This book reviews current knowledge of the etiopathogenesis, pathophysiology, and molecular biology of tympanic membrane retraction pockets and provides clear guidance on clinical assessment and treatment. A new diagnostic approach based on clinicoradiologic correlations is presented, and the ability of computer tomography to offer objective criteria for improved differentiation between stable and unstable or unsafe retraction pockets is explained. Surgical options are discussed, and on the basis of their own clinical and surgical experiences the authors propose a novel procedure, masto-atticotomy with anterior epitympanotomy (AER surgery), which addresses the causative factors underlying a retraction pocket. This surgery aims to restore adequate aeration routes for the middle ear compartments situated above the tympanic diaphragm; it results in better control of the pathology and in most cases prevents its recurrence. The book will assist otologists and surgeons in ensuring that retraction pockets are effectively diagnosed and treated, avoiding progression to cholesteatoma.

This book covers the latest advances in disciplines related to the middle ear pathologies such as: the innovations in the understanding of its functional anatomy and their implications along with the breakthroughs in the physiopathology of its diseases and the most recent concepts of their pathogenesis. More adapted audiological investigative methods and the advanced imaging approaches for an accurate diagnostic work up and the best management of middle ear ailments are presented . As an up-to-date learning resource, based on demonstrated clinico-radiological correlations, this book is a highly valuable teaching tool, especially when contemplating proceeding in middle ear surgery. Middle Ear Diseases is a comprehensive work, aimed for trainees, board candidates and teachers in otolaryngology and otology to respond to every educational need in regard to the most common middle ear pathologies. It is also a useful update for more experienced professionals in this field, as well as radiologists, audiologists and speech therapists.

Endoscopy is firmly established as a major technology for investigation and therapy in a wide range of disciplines. The field of otolaryngology or head and neck surgery owes its existence to the very special difficulties of examining the dark recesses of the head and neck. Therefore, this field has been at the forefront of developing endoscopic techniques for use in this anatomic area. While rhinologists have been quick to embrace the endoscope in the management of sinus disorders, otologists and skull base surgeons have been less than enthusiastic despite the vast range of possible applications in this area. In this book the authors consider the new field of application of endoscope technology in neuro-otology and skull base surgery. Dr. Sanna is part of The Grupppo Otologico, a world-renowned specialist center for the diagnosis and medical and surgical treatment of diseases of the ear, skull base, facial nerve, head and neck, and paranasal sinuses.

The cerebellum is the area at the back of the brain that controls motor movement coordination, balance, equilibrium and muscle tone. The pons connects the cerebral cortex (responsible for thinking perceiving, producing and understanding language) with the medulla oblongata (controls autonomic functions such as breathing, digestion, heart and blood vessel function, swallowing and sneezing). It also serves as a communications centre between the two hemispheres of the brain. The cerebellopontine angle (CPA) is the anatomical space at the junction of the cerebellum and the pons and is a frequent site of benign tumour formation and other non life-threatening, functional disorders. (About.com). This manual is a comprehensive guide to functional surgery of the CPA using the minimally invasive retrosigmoid technique, which involves making a small incision behind the ear, providing endoscopic access to the cerebellum and brain stem. Beginning with the surgical anatomy of CPA and in depth discussion on the instruments and set up for the procedure, the following sections cover the pathophysiology, radiological characteristics, neurological presentation, diagnosis and treatment of a wide spectrum of CPA lesions. Written by internationally recognised experts from France, India and Japan, this highly illustrated resource includes 550 full colour clinical photographs, diagrams and tables, as well as extensive references. Key points Comprehensive guide to minimally invasive retrosigmoid surgery of the cerebellopontine angle (CPA) In depth discussion of instruments and set up for the procedure Internationally recognised author team Includes 550 photographs, diagrams and tables