← All decks
ENT
The History of Modern Otologic and Neurotologic Surgery
Built from Haynes-Glasscock-Shambaugh Surgery of the Ear, Seventh Edition
What’s inside
14 sections · 140 slides
Overview
- Scope and plan of this account
- Conditions that made modern ear surgery possible
- Drivers of progressive evolution
- Friedrich Bezold on the demands of otology
- Friedrich Bezold
- George Shambaugh Jr
Mastoidectomy
- Scope of ear surgery in the 1850s
- Early advocates of opening the mastoid
- Hermann Schwartze
- Schwartze's indications for mastoid surgery
- Schwartze's operative technique
- Limits of cortical mastoidectomy
- Ernst Kuester
- Principles of the radical operation
- Ludwig Stacke
- Emmanuel Zaufal
- Evolution of the mastoid operation
- Koerner and Schwartze modifications
- Operative infrastructure of the period
- Rudolf Panse
- Meatoplasty and cavity access
- Reaction against routine radical surgery
- Endaural approach to the mastoid
- Bondy's endomeatal atticoantrostomy
- Consolidation of mastoid surgery
Myringoplasty
- Cautery closure of tympanic perforations
- Daniel Bennett St John Roosa
- Joseph Toynbee
- First surgical repair of the tympanic membrane
- Early rejection of graft myringoplasty
- Definition of myringoplasty
- Kessel on regeneration of the tympanic membrane
Mobilization and extraction of the stapes
- Kessel's experimental basis for opening the oval window
- From extraction to mobilization
- Reported nineteenth-century stapes series
- Adam Politzer
- Collapse of surgery for deafness after 1894
Drainage of otogenic brain abscess
- Intracranial complications of mastoid infection
- Routes to the otogenic abscess
- Management of lateral sinus thrombosis
- Otology and neurosurgery converge
Fenestration of the semicircular canal
- Chance observations behind fenestration
- Deliberate labyrinthine fenestration
- The obstacle of osseous closure
- From fenestration to the operating microscope
- Sourdille's tympanolabyrinthopexy
- Lempert's fenestration operation
- Shambaugh's refinements to fenestration
Surgery for Meniere's disease
- Early destructive procedures for vertigo
- Endolymphatic sac and labyrinthotomy procedures
- Sacculotomy and its risks
The revolution of the microscope
- Elements of the 1950s transformation
- Shambaugh on the effect of antibiotics
- William House
- From normal surgery to microsurgery
Tympanoplasty
- Acoustic principles of tympanoplasty
- First closed cavity reconstructions
- Wullstein's five types of tympanoplasty
- Evolution of autograft materials
- Temporalis fascia and later autografts
- Cartilage, perichondrium and fat
- Homograft materials for the tympanic membrane
- Ossicular reconstruction with biological material
- Ugo Fisch
- Prosthetic ossicular replacement
- TORP and PORP compared
- Austin's classification of ossicular defects
- Sheeting and adjuncts in the middle ear
Stapedectomy and stapedotomy
- Reintroduction of stapedectomy
- Rosen's rediscovery of stapes mobilization
- Results and modifications of mobilization
- Shea's stapedectomy and its principles
- Prosthesis and technique modifications
- Stapedotomy
Vestibular schwannoma surgery
- The internal auditory meatus as shared territory
- Earliest acoustic tumour operations
- Causes of early mortality and morbidity
- Cushing's reduction in operative mortality
- Diagnostic advances that enabled removal
- Approaches to the cerebellopontine angle
- Dandy and the unilateral suboccipital approach
- Panse's translabyrinthine proposal
- Rejection of the translabyrinthine route
- Facial nerve repair within the temporal bone
- William House and the birth of neurotology
- The otologist and neurosurgeon team
- Determinants of the improved results
- Hearing preservation and the skull base
- Imaging and the modern era
Auditory implants
- The first auditory implant
- Early Californian implant work
- The pause and the restart of implantation
- International spread of cochlear implantation
- Paediatric implantation and bone conduction devices
- Milestones in auditory implantation
Lasers, endoscopes and computers
- Lasers in otological surgery
- Extension and dispute over laser indications
- Origins of endoscopy in otology and neurotology
- Operative endoscopic ear surgery
- From funnel technique to tunnel technique
- Three eras of visualisation in ear surgery
Summary
- Recurring patterns in otological progress
- Operations still in modern practice
- Mudry's closing purpose
- References
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- References (continued)
- Haynes-Glasscock-Shambaugh Surgery of the Ear, Seventh Edition
- Join our WhatsApp groups