Abstract
The middle ear cavity is anatomically and functionally not only a sole chamber, but a complex of interconnected compartments. The objective of this chapter is to present a detailed and exhaustive description of these compartments, their frontiers, their relationship and their communication pathways in order to better understand the pathogenesis of inflammatory middle ear diseases and cholesteatoma.
The chapter, even based on the traditional division of the middle ear in five compartment, illustrates in detail several anatomo -functional units that have a crucial pathophysiological impact and play a major role in ME diseases management. Such correlation is clarified in this second edition by an addendum about middle ear aeration pressure regulation.
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References
Proctor B. Embryology and anatomy of the Eustachian tube. Arch Otolaryngol. 1967;86:503–14.
Hammar JA. Studien ueber die Entwicklung des Vorderdarms und einiger angrenzender Organe. Arch Mikrosk Anat. 1902;59:471–628.
Proctor B. The development of the middle ear spaces and their surgical significance. J Laryngol Otol. 1964;78:631–48.
Moreano EH, Paparella MM, Zelterman D, et al. Prevalence of carotid canal dehiscence in the human middle ear: a report of 1000 temporal bones. Laryngoscope. 1994;104(5 Pt 1):612–8.
Savic D, Djeric D. Anatomical variations and relations in the medial wall of the bony portion of the eustachian tube. Acta Otolaryngol. 1985;99(5–6):551–6.
Palva T, Johnsson LG. Epitympanic compartment surgical considerations: reevaluation. Am J Otol. 1995;16(4):505–13. Review. PubMed PMID: 8588652.
Onal K, Haastert RM, Grote JJ. Structural variations of supratubal recess: the anterior epitympanic space. Am J Otol. 1997;18:317–21. [PubMed].
Palva T, Ramsay H, Bohlurg J. Lateral and anterior view to tensor fold and supratubal recess. Am J Otol. 1998;19:405–14.
Giddings NA, Brackmann DE, Kwartler JA. Transcanal infracochlear approach to the petrous apex. Otolaryngol Head Neck Surg. 1991;104(1):29–36.
Mosnier I, Wu H, Chelly H, Cyna-Gorse F, Sterkers O. Infralabyrinthine approach for cholesterol granuloma of the petrous apex. Ann Otolaryngol Chir Cervicofac. 2000;117(3):174–82.
Ghorayeb BY, Jahrsdoerfer RA. Subcochlear approach for cholesterol granulomas of the inferior petrous apex. Otolaryngol Head Neck Surg. 1990;103(1):60–5.
Pickett BP, Cail WS, Lambert PR. Sinus tympani: anatomic considerations, computed tomography, and a discussion of the retrofacial approach for removal of disease. Am J Otol. 1995 Nov;16(6):741–50.
Roland JT Jr, Hoffman RA, Miller PJ, Cohen NL. Retrofacial approach to the hypotympanum. Arch Otolaryngol Head Neck Surg. 1995;121(2):233–6.
Calli C, Pinar E, Oncel S, Tatar B, Tuncbilek MA. Measurements of the facial recess anatomy: implications for sparing the facial nerve and chorda tympani during posterior tympanotomy. Ear Nose Throat J. 2010;89:490–4.
Dahm MC, Shepherd RK, Clark GM. The postnatal growth of the temporal bone and its implications for cochlear implantation in children. Acta Otolaryngol Suppl. 1993;505:4–27.
Eby TL, Nadol JB. Postnatal growth of the human temporal bone: implications for cochlear implants in children. Ann Otol Rhinol Laryngol. 1986;95:356–64.
Eby TL. Development of the facial recess: implications for cochlear implantation. Laryngoscope. 1996;106:1–7.
Bielamowicz SA, Coker NJ, Jenkins HA, Igarashi M. Surgical dimensions of the facial recess in adults and children. Arch Otolaryngol Head Neck Surg. 1988;114(5):534–7.
Dahm M, Seldon HL, Pyman BC, Clark GM. 3D reconstruction of the temporal bone in cochlear implant surgery. In: Yanagihara N, Suziki J, editors. Transplants and implants in otology II. Amsterdam: Kugler; 1992. p. 271–5.
Parlier-Cuau C, Champsaur P, Perrin E, Rabischong P, Lassau JP. High-resolution computed tomographic study of the retrotympanum. Anatomic correlations. Surg Radiol Anat. 1998;20(3):215–20.
Proctor B. Surgical anatomy of the posterior tympanum. Ann Otol Rhinol Laryngol. 1969;78(5):1026–40.
Marchioni D, Molteni G, Presutti L. Endoscopic anatomy of the middle ear. Indian J Otolaryngol Head Neck Surg. 2011;63(2):101–13.
Holt JJ. Posterior sinus of the middle ear. Ann Otol Rhinol Laryngol. 2007;116(6):457–61.
Ozturan O, Bauer C, Miller C, et al. Dimensions of the sinus tympani and its surgical access via retrofacial approach. Ann Otol Rhinol Laryngol. 1996;105:776–83.
Nitek S, Wysocki J, Niemczyk K, Ungier E. The anatomy of the tympanic sinus. Folia Morphol (Warsz). 2006;65(3):195–9.
Amjad AH, Starke JJ, Scheer AA. Tympanofacial recess in the human ear. Arch Otolaryngol. 1968;88(2):131–7.
Donaldson JA, Anson BJ, Warpeha RL, et al. The surgical anatomy of the sinus tympani. Arch Otolaryngol. 1970;91:219–27.
Thomassin JM, Danvin BJ, Collin M. Endoscopic anatomy of the posterior tympanum. Rev Laryngol Otol Rhinol (Bord). 2008;129(4–5):239–43.
Thomassin JM, Korchia D, Doris JM. Endoscopic-guided otosurgery in the prevention of residual cholesteatomas. Laryngoscope. 1993;103:939–43.
Aslan A, Guclu G, Tekdemir I, Elhan A. Anatomic limitations of posterior exposure of the sinus tympani. Otolaryngol Head Neck Surg. 2004;131(4):457–60.
Savic D, Djeric D. Anatomical variations and relations of the medial and lateral portions of the attic and their surgical significance. J Laryngol Otol. 1987;101(11):1109–17.
Palva T, Johnsson LG, Ramsay H. Attic aeration in temporal bones from children with recurrent otitis media: tympanostomy tubes did not cure disease in Prussak’s space. Am J Otol. 2000;21:485–93.
Palva T, Ramsay H, Northrop C. Color atlas of the anatomy and pathology of the epitympanum. Basel: Karger; 2001.
Palva T, Ramsay H, Böhling T. Prussak’s space revisited. Am J Otol. 1996;17(4):512–20.
Palva T, Ramsay H. Chronic inflammatory ear disease and cholesteatoma: creation of auxiliary attic aeration pathways by microdissection. Am J Otol. 1999;20:145–51.
Horn KL, Brackmann DE, Luxford WM, et al. The supratubal recess in cholesteatoma surgery. Ann Otol Rhinol Laryngol. 1986;95:12–5.
Mansour S, Nicolas K, Naim A, et al. Inflammatory chronic otitis media and the anterior epitympanic recess. J Otolaryngol. 2005;34:149–58.
Hoshino T. Surgical anatomy of the anterior epitympanic space. Arch Otolaryngol Head Neck Surg. 1988;114:1143–5.
Todd NW, Heindel NH, PerLee JH. Bony anatomy of the anterior epitympanic space. J Otorhinolaryngol Relat Spec. 1994;56:146–53.
Marchioni D, Mattioli F, Cobelli M, et al. CT morphological evaluation of anterior epitympanic recess in patients with attic cholesteatoma. Eur Arch Otorhinolaryngol. 2009;266:1183–9. https://doi.org/10.1007/s00405-008-0871-x.
Prussak A. Zur Anatomie des menschlichen Trommelfells. Arch Ohrenheilkd. 1867;3:255–78.
Marchioni D. Lateral endoscopic approach to epitympanic diaphragm and Prussak’s space: a dissection study. Surg Radiol Anat. 2010;32(9):843–52.
Palva T, Ramsey H. Aeration of Prussak’s space is independent of the supradiaphragmatic epitympanic compartment. Otol Neurotol. 2007;28:264–8.
Von Tröltsch A. Lehrbuch der Ohrenheilkunde mit Einschluss der anatomie des Ohres. 7th ed. Leipzig: FCW Vogel; 1881.
Proctor B. Attic-aditus block and the tympanic diaphragm. Ann Otol Rhinol Laryngol. 1971;l80:371–5.
Aimi K. The clinical significance of epitympanic mucosal folds. Arch. Otolaryng. 1971;94:499–505.
Marchioni D, Mattioli F, Alicandri-Ciufelli M, et al. Endoscopic evaluation of middle ear ventilation route blockage. American Journal of Otolaryngology. 2010;31(6):453–66.
Magnuson B. Functions of the mastoid cell system: auto-regulation of temperature and gas pressure. J Laryngol Otol. 2003;117(2):99–103.
Rockley TJ, Hawke WM. The middle ear as a baroreceptor. Acta Otolaryngol. 1992;112(5):816–23.
Lima MAR, et al. Update on middle ear barotrauma after hyperbaric oxygen therapy—insights on pathophysiology. Int Arch Otorhinolaryngol. 2014;18:204–9.
Gaihede M, Dirckx JJ, Jacobsen H, Aernouts J, Søvsø M, Tveterås K. Middle ear pressure regulation—complementary active actions of the mastoid and the Eustachian tube. Otol Neurotol. 2010;31(4):603–11. https://doi.org/10.1097/MAO.0b013e3181dd13e2.
Eden AR. Neural control of middle ear aeration. New York, NY: Mount Sinai School of Medicine; 1987.
Ceylan A, et al. Impact of Jacobson’s (tympanic) nerve sectioning on middle ear functions. Otol Neurotol. 2007;28(3):341–4.
Eden AR, Gannon PJ. Neural control of middle ear aeration. Arch Otolaryngol Head Neck Surg. 1987;113(2):133–7.
Swarts JD, Alper CM, Luntz M, et al. Panel 2: Eustachian tube, middle ear, and mastoid—anatomy, physiology, pathophysiology, and pathogenesis. Otolaryngol Head Neck Surg. 2013;148(4 Suppl):E26–36.
Gaihede M, et al. Chronic otitis media: pathogenesis-oriented therapeutic management edited by Bernard Ars. Amsterdam, The Netherlands: Kugler Publications.
Eden AR, Laitman JT, Gannon PJ. Mechanisms of ME aeration: anatomic and physiologic evidence in primates. Laryngoscope. 1990;100(1):67–75.
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Mansour, S., Magnan, J., Ahmad, H.H., Nicolas, K., Louryan, S. (2019). Middle Ear Compartments. In: Comprehensive and Clinical Anatomy of the Middle Ear. Springer, Cham. https://doi.org/10.1007/978-3-030-15363-2_4
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DOI: https://doi.org/10.1007/978-3-030-15363-2_4
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