A new method of studying the anatomy of the posterior tympanum.
The anatomic position of the posterior tympanum compromises direct visualization and investigation of its structures. Therefore, assessment of its anatomy is limited, and surgical removal of disease in this area remains a challenge. In this article, the author describes a new method that can be used to fully expose, visualize, and measure the structures in the posterior tympanum, thereby allowing for further definition of the anatomy and, in turn, refinement of surgical techniques for the removal of disease in this portion of the middle ear. The new technique involves removal of the anterior canal bone and its overlying tissues to eliminate the mechanical barriers to the posterior tympanum, which allows for direct visualization and measurement of the posterior tympanic structures. This method has three primary advantages over other methods used to study the posterior tympanum. First, observations of the anatomy can be made under direct visualization. Second, this method permits investigators to study the anatomy and the relationships between structures of the posterior tympanum as they occur in their normal unaltered state. Third, this method allows for wide anterior access to the posterior tympanum, thereby making scientific research into its anatomy possible. Information obtained from future studies of this method can help further refine surgical techniques for removal of disease from the posterior tympanum.
Holt
James J
JJ
Department of Otolaryngology-Head and Neck Surgery, Marshfield Clinic, Marshfield, Wis 54449, USA. holt.james@marshfieldclinic.org
D002102:Cadaver; D018424:Cholesteatoma, Middle Ear / Q000601:surgery*; D004432:Ear, Middle / Q000033:anatomy & histology* / Q000601:surgery; D006801:Humans; D013506:Otologic Surgical Procedures / Q000379:methods*; D010781:Photography; D014741:Video Recording