Comparative Atlas of Endoscopic Ear Surgery Training Techniques Based on an Ovine Model

This unique, richly illustrated atlas offers a “how-to” reference guide to the most common and innovative endoscopic surgical procedures for the middle and inner ear, based on an ex vivo ovine model. Moreover, it compares this model to the same approaches in humans, underlying the essential surgical tips and tricks. 

The transcanal endoscopic approach for the management of middle and inner ear pathologies is being increasingly used, but in some countries the lack of human specimens makes adequate training in this field difficult: in response, the book introduces a novel method performed on the animal model, which allows trainees to improve their skills, while reducing the cost of surgical training. It provides a full description of specimen preparation, and comparative anatomical and radiological analyses of the human and ovine models, guides readers through the main otologic operative techniques (e.g. canalplasty, miringoplasty and ossiculoplasty) step by step, and illustrates the best approach to the internal auditory canal.

Written by prominent experts in the field, this atlas serves as a unique reference resource for residents and young surgeons wishing to acquire first-hand the skills needed for endoscopic procedures and to improve their learning curves.

1             Hints And Pitfalls: How To Start Endoscopic Ear Surgery Training

2              Surgical Instruments And Preparation Of The Specimen

3              Comparative Anatomy And Radiology (Human Vs Ovine Models)

4              Myringotomy And Transtympanic Ventilation Tube Positioning

5              Endoscopic Approach To The Tympanic Cavity (Tympano-Meatal Flap And Canalplasty)

6              Myringoplasty

7              Ossiculoplasty

8              Stapes Surgery

9              Round Window Dissection And Cochlear Implantation

10           Approach To Internal Auditory Canal

Dr. Bonali Marco is an ENT specialist, working at the Department of Otolaryngology-Head and Neck Surgery in the University Hospital in Modena, Italy. He is tutor in national and international dissection courses about endoscopic ear surgery. His main interest in the field of otorhinolaryngology is related to otology and neurotology and to the development of training methods for surgery. He performs endoscopic ear surgery procedures regularly. Dr Bonali published various scientific papers in national and international journals and participated as co-author to the writing of several chapters in ENT books.

Professor Livio Presutti is Chairman and head of the Department of Otolaryngology, Head and Neck Surgery,  Oftalmolgy, Maxillofacial surgery, Plastic surgery, and Neurosurgery of Modena General Hospital and Professor of Otolaryngology at the University of  Modena and Reggio Emilia since 2003.  He is the Director of Otolaryngology’s Residency Program at Modena University. He is co-founder and former President of the International Working Group on Endoscopic Middle Ear Surgery and head of a multidisciplinary team (including radiologists, oncologists, pathologists and radiotherapists), which each week deliberates on the optimal therapeutic approach in cases of head and neck cancer. He has more than 30 years of experience in endoscope-assisted paranasal sinus surgery, microscope-assisted oto-neurosurgery and laryngeal surgery and pioneered endoscope-assisted middle ear surgery and cerebellopontine angle surgery, as well  as the use of new devices such as the 3D system, CO2 fiber laser and piezoelectric surgery. He has published more than 180 articles in national and international journals.