Laryngorhinootologie 2016; 95(12): 855-877
DOI: 10.1055/s-0042-118098
Facharztwissen-HNO
Georg Thieme Verlag KG Stuttgart · New York

Grundlagen der Ohrchirurgie

Basics of Ear Surgery
S. Lailach
,
T. Zahnert
Further Information

Publication History

Publication Date:
23 December 2016 (online)

Zusammenfassung

Der vorliegende Facharztwissen-Beitrag zum Thema „Grundlagen der Ohrchirurgie“ gibt einen kurz gefassten Überblick über aktuelle Indikationen, die notwendige Diagnostik sowie die operationstechnischen Prinzipien häufiger otologischer Krankheitsbilder. Neben der plastisch-rekonstruktiven Chirurgie der Ohrmuschel werden die Prinzipien der Chirurgie des äußeren Gehörgangs, der sanierenden Mittelohrchirurgie sowie die Tumorchirurgie des Felsenbeins thematisiert. Zusätzlich werden Aspekte der operativen Hörrehabilitation (mit Ausnahme der implantierbaren Hörsysteme) unter der Berücksichtigung aktueller Studienergebnisse dargestellt.

Abstract

The present article about the basics of ear surgery is a short overview of current indications, the required diagnostics and surgical procedures of common otologic diseases. In addition to plastic and reconstructive surgery of the auricle, principles of surgery of the external auditory canal, basics of middle ear surgery and the tumor surgery of the temporal bone are shown. Additionally, aspects of the surgical hearing rehabilitation (excluding implantable hearing systems) are presented considering current study results.

 
  • Literatur

  • 1 Weerda H. Classification of congenital deformities of the auricle. Facial Plast Surg FPS 1988; 5: 385-388
  • 2 Naumann A. Techniken der Ohranlegeplastik. Laryngo-Rhino-Otol 2007; 86: 96-109
  • 3 Mustarde JC. The correction of prominent ears using simple mattress sutures. Br J Plast Surg 1963; 16: 170-178
  • 4 Stenström SJ. A simple operation for prominent ears. Acta Otolaryngol 1966; Suppl 224: 393+
  • 5 Converse JM, Nigro A, Wilson FA, Johnson N. A technique for surgical correction of lop ears. Plast Reconstr Surg (1946) 1955; 15: 411-418
  • 6 Siegert R. Correction of the lobule. Facial Plast Surg 2004; 20: 293-298
  • 7 Nagata S. A new method of total reconstruction of the auricle for microtia. Plast Reconstr Surg 1993; 92: 187-201
  • 8 Brent B. Technical advances in ear reconstruction with autogenous rib cartilage grafts: personal experience with 1200 cases. Plast Reconstr Surg 1999; 104: 319-334
  • 9 Zenner HP (Hrsg.) Praktische Therapie von HNO-Krankheiten. 2. Aufl. Stuttgart: Schattauer; 2008
  • 10 Frese KA, Rudert H, Maune S. Die operative Behandlung von Gehörgangsexostosen. Laryngo-Rhino-Otol 1999; 78: 538-543
  • 11 Reineke U, Ebmeyer J, Sudhoff H. Postinflammatorische Gehörgangsstenose. Laryngo-Rhino-Otol 2010; 89: 235-244
  • 12 Chang SO, Min YG, Kim CS, Koh TY. Surgical management of congenital aural atresia. The Laryngoscope 1994; 104: 606-611
  • 13 Altmann F. Congenital atresia of the ear in man and animals. Ann Otol Rhinol Laryngol 1955; 64: 824-858
  • 14 Chandrasekhar SS, De la Cruz A, Garrido E. Surgery of congenital aural atresia. Am J Otol 1995; 16: 713-717
  • 15 Jahrsdoerfer RA, Yeakley JW, Aguilar EA et al. Grading system for the selection of patients with congenital aural atresia. Am J Otol 1992; 13: 6-12
  • 16 Caversaccio M, Romualdez J, Baechler R et al. Valuable use of computer-aided surgery in congenital bony aural atresia. J Laryngol Otol 2003; 117: 241-248
  • 17 Mattox DE, Fisch U. Surgical correction of congenital atresia of the ear. Otolaryngol Head Neck Surg 1986; 94: 574-577
  • 18 Moss WJ, Lin HW, Cueva RA. Surgical and Audiometric Outcomes for Repair of Congenital Aural Atresia and Hypoplasia. JAMA Otolaryngol Head Neck Surg 2016; 142: 52-57
  • 19 Digoy GP, Cueva RA. Congenital aural atresia: review of short- and long-term surgical results. Otol Neurotol 2007; 28: 54-60
  • 20 Edfeldt L, Strömbäck K. Surgical treatment of congenital aural atresia – is it still justified?. Acta Otolaryngol (Stockh) 2015; 135: 226-232
  • 21 Memari F, Mirsalehi M, Jalali A. Congenital aural atresia surgery: transmastoid approach, complications and outcomes. Eur Arch Otorhinolaryngol 2012; 269: 1437-1444
  • 22 Siegert R. Neue chirurgische Techniken zur Behandlung der Gehörgangsatresie. HNO 2004; 52: 275-286
  • 23 Theissing J, Rettinger G, Werner JA (Hrsg.) HNO-Operationslehre. 4. Aufl. Stuttgart: Thieme; 2006
  • 24 Kaftan H, Draf W. Otogene endokranielle Komplikationen – trotz aller Fortschritte weiterhin ein ernst zu nehmendes Problem. Laryngo-Rhino-Otol 2000; 79: 609-615
  • 25 Brown JS. A ten year statistical follow-up of 1142 consecutive cases of cholesteatoma: the closed vs. the open technique. The Laryngoscope 1982; 92: 390-396
  • 26 Neudert M, Lailach S, Lasurashvili N et al. Cholesteatoma recidivism: comparison of three different surgical techniques. Otol Neurotol 2014; 35: 1801-1808
  • 27 Nyrop M, Bonding P. Extensive cholesteatoma: long-term results of three surgical techniques. J Laryngol Otol 1997; 111: 521-526
  • 28 Lailach S, Zahnert T, Lasurashvili N et al. Hearing outcome after sequential cholesteatoma surgery. Eur Arch Otorhinolaryngol 2016; 273: 2035-2046
  • 29 Schmerber S, Troussier J, Dumas G et al. Hearing results with the titanium ossicular replacement prostheses. Eur Arch Otorhinolaryngol 2006; 263: 347-354
  • 30 Jahnke K, Khatib M, Rau U. Langzeitergebnisse nach Cholesteatomchirurgie. Laryngo-Rhino-Otol 1985; 64: 238-242
  • 31 Vartiainen E, Nuutinen J. Long-term results of surgical treatment in different cholesteatoma types. Am J Otol 1993; 14: 507-511
  • 32 De Vos C, Gersdorff M, Gérard JM. Prognostic factors in ossiculoplasty. Otol Neurotol 2007; 28: 61-67
  • 33 Moss R, Lucente FE. Results in resident cholesteatoma surgery: a review of 85 cases. The Laryngoscope 1987; 97: 212-214
  • 34 Lau T, Tos M. Treatment of sinus cholesteatoma. Long-term results and recurrence rate. Arch Otolaryngol Head Neck Surg 1988; 114: 1428-1434
  • 35 Jansen C. The combined approach for tympanoplasty (report on 10 years’ experience). J Laryngol Otol 1968; 82: 779-793
  • 36 Zaufal E. Zur Geschichte und Technik der operativen Freilegung der Mittelohrräume. Arch. f. Ohren-. Nasen- und Kehlkopfheilk 1894; 37: 33-80
  • 37 Beutner D, Stumpf R, Zahnert T, Hüttenbrink KB. Langzeitergebnisse nach Radikalhöhlenverkleinerung mit Knochenmehl und Knorpelabdeckung. Laryngo-Rhino-Otol 2007; 86: 861-866
  • 38 Dornhoffer JL. Surgical modification of the difficult mastoid cavity. Otolaryngol Head Neck Surg 1999; 120: 361-367
  • 39 Linthicum FH. The fate of mastoid obliteration tissue: a histopathological study. The Laryngoscope 2002; 112: 1777-1781
  • 40 Stoor P, Pulkkinen J, Grénman R. Bioactive glass S53P4 in the filling of cavities in the mastoid cell area in surgery for chronic otitis media. Ann Otol Rhinol Laryngol 2010; 119: 377-382
  • 41 Wullstein H. Theory and practice of tympanoplasty. The Laryngoscope 1956; 66: 1076-1093
  • 42 Lüers JC, Beutner D, Hüttenbrink KB. Ossikelkettenrekonstruktion – Aktuelle Entwicklungen. Laryngo-Rhino-Otol 2010; 89: 172-184
  • 43 Neudert M, Zahnert T, Lasurashvili N et al. Partial ossicular reconstruction: comparison of three different prostheses in clinical and experimental studies. Otol Neurotol 2009; 30: 332-338
  • 44 Huttenbrink KB, Luers JC, Beutner D. Titanium angular clip: a new prosthesis for reconstruction of the long process of the incus. Otol Neurotol 2009; 30: 1186-1190
  • 45 Wegner I, Verhagen JJ, Stegeman I et al. A systematic review of the effect of piston diameter in stapes surgery for otosclerosis on hearing results. The Laryngoscope 2016; 126: 182-190
  • 46 Sim JH, Chatzimichalis M, Röösli C et al. Objective assessment of stapedotomy surgery from round window motion measurement. Ear Hear 2012; 33: e24-e31
  • 47 Colletti V, Fiorino F. Is the middle fossa approach the treatment of choice for intracanalicular vestibular schwannoma?. Otolaryngol Head Neck Surg 2005; 132: 459-466
  • 48 Ansari SF, Terry C, Cohen-Gadol AA. Surgery for vestibular schwannomas: a systematic review of complications by approach. Neurosurg Focus 2012; 33: E14
  • 49 Schipper J, Boedeker CC, Maier W, Neumann HPH. Paragangliome im Kopf-/Halsbereich: Teil 1 – Systematik und Diagnostik. HNO 2004; 52: 569-575
  • 50 Jackler RK. Atlas of Skull Base Surgery and Neurotology. 2nd ed. New York, Stuttgart: Thieme; 2008