grafts

    • Palisades, Strips, Foils, Plates, Composite Grafts

  • Tympanoplasty and Ossiculoplasty Classifications

  • Visual Guide to Surgical Elements

3. Approaches and Harvesting of Cartilage

  • Surgical Approaches

    • Transmeatal, Endaural, Retroauricular

  • Cartilage Harvesting Techniques

    • Tragal, Auricular

  • Tools for Shaping

    • Hüttenbrink Guide, Groningen Cutter

4. Cartilage Palisades in Underlay Tympanoplasty

  • Techniques and Modifications

  • Indications & Results

  • Comparisons with Fascia

  • Long-Term Outcomes

5. Cartilage Palisades in On-lay Tympanoplasty

  • Surgical Methods

  • Full-Thickness vs. Half-Thickness

  • Outcomes and Clinical Needs

6. Tympanoplasty with Broad Cartilage Palisades

  • Techniques for Extensive Perforations

  • Results and Recommendations

  • Hearing Evaluation

7. Cartilage Strips in Underlay Tympanoplasty

  • Techniques and Indications

  • Attic Wall Reconstruction

  • Results Compared with Fascia

8. Cartilage Strips in On-lay Tympanoplasty

  • Surgical Approaches

  • Ossiculoplasty with Cartilage Strips

  • Clinical Outcomes

9. The Dornhoffer Cartilage Mosaic Tympanoplasty

  • Mosaic Technique and Indications

  • Surgical Techniques

  • Clinical Outcomes

10. Underlay Tympanoplasty with Cartilage Foils and Thin Plates

  • Portmann’s Techniques

  • Surgical Results

  • Recommendations

11. On-lay Tympanoplasty with Cartilage Foils and Thin Plates

  • Surgical Indications and Techniques

  • Results and Comments

12. On-lay Tympanoplasty with Thick Cartilage Plates

  • Jansen Plate Techniques

  • Hearing Impact by Thickness

  • Research and Results

13. Underlay Tympanoplasty with Thick Cartilage Plates

  • Cartilage Shield Techniques

  • Results of Modern vs. Historical Methods

  • Graft Thickness Research

14. Superior (Attic) Composite Island Graft Tympanoplasty

  • Techniques for Scutum Closure

  • Reconstruction Methods

  • Preventive Attic Surgery

15. Posterior Composite Island Graft Tympanoplasty

  • Posterior Retraction and Cholesteatoma Surgery

  • Composite Graft with Titanium Mesh

  • Functional Outcomes

16. Superior and Posterior Composite Island Grafts

  • Dual Graft Techniques

  • Pediatric and Adult Outcomes

  • Pathogenesis Discussions

17. Total Pars Tensa Composite Island Graft Tympanoplasty

  • Tolsdorff, Nitsche, Dornhoffer Methods

  • Indications and Results

  • Fascia vs. Cartilage Comparison

18. Annular Composite Graft Tympanoplasty

  • Goodhill, Klacansky, Borkowski Techniques

  • Circular and U-Shaped Grafts

  • Canal Wall Reconstruction

19. “Crown Cork” Composite Graft Tympanoplasty

  • Congenital and Acquired Indications

  • Surgical Principles and Results

20. Cartilage Shield T-Tube Tympanoplasty

  • Techniques (Hall, Duckert, Dornhoffer, Elsheikh)

  • Postoperative Care and Complications

  • Tubal Function Studies

21. Underlay Tympanoplasty with Island Graft

  • Surgical Modifications

  • Comparisons with Fascia Techniques

22. In-lay Underlay Tympanoplasty Techniques

  • Surgical Strategy for All Perforation Types

  • Long-Term Outcomes

23. On-lay Tympanoplasty with Composite Island Grafts

  • Graft Thinning and Shaping

  • Surgical Outcomes and Research Needs

24. In-lay On-lay Tympanoplasty Techniques

  • Pediatric Interleave Method

  • Minimally Invasive Applications

25. In-lay Butterfly Cartilage Tympanoplasty

  • Graft Design and Applications

  • Epithelialization Challenges

  • Research Needs

26. Composite Chondroperichondrial Clip Tympanoplasty (Triple “C” Technique)

  • Surgical Details and Results

  • Comments and Future Directions

27. The Fate of Implanted Cartilage Grafts

  • Biological Viability

  • Animal and Human Studies

  • Clinical Implications

28. Clinical Research in Cartilage Tympanoplasties

  • Functional and Anatomical Comparisons

  • Long-Term Study Proposals

  • Methodologies for Outcome Evaluation

Index

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