Neurosurgery

Anatomy of the Temporal Bone with Surgical Implications, by Aina Julianna Gulya

By Aina Julianna Gulya

Distinct wisdom of the complicated microanatomy of the temporal bone is key for surgeons executing invasive healing techniques. in keeping with the human temporal bone assortment on the Massachusetts Eye and Ear Infirmary, this lavishly illustrated 3rd version contains a DVD delivering 159 full-color photomicrographs and side-by-side three-D stereo photos for split-screen viewing of ordinary and irregular shows of the human temporal bone.

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Extra resources for Anatomy of the Temporal Bone with Surgical Implications, Third Edition

Sample text

The falciform crest and its relationship to the cochlear and facial nerves are seen, as well as the labyrinthine segment of the facial nerve. Figure 33 The facial nerve and its geniculate ganglion lie beneath the dura of the middle cranial fossa. The facial, vestibular, and cochlear nerve trunks are seen in the internal auditory canal. 20 ■ ANATOMY OF THE TEMPORAL BONE WITH SURGICAL IMPLICATIONS Figure 34 The protympanum diminishes in size anteriorly. The lesser superficial petrosal nerve (LSPN) in its superior tympanic canaliculus lies just superior to the tensor tympani muscle.

For a successful functional result in myringoplasty operations (closure of perforations of the tympanic membrane), it is important to avoid postoperative fibrous obliteration (blunting) of the anterior tympanomeatal angle. Figures 8 and 9 show examples of malleus fixation caused by fibrous proliferation in this angle following myringoplasty. Figure 4 A tympanosclerotic (hyalin) plaque is seen in the anterior part of the tympanic membrane. ” They are the consequence of otitis media (male, age 45 yr).

16 ■ ANATOMY OF THE TEMPORAL BONE WITH SURGICAL IMPLICATIONS Figure 26 The chorda tympani nerve now is closely applied to the medial aspect of the neck of the malleus. Extending laterally from the neck of the malleus is the lateral malleal ligament. The lenticular process of the incus articulates with the head of the stapes. Within the perimeter of the superior semicircular canal one can see the petromastoid canal with its subarcuate vessels. The opening in the canal is an artifact. Figure 27 The ampulla and crista of the superior canal are visible.

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