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Tympanoplasty: Underlay Technique Step by Step and the Complex Tympanoplasty

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Textbook of Otitis Media

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Abstract

As a follow-up of the chapter “Tympanic Membrane Perforations: New Profiles, New Strategies,” which brings a new perspective regarding the classification of tympanic perforations (with inferences about their pathogenesis), we present in this chapter an illustrated step-by-step surgical description. The retroauricular approach is preferred by our group since we consider it a “horse battle” in surgical otology, as it can adapt to a series of situations that arise while performing the surgeries. Thus, we first detail and illustrate the underlay retroauricular tympanoplasty with the interposition of the temporal fascia alone, which we call the “simple” tympanoplasty. Later on in the chapter, we discuss additional steps that some types of perforation may require, thus characterizing what we call the “complex” tympanoplasty.

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Authors and Affiliations

  1. Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil

    Fábio André Selaimen, Mauricio Noschang Lopes da Silva & Sady Selaimen da Costa

  2. Instituto Gaúcho de Otorrinolaringologia, Porto Alegre, Brazil

    Fábio André Selaimen, Mauricio Noschang Lopes da Silva & Sady Selaimen da Costa

  3. Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

    Sady Selaimen da Costa

Authors
  1. Fábio André Selaimen
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  2. Mauricio Noschang Lopes da Silva
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  3. Sady Selaimen da Costa
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Editors and Affiliations

  1. Department of Otolaryngology, Clínica Universidad de Los Andes, Santiago, Chile, USA

    Marcos V. Goycoolea

  2. Otolaryngology, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

    Sady Selaimen da Costa

  3. Department of Otolaryngology, Tata Memorial Hospital, Mumbai, Maharashtra, India

    Chris de Souza

  4. Paparella Ear Head & Neck Institute, University of Minnesota, Minneapolis, MN, USA

    Michael M. Paparella

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Selaimen, F.A., da Silva, M.N.L., da Costa, S.S. (2023). Tympanoplasty: Underlay Technique Step by Step and the Complex Tympanoplasty. In: Goycoolea, M.V., Selaimen da Costa, S., de Souza, C., Paparella, M.M. (eds) Textbook of Otitis Media. Springer, Cham. https://doi.org/10.1007/978-3-031-40949-3_49

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  • DOI: https://doi.org/10.1007/978-3-031-40949-3_49

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  • Print ISBN: 978-3-031-40948-6

  • Online ISBN: 978-3-031-40949-3

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