The key reference dedicated to surgery for cholesteatoma... The cholesteatoma, strictly speaking a cyst and not a cancer, nevertheless shows expansive and destructive growth patterns that may give rise to serious symptoms and consequences, including fatality, not unlike those seen for malignant neoplasms. The great challenge of therapy is to eradicate the pathologic growth while preserving hearing and other critical functions of the middle ear and petrous bone, respecting the proximity of vital neural and vascular structures, and the intricate three-dimensional relationships involved. Mario Sanna's Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma is the ultimate illustrated guide to complete management of the cholesteatoma, including assessment of the full expansion and degree of destruction caused by the growths, and short- and long-term follow-up to assess and treat for recurrence. Key Features Brilliantly illustrated with diagnostic images from otoscopy and radiology, both normal and pathological Step-by-step description of approaches and techniques for the procedures Special coverage of petrous bone cholesteatoma, which is less frequent than other forms but more difficult to diagnose and treat, with introduction and description of a new function-sparing procedure, the subtotal petrosectomy Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma extends Mario Sanna's passionate dedication to excellence in otologic teaching and training into this highly complex surgical area. Practitioners, residents, and fellows will find it indispensable. This book includes complimentary access to a digital copy on https://medone.thieme.com.

A powerful guide to the primary diagnosis of disorders of the external auditory canal, tympanic membrane, middle ear, temporal bone, and skull base Despite the many advances in diagnostic technologies and imaging modalities in recent years, otoscopy remains the first diagnostic option in the diagnosis of otologic disease. This is an easy-to-consult book for residents and specialists, featuring brilliant diagnostic images from the newest generation of endoscopic otoscopes. Written by a renowned team of experts with 30 years of experience, this book helps readers obtain proficiency in otoscopy and in the interpretation of findings. Readers will learn what clinical consequences the diagnoses may have through case examples and treatment suggestions. Key Features: Richly illustrated with over 1000 mostly full-color photographs and many radiological studies Shows a vast range of common and rare pathologies that can be visualized and assessed via endo-otoscopy Juxtaposes, when appropriate, the clinical picture, radiological diagnosis, and intraoperative findings with the endo-otoscopic findings of the patient In each chapter, a surgical summary lists various approaches that may be used to optimally plan treatment of the patient A special final chapter covers the assessment of postsurgical findings as seen in otoscopy, so as to distinguish between normal healing and changes that may require further intervention Color Atlas of Endo-Otoscopy, produced with the support of Mario Sanna Foundation, is certain to become a valuable tool for all physicians involved in the care of patients with ear ailments.

Temporal bone anatomy is arguably the most complex anatomy in the human body. The proximity of vital neural and vascular structures, the intricate three-dimensional relationships involved, and the manner in which these structures are encased in a labyrinth of bony canals pose a major challenge to the preparation for and performance of surgery. It follows that specialized anatomy teaching courses are indispensable, and these are most effective when executed with the help of dissections on cadaver preparations. Mario Sanna's Temporal Bone is a guide to the dissection courses that the author himself would have sought to have while he was receiving training—as such, creating it has been a "dream come true" for the author. The manual is designed to complement and reinforce the experiences of course participants, comprehensively covering the normal and surgical anatomy of the temporal bone and all aspects of basic and advanced otologic and neurootologic surgery. Key Features: The surgical anatomy is shown with the help of specially prepared cadaveric dissections The approaches/techniques in these dissections are described step-by-step For every approach/technique, the surgical anatomy, indications, surgical steps, and hints and pitfalls are described The Temporal Bone effectively transmits Mario Sanna's passionate dedication in otologic teaching and training to excellence. Residents and fellows should definitely find it indispensable.