Temporal Bone Dissection - The Zurich Guidelines (2006) by Ugo Fisch, Thomas Linder

By Ugo Fisch, Thomas Linder

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POSADA: Spanish edition of Microsurgery of the Skull Base 1998 Temporal Bone Dissection - The Zurich Guidelines Papers U. FISCH , PH. CHANG, TH. LINDER: Meatoplasty for Lateral StenOSIS of the External Auditory Canal, The Laryngoscope 112: 1310--1314, 2002 HOUSE WF, HITSELBERGER WE: The transcochlear approach to the skull base. , A. HUBER: Malleostapedotomy in Revision Surgery for Otosclerosis, Otology & Neurotology, 22:776-785, 2001 HUBER A. , LINDER T. , LANGNER A. : The Anterior and Superior Malleal Ligaments in Otosclerosis, Otology & Nerotology, 23: 854 - 861 , 2002 KWOK P.

61 a) and small smooth straight alligator forceps (Fig. 61 b). Each forceps is held with both hands. The prosthesis loop should be immobile after crimping. Sealing of the Stapedotomy Opening and Repositioning of the Tympanomeatal Flap These surgical staps are done as for incus-stapedotomy (see Fig. 51, page 27). ,. 32 Temporal Bone Dissection - The Zurich Guidelines o Open Cavity (Open MastoidoEpitympanectomy or Open MET) General Considerations The surgical principles of an open MET are:

5 mm. 5 mm, 45°) IS manipulated by the nght hand to rotate the prosthesis head using one of its multiple central holes. The final position 01 the prosthesis head is under the central pars tensa, producing a slight bulging of the latter as a sign of sufficient tension to keep the prosthesis in the deSired position (Figs. 79 a and b). 2 mm diameter angled titanium band connecting it to the shaft. 3 mm long spike of the prosthesis shoe (Fig. 60 a). The perforallOn is made with the smallest manual perforator.

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