Surgery and Pathology of the Middle Ear: "Proceedings of the International Conference on 'The Postoperative Evaluation in Middle Ear Surgery' held in Antwerp on June 14 - 16, 1984"

Dear colleagues, Promotion of the development of ENT is one of the most important tasks of IFOS (International Federation of Otorhinolaryngology). Apart from organizing the World Congresses it supports different international and regional meetings, organizes symposiums on well­ determined subjects, etc. Since the last World Congress in 1981, in addition to the Danube Symposium in 1982 and the Congress of ENT Societies in Asia­ Oceania in 1983, an international symposium was organized in Antwerp by the Belgian ENT Society on evaluation problems of middle ear surgery. This is a very controversial question on which there is no concensus. During a four-day meeting many anatomical and pathological aspects, operative methods, possibilities of the evaluation of the results with computers, were widely discussed. You will find all the lectures presented in this book. I am convinced that these papers will prove to be a good basis for further discussion and hope that finally we shall achieve an international agreement on the evaluation of our results in middle ear surgery. My thanks go to Professor Marquet for organizing the meeting and for publishing the papers. Professor Dr. L. Surjan President of IFOS 10 WELCOME Dear colleagues and especially dear Professor Marquet, In my function as pro-rector of the University of Antwerp I am very proud of welcoming you to the opening of the International Conference on "The Postoperative Evaluation in Middle Ear Surgery". It gives me the opportunity to stress the importance of this congress and to honour Prof. Marquet. Front Matter....Pages i-13 International Nomenclature of Diseases (IND)....Pages 15-19 Postoperative evaluation of middle ear surgery....Pages 20-24 Surgical anatomy of the middle ear....Pages 25-25 Moderator’s comments....Pages 27-30 Surgical approaches in otology....Pages 31-36 Stapedectomy — Technique and results....Pages 37-40 Otitis media — Open techniques....Pages 40-44 Otitis media — Closed techniques....Pages 44-45 Chronic otitis media — Obliterative techniques....Pages 45-51 Musculotubal canal approach for stenotic Eustachian tube....Pages 52-56 Eradication of pathology....Pages 57-57 Management of the mastoid — The UDT-system; a new classification in ear surgery....Pages 58-61 The epitympanum and ossicular chain....Pages 61-64 The protympanum....Pages 65-67 Management of the hypotympanum....Pages 68-72 Management of the retrotympanum....Pages 72-81 Management of the oval and round windows....Pages 81-86 Management of labyrinthine fistulae....Pages 86-92 Eradication of the pathology from nervous structures during middle ear surgery....Pages 93-98 Biocompatible implant material....Pages 99-103 Autogeneic and allogeneic grafting materials....Pages 103-108 Xenogeneic material for tympanic membrane reconstruction....Pages 108-113 Reconstruction of the ossicular chain....Pages 113-117 Restoration of the superior canal wall....Pages 117-120 Postoperative evaluation of restoration of the posterior-superior bony wall of the external auditory canal....Pages 120-125 Post-traumatic restoration of the middle ear....Pages 126-128 Homograft tympanoplasty in perspective....Pages 129-130 Front Matter....Pages 131-131 Surgical procedures....Pages 133-133 The use of allograft stapes....Pages 134-139 Eradication of cholesteatoma....Pages 139-142 LASER in otology....Pages 143-143 Experience with freeze-dried dura mater and bone in tympanoplasties....Pages 143-144 Second look after closed and obliterative techniques....Pages 144-145 Reconstruction of the Eustachian tube and the anterior tympanum....Pages 145-149 Fibrinogen glue and packing techniques....Pages 150-153 Medical ethics in postoperative evaluation reports....Pages 155-155 The pathology of middle ear inflammation (otitis media)....Pages 155-160 Middle ear pathology....Pages 161-162 Infection of the middle ear related to postoperative surgery....Pages 163-164 Acquired and recurrent cholesteatoma....Pages 164-170 Atrophy of the tympanic membrane....Pages 170-175 Middle ear mucosa....Pages 176-177 The pathology of tympanosclerosis....Pages 177-181 Congenital middle ear pathology....Pages 182-182 Postoperative complications....Pages 183-185 Postoperative infections secondary to ear surgery — Antimicrobial therapy....Pages 186-193 Strategies of overcoming unsuccessful reconstruction of the middle ear air space — Nasal mucosa transplantation....Pages 193-197 Vestibular complications following middle ear surgery....Pages 197-201 Complications of stapedectomy....Pages 201-205 Facial nerve injuries in middle ear surgery....Pages 205-207 Extrusion of implanted materials....Pages 208-208 Chairman’s comments....Pages 209-213 Patho-anatomy....Pages 213-214 Tympanic allografts — Immunopathology....Pages 215-215 Inflammatory granulomatous lesions of the middle ear....Pages 215-218 Cholesterol crystal in the middle ear....Pages 218-222 Pathohistolgogy of otosclerosis....Pages 222-228 Evaluation of middle ear biopsies after tympanoplasties....Pages 228-230 The cholesteatomatous ear one year after intact canal wall tympanoplasty....Pages 230-233 Bone tissue in otitis media....Pages 233-237 Middle ear tumours, contribution to classification and diagnosis....Pages 238-244 The behaviour of the squamous tympanic epithelium....Pages 245-250 Postoperative long-term ventilation of the middle ear and mastoid cavities....Pages 250-257 Sensorineural hearing loss after middle ear surgery....Pages 257-260 Rôle of Eustachian tube function on the tympanoplasty results....Pages 261-261 The Eustachian tube....Pages 261-261 Cholesteatoma and benign paroxysmal nystagmus....Pages 261-266 Evaluation of the fistula of the ear....Pages 266-267 ISO standards in audiology....Pages 268-268 Postoperative functional evaluation....Pages 269-269 Standards in audiological and in statistical reports....Pages 270-271 Standards in tympanometry....Pages 271-272 Computerized data processing in middle ear surgery....Pages 273-279 Randomized clinical trials in ear surgery....Pages 279-283 Computerized multicentre clinical study to evaluate postoperative results in middle ear surgery....Pages 284-290 Data processing in otosclerosis....Pages 290-298 Computerized audiological monitoring in normal and pathological subjects....Pages 298-298 Computerized postoperative evaluation of otological surgery....Pages 299-299 A “Politzer Society” survey....Pages 300-300 Patho-anatomical findings — A routine procedure....Pages 301-308 Labyrinthine fistula and pre- and postoperative bone conduction....Pages 308-309 Photography of the ear....Pages 310-310 Anatomy of the retrotympanum....Pages 310-316 Posterior tympanotomy....Pages 316-317 Clinical, peroperative and histopathological data base....Pages 317-328 Pre- and postoperative radiological evaluation in middle ear surgery....Pages 328-328 Pre- and postoperative evaluation of tubal dysfunction by means of endoscopy....Pages 329-332 Endoscopy of the Eustachian tube....Pages 332-332 Bacteriological examination of middle ear secretions....Pages 333-337 Venous hypotensive anaesthetic technique for middle ear surgery — “Protected sleep”....Pages 338-343 An experimental study of homografts of the tympanic membrane with malleus....Pages 344-347 Clinical significance of the tympanic isthmus related to the development of cholesteatoma....Pages 347-353 Experimental cholesteatoma....Pages 353-359 Experimental cholesteatoma....Pages 359-362 An experimental study of the effect of middle ear infection upon the pneumatization of the mastoid....Pages 363-365 Cholesteatomatous invasion of the middle ear: classical points of entrance and their pathways....Pages 365-370 Classification of allografts in middle ear surgery....Pages 371-373 Applying the language of “transplantese” to tympanoplasty....Pages 374-376 Ear surgery, CT in postoperative evaluation....Pages 376-381 Complications in surgery for otospongiosis....Pages 381-394 Carcinoid of the middle ear....Pages 394-398 Formaldehyde-formed fascia graft in tympanoplasty....Pages 398-401 Conductive hearing loss and autosomal dominant proximal symphalangism....Pages 402-402 Computer processing of data in middle ear surgery....Pages 402-406 Computer processing of data in stapedectomy....Pages 407-408 Digital subtraction angiography in the diagnosis of carotid body tumors....Pages 408-408 Data processing in otosclerosis at the Jean Causse Otology Clinic....Pages 409-414 The International Medical Classification Code of Diseases (ICD) in audiological practice....Pages 415-415 Back Matter....Pages 416-422