Chronic Otitis Media
Pathogenesis-Oriented Therapeutic Management
edited by: B. Ars
Price: € 80.00 / US $ 100.00
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Professor Ars has gathered together an excellent group of otologists who start with
the initial causes of the problems and move on to look for the essentials of success.
Having identified these, they go on to explore how we can lay the foundations to
achieve them. Finally, they look at the operative procedures they consider most likely
to achieve success.
This is an excellent book, which should improve the thinking behind surgery for CSOM.
Alan G. Kerr, OBE, FRCS
Publication details: Book. 2008. xii
and 351 pages.
Publication date: 2008-06-09. with 105 figures, of which 20 are in full color, and 22 tables. Hardbound. 16x24 cm (6.3x9.4 in).
Also available as ebook
The history of surgery for chronic suppurative otitis media (CSOM) is littered with stories of techniques and materials that were tried with enthusiasm but without a reasonable expectation of long-term success. The early papers on tympanoplasty, and sadly even some still today, contain numerous short-term follow-up reports of new procedures that looked as if they might revolutionise ear surgery. By the nature of the problem, the longer-term results often proved to be poor and by the nature of humans, the original author didn't report this. As a result, perhaps hundreds of patients elsewhere were subjected to surgery that was already doomed to failure even before the operations started. The journals of the sixties and seventies contain many reports which most would rather forget.
I began my otologic career in the early sixties, at the height of the otologic renaissance, and so often we felt that with just one more push conductive deafness would become a thing of the past. Now we know that the problems of middle ear reconstruction are multifactorial and that we are not simply looking for one single step to restore and maintain hearing and stability. What we need, is a greater understanding of why some procedures succeed and others fail.
Happily in this book, Professor Ars and his team of leading clinicians and scientists, begin by looking at the ranges of causes of the problems. They then move on to examine the essentials needed for getting good results, and they do this in the light of those things which we know at the outset cannot possibly succeed.
Professor Ars has gathered together an excellent group of otologists who start with the initial causes of the problems and move on to look for the essentials of success. Having identified these, they go on to explore how we can lay the foundations to achieve them. Finally, they look at the operative procedures they consider most likely to achieve success.
This is an excellent book, which should improve the thinking behind surgery for CSOM.
Alan G. Kerr, OBE, FRCS
Table of Contents
Dedication, J. Sadé
Preface, A.G. Kerr
Introduction, B. Ars
Part 1: Etio-Pathogenesis of Chronic Otitis Media: Parameters
Environment
Morphofunctional partition of the middle ear cleft, B. Ars and N. Ars-Piret
Pathogenesis of chronic otitis media. Local morphological predisposing factors, B. Ars
Mesenchymal barrier damages
Tympanic membrane lamina propria. Histology and histopatology. Interactions, roles and consequences in chronic otitis media, M. von Unge
Anatomical and mechanical properties of the tympanic membrane, W.F. Decraemer and W. Funnell
Loss of the quality of the mucosa of the middle ear cleft
Mucociliary clearance function of the middle ear cleft in health and disease: An experimental approach using cell culture, Ph. Herman
Mucosal capacity of the middle ear cleft for fluid absorption and clearance, D.L. Mandell and P.A. Hebda
Middle ear cleft pressure regulation. Balance and Imbalance of pressure variations. State of the art, B. Ars
Mechanics of the Eustachian tube, R. Leuwer
Trans-mucosal gas exchange in normal and pathological conditions, R. Kania
Pressure fluctuations in the normal and intact middle ear and its
relation to speed of transmucosal gas exchange, J. Dirckx, M.
Gaihede, H. Jacobsen, J. Buytaert and
J. Aernouts
Computer modeling in chronic otitis media: Perspectives and limits, S. Ghadiali
Middle ear cleft mucosal conditions and gas-exchange function, H. Takahashi
Middle ear cleft pressure regulation in health and disease.
Sustained approach for a central regulating system: the middle ear
isobaric system, D. Estève, L. Vecellio and
J.P. Lavieille
Middle ear cleft pressure regulation - the role of a central control system, M. Gaihede, S. Sami and J. Dirckx
Part 2: Pathogenesis oriented therapeutic management of Chronic Otitis Media
Mesenchymal barrier reconstruction
Myringoplasty with fascia. Th. Linder
Cartilage tympanoplasty: A review of materials, techniques and indications, J.L. Dornhoffer
Tympano-ossicular allograft tympanoplasty, B. Ars
Reconstruction of the canal wall, J. Magnan
Rehabilitation of the quality of the mucosa of the middle ear cleft and of the fibrocartilaginous eustachian tube
Mastoid and epitympanic obliteration. The bony obliteration technique, E. Offeciers
Medical and surgical management of Eustachian tube dysfunction: Mucosal disorders, D. Poe and Q. Gopen
Rehabilitative management of the imbalance of pressure variations in the middle ear cleft, D. Estève
Post face, P. Tran Ba Huy
Book Review
This volume represents an excellent manual exploring an
entire world of problems related to "Chronic Otitis Media".
Prof. B. Ars and his group of well-known otologists are moving
on to explore the initial causes of the problems in order
to define the factors influencing the essentials of success in
the management of this chronic ear disorder.
The chapters develop in a truly organic way starting from
aetiopathogenesis and moving on through the analysis of all
the embryological factors up to the consequential surgical
techniques and solutions.
Great emphasis is focused on the pathophysiological changes
in the quality of the mucosa of the middle ear cleft, considered
as the first step conditioning the development of the
chronic disease.
I found this book an exhaustive manual that is going to
change the mentality and the general way of thinking of
surgeons managing Chronic Otitis Media.
ENT Department
Ospedali Riuniti di Bergamo
Italy