| Preface |
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V | |
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3 | (2) |
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3 | (2) |
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Chapter 2. Anatomical Studies |
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5 | (34) |
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2.1 Normal Adult Temporal Bone |
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5 | (12) |
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2.1.1 The Protympanum of the Tympanic Cavity |
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5 | (1) |
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2.1.2 The Tympanic Diaphragm and the Tympanic Isthmus |
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5 | (2) |
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2.1.3 The Supratubal Recess |
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7 | (1) |
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2.1.4 Anatomical Studies of the Supratubal Recess |
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8 | (1) |
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2.1.5 Measurements of the Supratubal Recess and Related Structures |
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9 | (8) |
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2.2 Embryonal Temporal Bone |
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17 | (8) |
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2.3 Temporal Bone in Neonates and Children |
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25 | (7) |
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2.3.1 Mastoid Pneumatization and Age |
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25 | (1) |
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2.3.2 Shape of the Supratubal Recess |
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25 | (3) |
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2.3.3 Size of the Supratubal Recess |
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28 | (1) |
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2.3.4 Contents of the Supratubal Recess |
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28 | (1) |
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2.3.5 Patterns of Communication with the Supratubal Recess |
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28 | (4) |
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2.4 Fine Structure of Mucosal Folds and Mucosa |
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32 | (4) |
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2.4.1 Normal Mucosal Fold |
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32 | (1) |
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2.4.2 Pathological Mucosal Fold |
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32 | (3) |
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2.4.3 Superficial Structure of Mucosa |
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35 | (1) |
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2.5 Developmental Processes of the Supratubal Recess |
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36 | (1) |
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37 | (2) |
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Chapter 3. Anterior Tympanotomy: A Surgical Technique for Cholesteatoma |
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39 | (18) |
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3.1 Historical Considerations and Naming of Anterior Tympanotomy |
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39 | (1) |
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3.2 Surgical Technique in Anterior Tympanotomy Using the Canal-Up Method |
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40 | (14) |
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3.2.1 Incision in the Skin |
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40 | (1) |
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3.2.2 Detachment of the Skin of the Ear Canal |
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40 | (1) |
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3.2.3 Position of the Head in Mastoidectomy |
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41 | (1) |
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3.2.4 Eradication of Pathological Tissue |
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42 | (2) |
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3.2.5 Anterior Tympanotomy |
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44 | (3) |
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3.2.6 Ossiculoplasty and Meatoplasty |
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47 | (2) |
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3.2.7 Surgical Complications and Related Matters of Anterior Tympanotomy |
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49 | (5) |
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54 | (3) |
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Chapter 4. Clinical Results of Anterior Tympanotomy in Surgery for Cholesteatoma |
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57 | (16) |
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4.1 Recurrent and Residual Cholesteatoma |
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57 | (7) |
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4.1.1 Attic Cholesteatoma Operated on Without Anterior Tympanotomy |
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57 | (1) |
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4.1.2 Attic Cholesteatoma Operated on with Anterior Tympanotomy |
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58 | (3) |
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4.1.3 Adhesive Cholesteatoma Operated on Without Anterior Tympanotomy |
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61 | (1) |
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4.1.4 Adhesive Cholesteatoma Operated on with Anterior Tympanotomy |
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61 | (2) |
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63 | (1) |
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4.2 Comparative Postoperative Effects on Hearing After Anterior Tympanotomy or After Other Surgical Procedures for Cholesteatoma |
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64 | (8) |
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4.2.1 Levels of Air-Conducted Hearing in Attic Cholesteatoma |
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64 | (2) |
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4.2.2 Levels of Air-Conducted Hearing in Adhesive Cholesteatoma |
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66 | (3) |
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4.2.3 Levels of Air- and Bone-Conducted Hearing as These Relate to Speech Frequencies |
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69 | (2) |
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4.2.4 Bone-Conducted Hearing at 4000 Hz |
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71 | (1) |
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72 | (1) |
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72 | (1) |
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Chapter 5. Surgical Findings of Anterior Tympanotomy in the Cholesteatomatous Ear |
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73 | (8) |
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73 | (3) |
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5.1.1 Plate Type of Partition |
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73 | (1) |
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5.1.2 Pyramidal Type of Partition |
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74 | (1) |
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5.1.3 Anterior Type of Partition |
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75 | (1) |
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5.2 Adhesive Cholesteatoma |
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76 | (3) |
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5.2.1 Plate Type of Partition |
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77 | (1) |
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5.2.2 Pyramidal Type of Partition |
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77 | (1) |
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5.2.3 Anterior Type of Partition |
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77 | (1) |
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5.2.4 Mucosal Fold Type of Partition |
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78 | (1) |
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5.3 Pathological Development of the Supratubal Recess |
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79 | (2) |
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Chapter 6. Computed Tomography of the Cholesteatomatous Ear |
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81 | (14) |
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6.1 Computed Tomographic Scan of Normal Temporal Bone |
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81 | (3) |
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6.2 Computed Tomographic Scan of Attic Cholesteatoma |
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84 | (4) |
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6.2.1 Plate Type of Partition in Attic Cholesteatoma |
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84 | (1) |
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6.2.2 Pyramidal Type of Partition in Attic Cholesteatoma |
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85 | (2) |
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6.2.3 Anterior Type of Partition in Attic Cholesteatoma |
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87 | (1) |
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6.3 Illustration of Bony Partitions in Attic Cholesteatoma |
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88 | (1) |
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6.3.1 Plate Type of Partition in Attic Cholesteatoma |
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88 | (1) |
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6.3.2 Pyramidal Type of Partition in Attic Cholesteatoma |
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89 | (1) |
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6.3.3 Anterior Type of Partition in Attic Cholesteatoma |
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89 | (1) |
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6.4 Computed Tomographic Scan of Adhesive Cholesteatoma |
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89 | (4) |
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6.4.1 Plate Type of Partition in Adhesive Cholesteatoma |
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90 | (1) |
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6.4.2 Pyramidal Type of Partition in Adhesive Cholesteatoma |
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90 | (1) |
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6.4.3 Anterior Type of Partition in Adhesive Cholesteatoma |
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91 | (2) |
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6.4.4 Mucosal Fold Type of Partition in Adhesive Cholesteatoma |
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93 | (1) |
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6.5 Illustrations of Types of Bony Partitions in Adhesive Cholesteatoma |
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93 | (2) |
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Chapter 7. Pathogenesis of Cholesteatoma |
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95 | (16) |
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7.1 Negative Pressure in the Epitympanum Caused by an Osseous Tympanic Diaphragm |
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95 | (2) |
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7.2 Pneumatization in Cholesteatoma and in Other Diseases of the Middle Ear |
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97 | (9) |
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7.2.1 Exudative Otitis Media and Cholesteatoma |
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98 | (2) |
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7.2.2 Chronic Otitis Media and Cholesteatoma |
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100 | (4) |
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7.2.3 Adhesive Otitis Media and Cholesteatoma |
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104 | (2) |
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7.3 Developmental Processes of Attic Cholesteatoma |
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106 | (1) |
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7.4 Developmental Processes of Adhesive Cholesteatoma |
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107 | (2) |
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109 | (2) |
| Index |
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111 | |
