Skip to main content
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery 2/2011

01.04.2011 | Original Article

Endoscopic Anatomy of the Middle Ear

verfasst von: Daniele Marchioni, Gabriele Molteni, Livio Presutti

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 2/2011

Einloggen, um Zugang zu erhalten

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.
Literatur
1.
Zurück zum Zitat Prevedello DM, Doglietto F, Jane JA Jr et al (2007) History of endoscopic skull base surgery: its evolution and current reality. J Neurosurg 107:206–213PubMedCrossRef Prevedello DM, Doglietto F, Jane JA Jr et al (2007) History of endoscopic skull base surgery: its evolution and current reality. J Neurosurg 107:206–213PubMedCrossRef
2.
Zurück zum Zitat Mouton WG, Bessell JR, Maddern GJ (1998) Looking back to the advent of modern endoscopy: 150th birthday of Maximilian Nitze. World J Surg 22:1256–1258PubMedCrossRef Mouton WG, Bessell JR, Maddern GJ (1998) Looking back to the advent of modern endoscopy: 150th birthday of Maximilian Nitze. World J Surg 22:1256–1258PubMedCrossRef
3.
Zurück zum Zitat Reuter HJ (1988) Philipp Bozzini and endoscopy in the 19th Century. Max Nitze Museum, Stuttgart Reuter HJ (1988) Philipp Bozzini and endoscopy in the 19th Century. Max Nitze Museum, Stuttgart
4.
Zurück zum Zitat Baki FA, El Dine MB, El Said L et al (2002) Sinus tympani endoscopic anatomy. Otolaryngol Head Neck Surg 127:158–162PubMedCrossRef Baki FA, El Dine MB, El Said L et al (2002) Sinus tympani endoscopic anatomy. Otolaryngol Head Neck Surg 127:158–162PubMedCrossRef
5.
Zurück zum Zitat Thomassin JM, Korchia D, Doris JM (1993) Endoscopic guided otosurgery in the prevention of residual cholesteatomas. Laryngoscope 103:939–943PubMedCrossRef Thomassin JM, Korchia D, Doris JM (1993) Endoscopic guided otosurgery in the prevention of residual cholesteatomas. Laryngoscope 103:939–943PubMedCrossRef
6.
Zurück zum Zitat Badr-El-Dine M (2002) Value of ear endoscopy in cholesteatoma surgery. Otol Neurotol 23:631–635PubMedCrossRef Badr-El-Dine M (2002) Value of ear endoscopy in cholesteatoma surgery. Otol Neurotol 23:631–635PubMedCrossRef
7.
Zurück zum Zitat Tarabichi M (1997) Endoscopic management of acquired cholesteatoma. Am J Otol 18:544–549 Tarabichi M (1997) Endoscopic management of acquired cholesteatoma. Am J Otol 18:544–549
8.
Zurück zum Zitat Tarabichi M (2004) Endoscopic management of limited attic cholesteatoma. Laryngoscope 114:1157–1162 Tarabichi M (2004) Endoscopic management of limited attic cholesteatoma. Laryngoscope 114:1157–1162
9.
Zurück zum Zitat 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 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
10.
Zurück zum Zitat Bottril ID, Poe DS (1995) Endoscope-assisted ear surgery. Am J Otol 16:158–163 Bottril ID, Poe DS (1995) Endoscope-assisted ear surgery. Am J Otol 16:158–163
11.
Zurück zum Zitat Karhuketo TS, Puhakka HJ, Laippala PJ (1997) Endoscopy of the middle ear structures. Acta Otolaryngol Suppl 529:34–39 Karhuketo TS, Puhakka HJ, Laippala PJ (1997) Endoscopy of the middle ear structures. Acta Otolaryngol Suppl 529:34–39
12.
Zurück zum Zitat 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 105:776–783PubMed 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 105:776–783PubMed
13.
Zurück zum Zitat Steinbrugge H (1889) On sinus tympani. Arch Otolaryngol 8:53–57 Steinbrugge H (1889) On sinus tympani. Arch Otolaryngol 8:53–57
14.
Zurück zum Zitat Weiss MH, Parisier SC, Han JC et al (1992) Surgery for recurrent and residual cholesteatoma. Laryngoscope 102:145–151PubMed Weiss MH, Parisier SC, Han JC et al (1992) Surgery for recurrent and residual cholesteatoma. Laryngoscope 102:145–151PubMed
15.
Zurück zum Zitat Pulec JL (1996) Sinus tympani: retrofacial approach for the removal of cholesteatomas. Ear Nose Throat J 75:77–88PubMed Pulec JL (1996) Sinus tympani: retrofacial approach for the removal of cholesteatomas. Ear Nose Throat J 75:77–88PubMed
16.
Zurück zum Zitat Jeng FC, Tsai MH, Brown CJ (2003) Relationship of preoperative findings and ossicular discontinuity in chronic otitis media. Otol Neurotol 24:29–32PubMedCrossRef Jeng FC, Tsai MH, Brown CJ (2003) Relationship of preoperative findings and ossicular discontinuity in chronic otitis media. Otol Neurotol 24:29–32PubMedCrossRef
17.
Zurück zum Zitat Richards S, Kilby D (1971) Mastoidectomy using otoplastic flap. J Laryngol Otol 85:1007–1112 Richards S, Kilby D (1971) Mastoidectomy using otoplastic flap. J Laryngol Otol 85:1007–1112
18.
Zurück zum Zitat 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 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
19.
Zurück zum Zitat El-Meselaty K, Badr-El-Dine M, Mandour M et al (2003) Endoscope affects decision making in cholesteatoma surgery. Otolaryngol Head Neck Surg 129:490–496PubMedCrossRef El-Meselaty K, Badr-El-Dine M, Mandour M et al (2003) Endoscope affects decision making in cholesteatoma surgery. Otolaryngol Head Neck Surg 129:490–496PubMedCrossRef
21.
Zurück zum Zitat Presutti L, Marchioni D, Mattioli F, Villari D, Alicandri Ciufelli M (2008) Endoscopic management of acquired cholesteatoma: our experience. J Otolaryngol 4:1–7 Presutti L, Marchioni D, Mattioli F, Villari D, Alicandri Ciufelli M (2008) Endoscopic management of acquired cholesteatoma: our experience. J Otolaryngol 4:1–7
22.
Zurück zum Zitat Pratt LL (1984) Complications associated with the surgical treatment of cholesteatoma. Laryngoscope 93:289–291 Pratt LL (1984) Complications associated with the surgical treatment of cholesteatoma. Laryngoscope 93:289–291
23.
Zurück zum Zitat Marchioni D, Mattioli F, Alicandri-Ciufelli M et al (2009) Transcanal endoscopic approach to the sinus tympani: a clinical report. Otol Neurotol 30(6):758–765PubMedCrossRef Marchioni D, Mattioli F, Alicandri-Ciufelli M et al (2009) Transcanal endoscopic approach to the sinus tympani: a clinical report. Otol Neurotol 30(6):758–765PubMedCrossRef
24.
Zurück zum Zitat Marchioni D, Alicandri-Ciufelli M, Grammatica A et al (2010) Pyramidal eminence and subpyramidal space: an endoscopic anatomical study. Laryngoscope 120(3):557–564 Marchioni D, Alicandri-Ciufelli M, Grammatica A et al (2010) Pyramidal eminence and subpyramidal space: an endoscopic anatomical study. Laryngoscope 120(3):557–564
25.
Zurück zum Zitat Palva T, Johnsson L (1995) Epitympanic compartment surgical considerations: reevaluation. Am J Otol 16(4):505–513PubMed Palva T, Johnsson L (1995) Epitympanic compartment surgical considerations: reevaluation. Am J Otol 16(4):505–513PubMed
26.
Zurück zum Zitat Palva T, Ramsay H (1996) Incudal folds and epitympanic aeration. Am J Otol 17:700–708PubMed Palva T, Ramsay H (1996) Incudal folds and epitympanic aeration. Am J Otol 17:700–708PubMed
27.
Zurück zum Zitat Onal K, Van Haastert RM, Grote JJ (1997) Structural variations of supratubal recess: the anterior epitympanic space. Am J Otol 18:317–321PubMed Onal K, Van Haastert RM, Grote JJ (1997) Structural variations of supratubal recess: the anterior epitympanic space. Am J Otol 18:317–321PubMed
28.
Zurück zum Zitat Farrior JB (1968) Tympanoplasty: the anterior attico-tympanotomy. Surgery of the posterior tympanic recess. Laryngoscope 78:768–779PubMedCrossRef Farrior JB (1968) Tympanoplasty: the anterior attico-tympanotomy. Surgery of the posterior tympanic recess. Laryngoscope 78:768–779PubMedCrossRef
29.
Zurück zum Zitat Donaldson JA, Anson BJ, Warphea RL et al (1970) The surgical anatomy of the sinus tympani. Arch Otolaryngol 91:219–227PubMed Donaldson JA, Anson BJ, Warphea RL et al (1970) The surgical anatomy of the sinus tympani. Arch Otolaryngol 91:219–227PubMed
30.
Zurück zum Zitat 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 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
31.
Zurück zum Zitat 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):551–556PubMedCrossRef 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):551–556PubMedCrossRef
Metadaten
Titel
Endoscopic Anatomy of the Middle Ear
verfasst von
Daniele Marchioni
Gabriele Molteni
Livio Presutti
Publikationsdatum
01.04.2011
Verlag
Springer-Verlag
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 2/2011
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-011-0159-0

Weitere Artikel der Ausgabe 2/2011

Indian Journal of Otolaryngology and Head & Neck Surgery 2/2011 Zur Ausgabe

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.