Universität zu Köln

Luers, Jan Christoffer ORCID: 0000-0002-8273-2234 and Huettenbrink, Karl-Bernd (2016). Surgical anatomy and pathology of the middle ear. J. Anat., 228 (2). S. 338 - 354. HOBOKEN: WILEY. ISSN 1469-7580

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Abstract

Middle ear surgery is strongly influenced by anatomical and functional characteristics of the middle ear. The complex anatomy means a challenge for the otosurgeon who moves between preservation or improvement of highly important functions (hearing, balance, facial motion) and eradication of diseases. Of these, perforations of the tympanic membrane, chronic otitis media, tympanosclerosis and cholesteatoma are encountered most often in clinical practice. Modern techniques for reconstruction of the ossicular chain aim for best possible hearing improvement using delicate alloplastic titanium prostheses, but a number of prosthesis-unrelated factors work against this intent. Surgery is always individualized to the case and there is no one-fits-all strategy. Above all, both middle ear diseases and surgery can be associated with a number of complications; the most important ones being hearing deterioration or deafness, dizziness, facial palsy and life-threatening intracranial complications. To minimize risks, a solid knowledge of and respect for neurootologic structures is essential for an otosurgeon who must train him- or herself intensively on temporal bones before performing surgery on a patient.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Luers, Jan Christoffer UNSPECIFIED orcid.org/0000-0002-8273-2234 UNSPECIFIED Huettenbrink, Karl-Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-286808
DOI:	10.1111/joa.12389
Journal or Publication Title:	J. Anat.
Volume:	228
Number:	2
Page Range:	S. 338 - 354
Date:	2016
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1469-7580
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TYMPANIC MEMBRANE; EUSTACHIAN-TUBE; TYMPANOPLASTY; TYMPANOMASTOIDECTOMY; RECONSTRUCTION; CHOLESTEATOMA; MECHANICS; CARTILAGE; SURGERY Multiple languages Anatomy & Morphology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28680