The Nijmegen temporal bone dissection manual is an outcome of the long-standing annual Nijmegen course in ear surgery, which started in 1966. This carefully composed manual has now been made available for use outside the setting of this course. Temporal bones for dissection by trainees have become more and more scarce, so they should be used with utmost care and efficiency. Therefore, in this manual 16 consecutive surgical procedures are described that can be performed on only one single temporal bone. A temporal bone dissection manual needs high quality, realistic illustrations to guide the trainee through the temporal bone procedures. The drawings in this manual are the outcome of a long, excellent cooperation with two artists. The late Mrs. Marlu de Leeuw sadly could not complete this long-term project, but we were fortunate to find Iris Post (www.irispost.nl) willing to help complete it. We deeply appreciate their support. Temporal bone dissection goes from landmarks to other landmarks in a three-dimensional setting. It is the art of the illustrators to provide a three-dimensional view in a two-dimensional plane. To enforce this even more, this manual has separately additional three-dimensional presentations of dissected real temporal bones to support the trainees in their orientation and thus facilitate the dissection. Besides the most important classical surgical approaches of the temporal bone, we have included some more unusual surgical dissections to help surgeons to get acquainted with these techniques. The variations present in the anatomy of the temporal bones require experienced and meticulous ear surgeons. Training in temporal bone dissections is needed to obtain sufficient experience to become a qualified ear surgeon. The goal of this manual is to be of help in the training of ear surgeons. We are aware that this is an ongoing project and therefore, are grateful for any constructive criticism or helpful suggestions. Finally we would like to express our gratitude to Mr. Alan G. Kerr for the revision of the manuscript.Cor CremersJef Mulder
목차
Foreword
Introduction
General Remarks
1. Anatomy of the Temporal Bone Surface
2. Mastoidectomy - Attico-antrotomy
3. Posterior Tympanotomy
4. Retrofacial and Inferior Hypotympanotomy
5. Autologous Incus Transposition - Stapedomalleopexia
6. Anterior Epitympanotomy
7. Canal Wall Down Technique
8. Subtotal Petrosectomy
9. Saccus Decompression
10. Total Labyrinthectomy
11. Translabyrinthine Approach of the Internal Acoustic Canal
12. The Extended Translabyrinthine Approach
13. Transotic Approach
14. Lowering of the Jugular Bulb
15. Rerouting of the Facial Nerve
16. Transcochlear Approach to the Petrous Apex
Specific Topics
17. Endaural Epitympanotomy and Atticotomy
18. An Extensive Type of Canalplasty
Subject Index
Abbreviation index
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