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Endoscopic Anatomy of the Middle Ear

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Abstract

Good knowledge of anatomy is fundamental for every surgeon. Middle ear anatomy is really complex and sometimes is challenging for otologists, who need to explore every single compartment for a radical removal of pathology. With introduction of the endoscope in middle ear surgery, anatomy of middle ear spaces has become wider and clearer due to a better magnification and to the possibility to look “behind the corner”. This article is a review of the state-of-art of endoscopic middle ear anatomy with description of every compartment, with particular attention to ventilation pathways and middle ear folds.

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References

  1. Prevedello DM, Doglietto F, Jane JA Jr et al (2007) History of endoscopic skull base surgery: its evolution and current reality. J Neurosurg 107:206–213

    Article  PubMed  Google Scholar 

  2. Mouton WG, Bessell JR, Maddern GJ (1998) Looking back to the advent of modern endoscopy: 150th birthday of Maximilian Nitze. World J Surg 22:1256–1258

    Article  PubMed  CAS  Google Scholar 

  3. Reuter HJ (1988) Philipp Bozzini and endoscopy in the 19th Century. Max Nitze Museum, Stuttgart

    Google Scholar 

  4. Baki FA, El Dine MB, El Said L et al (2002) Sinus tympani endoscopic anatomy. Otolaryngol Head Neck Surg 127:158–162

    Article  PubMed  Google Scholar 

  5. Thomassin JM, Korchia D, Doris JM (1993) Endoscopic guided otosurgery in the prevention of residual cholesteatomas. Laryngoscope 103:939–943

    Article  PubMed  CAS  Google Scholar 

  6. Badr-El-Dine M (2002) Value of ear endoscopy in cholesteatoma surgery. Otol Neurotol 23:631–635

    Article  PubMed  CAS  Google Scholar 

  7. Tarabichi M (1997) Endoscopic management of acquired cholesteatoma. Am J Otol 18:544–549

    Google Scholar 

  8. Tarabichi M (2004) Endoscopic management of limited attic cholesteatoma. Laryngoscope 114:1157–1162

    Google Scholar 

  9. Bowdler DA, Walsh RM (1995) Comparison of the otoendoscopic and microscopic anatomy of the middle ear cleft in canal wall-up and canal wall-down temporal bone dissections. Clin Otolaryngol Allied Sci 20:418–422

    Google Scholar 

  10. Bottril ID, Poe DS (1995) Endoscope-assisted ear surgery. Am J Otol 16:158–163

    Google Scholar 

  11. Karhuketo TS, Puhakka HJ, Laippala PJ (1997) Endoscopy of the middle ear structures. Acta Otolaryngol Suppl 529:34–39

    Google Scholar 

  12. Ozturan O, Bauer CA, Miller CC et al (1996) Dimensions of the sinus tympani and its surgical access via a retrofacial approach. Ann Otol Rhinol Laryngol 105:776–783

    PubMed  CAS  Google Scholar 

  13. Steinbrugge H (1889) On sinus tympani. Arch Otolaryngol 8:53–57

    Google Scholar 

  14. Weiss MH, Parisier SC, Han JC et al (1992) Surgery for recurrent and residual cholesteatoma. Laryngoscope 102:145–151

    PubMed  CAS  Google Scholar 

  15. Pulec JL (1996) Sinus tympani: retrofacial approach for the removal of cholesteatomas. Ear Nose Throat J 75:77–88

    PubMed  CAS  Google Scholar 

  16. Jeng FC, Tsai MH, Brown CJ (2003) Relationship of preoperative findings and ossicular discontinuity in chronic otitis media. Otol Neurotol 24:29–32

    Article  PubMed  Google Scholar 

  17. Richards S, Kilby D (1971) Mastoidectomy using otoplastic flap. J Laryngol Otol 85:1007–1112

    Google Scholar 

  18. Pickett BP, Cail WS, Lambert PR (1995) Sinus tympani: anatomic considerations, computed tomography, and a discussion of the retrofacial approach for removal of disease. Am J Otol 16:541–550

    Google Scholar 

  19. El-Meselaty K, Badr-El-Dine M, Mandour M et al (2003) Endoscope affects decision making in cholesteatoma surgery. Otolaryngol Head Neck Surg 129:490–496

    Article  PubMed  CAS  Google Scholar 

  20. Holt JJ (2005) The ponticulus: an anatomic study. Otol Neurotol 26:1122–1124

    Article  PubMed  Google Scholar 

  21. Presutti L, Marchioni D, Mattioli F, Villari D, Alicandri Ciufelli M (2008) Endoscopic management of acquired cholesteatoma: our experience. J Otolaryngol 4:1–7

    Google Scholar 

  22. Pratt LL (1984) Complications associated with the surgical treatment of cholesteatoma. Laryngoscope 93:289–291

    Google Scholar 

  23. Marchioni D, Mattioli F, Alicandri-Ciufelli M et al (2009) Transcanal endoscopic approach to the sinus tympani: a clinical report. Otol Neurotol 30(6):758–765

    Article  PubMed  Google Scholar 

  24. Marchioni D, Alicandri-Ciufelli M, Grammatica A et al (2010) Pyramidal eminence and subpyramidal space: an endoscopic anatomical study. Laryngoscope 120(3):557–564

    Google Scholar 

  25. Palva T, Johnsson L (1995) Epitympanic compartment surgical considerations: reevaluation. Am J Otol 16(4):505–513

    PubMed  CAS  Google Scholar 

  26. Palva T, Ramsay H (1996) Incudal folds and epitympanic aeration. Am J Otol 17:700–708

    PubMed  CAS  Google Scholar 

  27. Onal K, Van Haastert RM, Grote JJ (1997) Structural variations of supratubal recess: the anterior epitympanic space. Am J Otol 18:317–321

    PubMed  CAS  Google Scholar 

  28. Farrior JB (1968) Tympanoplasty: the anterior attico-tympanotomy. Surgery of the posterior tympanic recess. Laryngoscope 78:768–779

    Article  PubMed  CAS  Google Scholar 

  29. Donaldson JA, Anson BJ, Warphea RL et al (1970) The surgical anatomy of the sinus tympani. Arch Otolaryngol 91:219–227

    PubMed  CAS  Google Scholar 

  30. Marchioni D, Mattioli F, Alicandri-Ciufelli M et al (2008) Endoscopic approach to tensor fold in patients with attic cholesteatoma. Acta Otolaryngol 25:1–9

    Google Scholar 

  31. Savic D, Djeric D (1985) Anatomical variations and relations in the medial wall of the bony portion of the eustachian tube. Acta Otolaryngol 99(5–6):551–556

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, University of Modena and Reggio Emilia, Azienda Ospedaliero-Universitaria, Policlinico di Modena, via del Pozzo 71, 41124, Modena, Italy

    Daniele Marchioni, Gabriele Molteni & Livio Presutti

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  1. Daniele Marchioni
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  2. Gabriele Molteni
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  3. Livio Presutti
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Correspondence to Gabriele Molteni.

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Marchioni, D., Molteni, G. & Presutti, L. Endoscopic Anatomy of the Middle Ear. Indian J Otolaryngol Head Neck Surg 63, 101–113 (2011). https://doi.org/10.1007/s12070-011-0159-0

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  • DOI: https://doi.org/10.1007/s12070-011-0159-0

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