Series Editor:
Robert
T Sataloff
MD DMA FACS
Authors
Michael
J LaRouere
MD
President and Fellowship Director, Michigan Ear Institute Co-Director of Neurosciences, Providence Hospital and Medical Centers Clinical Associate Professor, Wayne State University Clinical Professor, Oakland University William Beaumont School of Medicine Clinical Professor, Michigan State University Farmington Hills, Michigan, USA
Seilesh
C Babu
MD
Chief Financial Officer, Michigan Ear Institute Clinical Associate Professor, Wayne State University Clinical Professor, Oakland University William Beaumont School of Medicine Clinical Professor, Michigan State University Farmington Hills, Michigan, USA
Dennis
I Bojrab
MD
CEO and Director of Research, Michigan Ear Institute Director of Skull Base Surgery and Co-Director of Neurosciences, Providence Hospital and Medical Centers Clinical Professor, Wayne State University Clinical Professor, Michigan State University Clinical Professor, Oakland University William Beaumont School of Medicine Farmington Hills, Michigan, USA
Headquarters
Jaypee Brothers Medical Publishers (P) Ltd.
4838/24, Ansari Road, Daryaganj
New Delhi 110 002, India
Phone: +91-11-43574357
Fax: +91-11-43574314
E-mail: jaypee@jaypeebrothers.com
Overseas Offices
J. P. Medical Ltd.
83, Victoria Street, London
SW1H 0HW (UK)
Phone: +44-20 3170 8910
Fax: +44(0)20 3008 6180
E-mail: info@jpmedpub.com
Jaypee-Highlights Medical Publishers Inc.
City of Knowledge, Bld. 237, Clayton
Panama City, Panama
Phone: +1 507-301-0496
Fax: +1 507-301-0499
E-mail: cservice@jphmedical.com
Jaypee Medical Inc.
The Bourse
111 South Independence Mall East
Suite 835
Philadelphia, PA 19106, USA
Phone: +1 267-519-9789
E-mail: jpmed.us@gmail.com
Jaypee Brothers Medical Publishers (P) Ltd.
17/1-B, Babar Road, Block-B, Shaymali
Mohammadpur, Dhaka-1207
Bangladesh
Mobile: +08801912003485
E-mail: jaypeedhaka@gmail.com
Jaypee Brothers Medical Publishers (P) Ltd.
Bhotahity, Kathmandu, Nepal
Phone: +977-9741283608
E-mail: kathmandu@jaypeebrothers.com
Website: www.jaypeebrothers.com
Website: www.jaypeedigital.com
© 2015, Jaypee Brothers Medical Publishers
The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book.
All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.
All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book.
Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.
This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought.
Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity.
Inquiries for bulk sales may be solicited at:
jaypee@jaypeebrothers.com
Surgical Techniques in Otolaryngology—Head and Neck Surgery: Otologic and Neurotologic Surgery
First Edition: 2015
9789351524632
Printed at
5Dedication
The book is dedicated to our loving families.
Janice, Jacqueline, Stephen and Jessica LaRouere
Abbey, Kavan, Kethan, Karun and Kareena Babu
7Contributors
Seilesh C Babu MD
Chief Financial Officer
Michigan Ear Institute
Clinical Associate Professor Wayne State UniversityClinical Professor Oakland University William Beaumont School of Medicine
Clinical Professor Michigan State University
Farmington Hills, Michigan, USA
Brent J Benscoter MD
Neurotology Fellow
Michigan Ear Institute
Farmington Hills, Michigan, USA
Dennis I Bojrab MD
CEO and Director of Research
Michigan Ear InstituteDirector of Skull Base Surgery and Co-Director of Neurosciences Providence Hospital and Medical CentersClinical ProfessorWayne State University Clinical ProfessorMichigan State University
Clinical ProfessorOakland University William Beaumont School of Medicine
Farmington Hills, Michigan, USA
Eleanor Y Chan MD
Attending Physician Michigan Ear InstituteAssociate ProfessorOakland University William Beaumont School of MedicineFarmington Hills, Michigan, USA
Peter Y Chen MD FACR
Professor
Oakland University William Beaumont School of Medicine
Department of Radiation Oncology
Medical Director, Gamma Knife Center
William Beaumont Hospital
Farmington Hills, Michigan, USA
Adam Folbe MD
Associate Professor
Wayne State University Assistant Professor Oakland University William Beaumont School of Medicine
Southfield, Michigan, USA
Robert S Hong MD PhD
Attending Physician
Michigan Ear Institute Assistant Professor Department of Otolaryngology
Wayne State University
Farmington Hills, Michigan, USA
Jack M Kartush MD
Professor Emeritus
Michigan Ear Institute Clinical Professor Wayne State UniversityClinical ProfessorOakland University William Beaumont School of Medicine
Farmington Hills, Michigan, USA
Michael J LaRouere MD
President and Fellowship Director Michigan Ear Institute
Co-Director of Neurosciences Providence Hospital and Medical Centers Clinical Associate Professor Wayne State University Clinical Professor Oakland University William Beaumont School of Medicine Clinical ProfessorMichigan State University
Farmington Hills, Michigan, USA
Ann Maitz PhD MSc
DirectorGamma Knife Center Physics
Senior PhysicistWilliam Beaumont Hospital
Farmington Hills, Michigan, USA
Ilka C Naumann MD
Attending Physician
Michigan Ear Institute Assistant Professor Michigan State University
Farmington Hills, Michigan, USA
Daniel R Pieper MD
Associate Professor of Neurosurgery
Oakland University William Beaumont School of Medicine
Farmington Hills, Michigan, USA
Eric W Sargent MD FACS
Attending Physician, Michigan Ear Institute Clinical Associate Professor Wayne State University Clinical Associate Professor Oakland University William Beaumont School of Medicine
Farmington Hills, Michigan, USA
Robert T Sataloff MD DMA
Professor and Chairman Department of Otolaryngology and Head & Neck Surgery Senior Associate Dean for Clinical Academic Specialties Drexel University College of Medicine
Philadelphia, Pennsylvania, USA
Dan Sdrulla MD PhD
Neurotology Fellow Michigan Ear Institute
Farmington Hills, Michigan, USA
Pradeep Setty DO
Resident Section of Neurosurgery
St John Providence Health System Michigan State University
Southfield, Michigan, USA
Eric L Slattery MD
Neurotology FellowMichigan Ear Institute
Farmington Hills, Michigan, USA
Emily Z Stucken MD
Neurotology Fellow Michigan Ear Institute
Farmington Hills, Michigan, USA
John J Zappia MD
Attending Physician Michigan Ear Institute 8 Clinical Associate Professor Wayne State University Associate Professor Oakland University William Beaumont School of Medicine
Farmington Hills, Michigan, USA
9Foreword
Surgical Techniques in Otolaryngology—Head and Neck Surgery is a six-volume compendium. In addition to being an integral component of the compendium, each volume was written to stand alone, as well. The volumes in this work include Atlases of Otologic and Neurotologic Surgery, Rhinologic and Sinus Surgery, Laryngeal Surgery, Facial Plastic and Reconstructive Surgery, Pediatric Otolaryngologic Surgery, and Head and Neck Surgery. The authors of each volume have included not only background information and step-by-step details of surgical technique, but also “pearls” gleaned through vast experience. Each volume contains extensive illustrations and intraoperative photographs that illustrate and simplify the techniques described.
Surgical Techniques in Otolaryngology—Head and Neck Surgery is intended to provide clinicians with thorough, accessible and clinically useful details of surgery for nearly all disorders cared for by otolaryngologists. The work also serves as a companion to Sataloff's six-volume Comprehensive Textbook of Otolaryngology—Head and Neck Surgery, which was written simultaneously with the compendium on surgical techniques. Hopefully, Surgical Techniques will prove useful for otolaryngologists by making it easier to provide (and teach) state-of-the-art otolaryngologic surgery.
Robert T Sataloff MD DMA FACS
Series Editor
Professor and Chairman
Department of Otolaryngology—Head and Neck Surgery
Senior Associate Dean for Clinical Academic Specialties
Drexel University College of Medicine
11Preface
Otologic and Neurotologic Surgery is based on the experience gained in teaching otology and neurotology fellows at Michigan Ear Institute over the past 25 years. It has been created as a practical resource for otolaryngology residents, otology fellows, and practicing otolaryngologists who perform otologic surgery.
Each chapter reviews the most up-to-date information pertaining to specific otologic and neurotologic disorders. Step-by-step surgical techniques, accompanied by intraoperative photos, are then presented with an emphasis on surgical “pearls” practiced at the Michigan Ear Institute. Complications related to each surgical procedure are outlined. Newer surgical procedures such as over-under tympanoplasty, repair of superior semicircular canal dehiscence, endoscopic retrosigmoid vestibular nerve section, and endoscopic retrosigmoid tumor removal are presented.
It is hoped that this atlas will provide the otologic surgeon with much of the knowledge that we try to pass on to our fellows in training to allow them to become outstanding otologic and neurotologic practitioners and thus provide their patients with the most optimal outcomes.
Michael J LaRouere MD
Seilesh C Babu MD
13Acknowledgments
We would like to acknowledge the many authors, including our partners, our neurosurgeons and current fellows at Michigan Ear Institute who have spent numerous hours preparing each chapter. We would also like to thank our office and operating room staff and in particular Cheryl Thrushman at Providence Park Hospital and Alison Devine at Michigan Ear Institute who have dedicated their time towards this atlas.
Finally we would like to acknowledge the emeritus physicians at Michigan Ear Institute who have dedicated their careers to teaching otologic and neurotologic surgery. These include Drs. Ted McGee, Malcolm Graham and Jack Kartush. We would be remiss if we did not thank the nearly 50 fellows who have kept us on our “A” game over the past 25 years.14