This fully revised and expanded second edition provides a comprehensive, most up-to-date and extensive work on middle ear anatomy. Related biomechanics are explained to enhance the understanding of functional anatomy. Clinical situations are correlated to the anatomical impacts of middle ear diseases. Advanced knowledge of embryology helps to correlate anatomical status in relation to developmental anomalies. Endoscopy succeeds to demonstrate anatomical details along with their impact on surgery of the middle ear. The inclusion of carefully selected CT scans assist in the reading of normal anatomy comparing with pathological features. This work enables those undergoing surgical training to hone their surgical skills. Comprehensive and Clinical Anatomy of the Middle Ear 2nd edition is aimed at otolaryngology residents, otology and neurotology fellows, researchers, teachers and practitioners.

This book covers the latest advances in disciplines related to the middle ear pathologies such as: the innovations in the understanding of its functional anatomy and their implications along with the breakthroughs in the physiopathology of its diseases and the most recent concepts of their pathogenesis. More adapted audiological investigative methods and the advanced imaging approaches for an accurate diagnostic work up and the best management of middle ear ailments are presented . As an up-to-date learning resource, based on demonstrated clinico-radiological correlations, this book is a highly valuable teaching tool, especially when contemplating proceeding in middle ear surgery. Middle Ear Diseases is a comprehensive work, aimed for trainees, board candidates and teachers in otolaryngology and otology to respond to every educational need in regard to the most common middle ear pathologies. It is also a useful update for more experienced professionals in this field, as well as radiologists, audiologists and speech therapists.

This book reviews current knowledge of the etiopathogenesis, pathophysiology, and molecular biology of tympanic membrane retraction pockets and provides clear guidance on clinical assessment and treatment. A new diagnostic approach based on clinicoradiologic correlations is presented, and the ability of computer tomography to offer objective criteria for improved differentiation between stable and unstable or unsafe retraction pockets is explained. Surgical options are discussed, and on the basis of their own clinical and surgical experiences the authors propose a novel procedure, masto-atticotomy with anterior epitympanotomy (AER surgery), which addresses the causative factors underlying a retraction pocket. This surgery aims to restore adequate aeration routes for the middle ear compartments situated above the tympanic diaphragm; it results in better control of the pathology and in most cases prevents its recurrence. The book will assist otologists and surgeons in ensuring that retraction pockets are effectively diagnosed and treated, avoiding progression to cholesteatoma.

In the literature addressing the important problem of work injuries, there are wide variations in the analytic statistical methods applied, as well as in the reported effect-estimates. In this study effect-estimates mainly from the health and the economics literature, for some traditionally reported predictors of return to work (such as age), were transformed into one metric (relative risk) in order to allow comparison. Moreover, all of the frequently used analytic methods were applied to one Ontario WCB dataset (of 1845 injured workers), in order to determine the differences/similarities in the effect-estimates which result from the choice of analytic method only. From this study it was evident that ignoring inter-subject variation in Follow-Up and censoring, by failing to utilize survival analytic approaches, may result in a less precise effect-estimates. Also, a misleading effect-estimate may result when no attention is given to a possibly changing relative risk over time i.e. the time-dependency nature of certain predictors. Moreover, in the future, researchers have to be careful in the way they report their effect-estimates, and make explicitly justified choices between one single simple effect-estimate and a more accurate but complicated changing estimate over time.