Verfügbarkeit: Cartilage tympanoplasty

Cartilage tympanoplasty: [classification of methods, techniques, results]

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Bibliographische Detailangaben
1. Verfasser:	Tos, Mirko (VerfasserIn)
Format:	Buch
Sprache:	English
Veröffentlicht:	Stuttgart ; New York, NY Thieme 2009
Schlagworte:	Ohrmuschel Operationstechnik Tympanoplastik Knorpel Bildliche Darstellung
Online-Zugang:	Inhaltsverzeichnis
Beschreibung:	Literaturangaben
Beschreibung:	XII, 420 S. zahlr. Ill. 28 cm
ISBN:	9783131450913

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Datensatz im Suchindex

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adam_text	Titel: Cartilage tympanoplasty Autor: Tos, Mirko Jahr: 2009 Table of Contents 1 History of Cartilage Tympanoplasty 1 Introduction 1 Cartilage in Ossiculoplasty in Tympanoplasty Type 2 with Intact Stapes 1 Cartilage Slices in Tympanoplasty Type 2 with Intact Stapes 1 Cartilage in Ossiculoplasty in Tympanoplasty Type 3 with Missing Stapedial Arch 1 Myringoplasty Using Autogenous Septal Cartilage by Salen—the First Cartilage Tympanoplasty 3 The Heermann Cartilage Bridge from the Stapes Columella to the Inferior Annulus 4 The Broad Heermann Stapes-Annulus Cartilage Bridges 6 The Tunnelplasty 7 Cartilage Palisade Tympanoplasty 7 The Goodhill Annular Graft-the First Cartilage- Perichondrium Composite Graft 8 2 Classifications and Definitions 10 Classification of Cartilage Tympanoplasty Methods 10 Cartilage Grafts 10 Cartilage Palisades 11 Cartilage Strips 12 Cartilage Foils, Thin Plates, and Thick Plates.. 13 Cartilage-Perichondrium Composite Island Grafts 15 Special Cartilage-Perichondrium Composite Island Grafts 16 Composite Islands Grafts for Minor, Medium-sized, and Subtotal Perforations 18 Special Cartilage Methods in Small and Medium-Sized Perforations 20 Classification of Tympanoplasty 20 Cartilage Tympanoplasty 20 Classification of Tympanoplasty in Relation to Ossiculoplasty 20 Pictorial Key to the Drawings in this Book 23 Pieces of Cartilage and Cartilage Palisades 23 Cartilage Strips, Foils, and Plates 24 Composite Cartilage-Perichondrium Grafts .. 25 Soft Tissues 26 Bony Tissues 27 Other Elements 28 3 Approaches and Harvesting of Cartilage 30 Approaches 30 Transmeatal Approach through Fixed Ear Speculum 30 Endaural Approach with Intercartilaginous Incision 33 Retroauricular Approach 35 Harvesting of Cartilage 40 Harvesting of Tragal Cartilage 40 Harvesting of Cartilage from the Auricle 42 Harvesting of Cartilage in Endaural Approaches 45 Thinning the Cartilage 46 The Huttenbrink Cartilage Guide 49 The Groningen Cartilage Cutting Device 50 4 Cartilage Palisades in Underlay Tympanoplasty Techniques 52 Definition 52 Indications for Surgery 52 Harvesting and Shaping of Palisades 52 Surgical Techniques 53 Posterior Perforation 53 Inferior Perforation 53 Total Perforation 58 Underlay Cartilage Palisade Technique and Ossiculoplasty 64 Modifications of Cartilage Palisade Technique ,. 74 Ferekidis Chondrotympanoplasty 74 Covering Palisades with the Perichondrium .. 78 Cartilage Palisades and Fascia 79 Results of Surgery with Palisades in Underlay Tympanoplasty Techniques 82 Results in Pars Tensa Cholesteatoma in Children 82 Comparing Results of Cartilage Palisades with Fascia 83 Comparing Functional Results and Tympanometry 83 Comparison of Underlay Cartilage Palisades with Fascia-Recent Results 83 Late Results in Underlay Palisade Technique.. 83 Ten-year Results of Cartilage Palisades versus Fascia in Eardrum Reconstruction after Surgery for Sinus or Tensa Retraction Cholesteatoma in Children 84 Author s Comments and Proposals 84 VIII Table of Contents Clinical Research on Cartilage Tympanoplasty Is Needed 84 Placement of the Palisades 84 Gelfoam in the Tympanic Cavity or Not? 85 Small On-lay Perichondrium Grafts 85 Why Not Perichondrium Covering on Both Sides of the Palisade? 85 5 Cartilage Palisades in On-lay Tympanoplasty Techniques 87 Definitions 87 Full-Thickness Palisades 87 Half-Thickness Palisades and Perichondrium Flaps 87 Harvesting and Shaping of the Palisades 88 Harvesting of the Palisades 88 Shaping of the Palisades 88 Curling of the Cartilage Grafts 89 Indications for On-lay Palisade Technique 89 Surgical Techniques with On-lay Placement of Palisades 89 Anterior Perforation 90 Inferior Perforation 92 Total Perforation 95 Results of On-lay Cartilage Tympanoplasty Techniques 101 Author s Comments on On-lay Palisade Techniques 101 Clinical Research in On-lay Cartilage Technique is Needed 101 6 Tympanoplasty with Broad Cartilage Palisades .. 103 Definition 103 Harvesting and Shaping of Broad Palisades 103 Indications for Tympanoplasty with Broad Cartilage Palisades 104 The Bernal-Sprekelsen Broad Palisade Techniques 104 Total Perforation with Intact Ossicular Chain.. 104 Total Perforation with Missing Ossicles 104 Total Perforation with Missing Long Process of Incus 104 Retracted and Adherent Malleus Handle in a Total Perforation with Defective Incus 106 Broad Palisades and Various Tympanomastoidectomies 110 Closure of an Atticotomy with Broad Cartilage Palisades 110 Results in Tympanoplasty with Broad Cartilage Palisades 110 Anatomical Results 110 Functional Results 110 Author s Comments and Recommendations 112 The Longest Follow-up Period 112 Evaluation of Hearing Results in Tympanoplasty Type 1 with Broad Cartilage Palisades Is Needed 112 Support of Broad Palisades by Small Pieces of Cartilage 112 7 Cartilage Strips in Underlay Tympanoplasty Techniques 114 Definition 114 Harvesting and Shaping of the Cartilage Strips .. 115 Cutting and Shaping of the Cartilage Strips ... 115 Indications for Cartilage Strips in Underlay Techniques 117 Surgical Techniques 117 Posterior Perforation 117 Inferior Perforation 118 Total Perforation 118 Tunnelplasty 122 Reconstruction of the Eardrum and the Attic Wall with Cartilage Strips 123 Covering the Cartilage Strips with Perichondrium 124 Results of Surgery 124 Comparison of Results of Underlay Cartilage Strip Technique with Fascia Grafting 125 Conclusion on Results of the Underlay Cartilage Strip Technique 125 Author s Comments and Recommendations 125 8 Cartilage Strips in On-lay Tympanoplasty Techniques 127 Definition 127 Harvesting and Shaping of the Cartilage Strips 127 Indications for Surgery 128 The On-lay Cartilage Strip Techniques 128 Anterior Perforation 128 Inferior Perforation 130 Total Perforation 132 On-lay Cartilage Strips in ossiculoplasty 132 Results of Surgery 137 Author s Comments and Recommendations 137 Need for Clinical Research 137 9 The Dornhoffer Cartilage Mosaic Tympanoplasty 138 Definition 138 Harvesting and Trimming of the Cartilage 138 Indications for Cartilage Mosaic Tympanoplasty. 139 Surgical Techniques of Cartilage Mosaic Tympanoplasty 139 Posterior Perforation 139 Inferior Perforation 141 Subtotal Perforation 141 Total Perforation 143 Results of Surgery 144 Author s Comments and Recommendations 146 10 Underlay Tympanoplasty with Cartilage Foils and Thin Plates 147 Definition 147 Harvesting and Elaboration of Cartilage Foils and Thin Plates 148 Portmann s Tangential Cutting of Conchal Thin Plates and Lamellae 148 Indications for Surgery 149 Underlay Techniques with Foils and Thin Plates. 149 Posterior Perforation 149 Inferior Perforation 149 Total Perforation 149 The Portmann Mosaic Underlay Cartilage Tympanoplasty with Foils or Thin Plates 152 Results after Surgery with Cartilage Foils or Thin Plates Covered with Perichondrium 152 Author s Comments and Recommendations 153 11 On-lay Tympanoplasty with Cartilage Foils and Thin Plates 155 Definition 155 Harvesting and Elaboration of Cartilage Foils and Thin Plates 155 Indications for On-lay Tympanoplasty with Cartilage Foils and Thin Plates 155 On-lay Techniques with Foils and Thin Plates... 155 Anterior Perforation 156 Inferior Perforation 156 Total Perforation 157 Results after On-lay Tympanoplasty with Cartilage Foils 160 Author s Comments and Recommendations 160 12 On-lay Tympanoplasty with Thick Cartilage Plates 162 Definitions 162 Harvesting and Elaboration of the Cartilage Plates 162 On-lay Techniques with Thick Cartilage Plates.. 162 The Jansen Cartilage Plate On-lay Tympanoplasty 163 Tympanoplasty Type 2 or Type 3 and Cartilage Plates 163 Cartilage Boards On-lay Technique 163 Cartilage Plates in Stabilization of the Columella 163 Full-Thickness Cartilage Plate 163 Results of Surgery with Cartilage Plates 165 Results of the Early On-lay Techniques 165 Author s Comments and Recommendations 165 Effect of the Thickness of The Cartilage Disk on Hearing 167 Experimental Investigation of the Use of Cartilage in Tympanic Membrane Reconstruction 168 Methods 168 Sound Pressure Response 168 Clinical Research on the Thickness of Cartilage Grafts 169 Table of Contents IX Problems with Curling 169 Optimal Graft Thickness for Different Sizes of the Perforation 170 13 Underlay Tympanoplasty with Thick Cartilage Plates 172 Definitions 172 Harvesting and Elaboration of the Autogenous Cartilage Plates 172 The Underlay Tympanoplasty Techniques with Thick Cartilage Plates 172 Cartilage Plate Covered with Fascia 172 Cartilage Plate Covered with Areolar Tissue— a Cartilage Shield Tympanoplasty? 173 Cartilage Shield Tympanoplasty of Moore 173 Tympanoplasty with Cartilage Plates Only ... 173 Tympanoplasty with Crushed Autogenous Cartilage Plate 173 Tympanoplasty with Irradiated Homogenous Rib Cartilage Plates 175 Reinforcement of the Tympanic Membrane with Cartilage Plates after Removal of Congenital Cholesteatoma 176 Results of Surgery with Cartilage Plates 176 Results of Recent Underlay Techniques 176 Author s Comments and Proposals 177 Classification of Cartilage Shield Tympanoplasty 177 14 Superior (or Attic) Cartilage-Perichondrium Composite Island Craft Tympanoplasty 179 Definition 179 Indications for Surgery 179 Surgical Methods for Closure of Bony Defects of the Scutum 181 McCleve Technique 181 Fleury Technique 181 Adkins Technique 183 Black Technique 183 Honda Scutumplasty 185 Quinn Technique 185 Results of Surgery 187 Lateral Attic Reconstruction (LAR) Technique: Preventive Surgery for Epitympanic Retraction Pockets 188 Author s Comments and Proposals 189 Difficulties in Comparison of the Various Series 189 15 Posterior Cartilage-Perichondrium Composite Island Craft Tympanoplasty 194 Definition 194 Harvesting and Shaping of the Graft 195 Shaping of the Posterior Cartilage- Perichondrium Island Graft 196 indications for Surgery 196 Surgical Techniques with Posterior Cartilage- Perichondrium Composite Island Graft 197 X Table of Contents Transmeatal Technique with Posterosuperior Island Graft 197 Transmeatal Removal of a Posterior Retraction 198 Transmeatal Removal of the Sinus Cholesteatoma 201 Removal of a Large Sinus Cholesteatoma 203 Retrograde Atticoantrotomy in a Large Sinus Cholesteatoma 205 Posterior Ear Canal Wall Reconstruction with a Composite Cartilage Titanium Mesh Graft... 206 Cartilage Ossiculoplasty and Myringoplasty by Lever Method 207 Results of Surgery with the Posterior Island Graft 207 Author s Comments and Recommendations 208 When to Operate a Posterior Retraction? 209 Pathogenesis of Sinus Cholesteatoma 211 When to Operate a Posterior Perforation? 212 16 Superior and Posterior Cartilage-Perichondrium Composite Island Graft Tympanoplasty 215 Definition 215 Harvesting and Shaping of the Graft 215 indications 215 Surgical Methods 217 Technique of Levinson 217 Technique of Poe and Gadre 220 Two Separate Grafts of Couloigner 223 Results of Surgery 223 Levinson Series 223 Series of Poe and Gadre 224 Pediatric Series with Two Separate Cartilage- Perichondrium Composite Island Grafts 224 Author s Comments and Recommendations 224 Vibratiie and Non-vibratile Island Grafts 224 Prevalence and Classification of Attic Retractions 225 Attic Prechoiesteatoma 226 Pathogenesis of Attic Cholesteatoma 226 The incidence of Cholesteatoma 227 17 Total Pars Tensa Cartilage-Perichondrium Composite Island Craft Tympanopfasty 228 Definitions 228 The Tolsdorff and the Nitsche Grafts 228 Harvesting and Shaping of the Cartilage Graft... 228 Shaping of the Tolsdorff Graft 228 Shaping of the Dornhoffer Graft 229 Klacansky Small Total Pars Tensa Composite Island Graft 230 Other Pars Tensa Composite Grafts 232 Indications for Surgery 232 Surgical Techniques 232 The Nitsche On-lay Technique 232 The Tolsdorff Technique 235 The Wurzburg Clinic Techniques 235 The Dornhoffer Technique 239 Results of Surgery with the Total Tensa Composite Graft 239 The First Wiirzburg Series (1982-1987) 239 The Second Wurzburg Series (1989-1994).... 239 The Dornhoffer Series 241 Outcomes by Surgical Indication 241 Pediatric Series 242 Comparison of the Cartilage-Perichondrium Craft with the Fascia Craft 242 Series with Posterior and Total Pars Tensa Grafts 243 Author s Comments and Recommendations 243 18 Annular Cartilage-Perichondrium Composite Craft Tympanoplasty 245 Definition 245 Previous Applications of the Annular Craft 246 Harvesting and Shaping of the Annular Craft 246 The Klacansky Chondrotome 246 Circular Graft and U-Graft 246 indications for Application of Annular Crafts 248 Surgical Techniques with Annular Grafts 249 Goodhill s On-lay Annular Graft Technique ... 249 Annular Graft in Tympanoplasty Type 2 with Interposition Techniques 249 Annular Graft in Tympanoplasty Type 3 with a Columella 257 The Klacansky Annular Graft Technique with Removal of Fibrous Annulus and Eardrum Remnant 261 Further Development of the Klacansky Annular Graft 261 The Borkowski Underlay Annular Graft Technique 261 Retracted Malleus Handle and Annular Graft.. 261 Missing Malleus Handle and Annular Graft ... 270 Circular Annular Graft in Case of Missing Entire Malleus 271 U-shaped Annular Craft in Large Inferior Perforation 274 Annular Graft in the Reconstruction of the Tympanic Cavity after a Canal Wall Down Mastoidectomy 274 Results of Surgery with the Annular Graft 280 Author s Comments and Proposals 280 Need for Future Research on Clinical Series with Annular Graft 280 19 Crown Cork Cartilage-Perichondrium Composite Craft Tympanoplasty 282 Definition 282 Harvesting and Construction of the Crown Cork- Graft 282 Harvesting of Tragal Cartilage 282 Harvesting of Conchal Cartilage 282 Indications for Crown Cork Tympanoplasty ... 287 Congenital Malformations 287 Acquired Ear Canal Lesions 287 Surgical Techniques of Crown Cork Tympanoplasty 288 Schematic Illustration of Surgical Principle in Congenital Type 2a Atresia Reconstructed with Crown Cork Tympanoplasty 288 Surgery of Congenital Type 2b Atresia Applying Crown Cork Graft 290 Removal of Fibrous Tissue in Blunting Phenomena When Applying Crown Cork Tympanoplasty 290 Results of the Crown Cork Tympanoplasty 290 Author s Comments and Recommendations 295 20 Cartilage Shield T-Tube Tympanoplasty 296 Definition 296 Harvesting and Construction of the Cartilage Shield T-Tube Grafts 297 Construction of the Hall Cartilage Shield T-Tube Graft in Intact Eardrum 297 Construction of the Duckert Cartilage Shield T-Tube Graft 297 Construction of the Dornhoffer Cartilage Shield T-Tube Graft 298 The Elsheikh U-shaped Cartilage- Perichondrium T-Tube Graft 298 Indication for Cartilage Shield T-Tube Tympanoplasty 299 Surgical Techniques 300 The Hall Technique 300 The Duckert Technique 302 The Dornhoffer Technique 316 Application of the Elsheikh Graft 318 Postoperative Care and Problems 322 Accidental or Intentional Removal of the Tube 322 Reinsertion of the T-Tube in a Cartilage Shield Graft 323 Malfunction of the T-Tube due to Plugged Cerumen 323 Formation of Granulation Tissue at the Tube-Perichondrium Interface 323 Infection and Otorrhea 324 Medialization of the Cartilage Graft 324 Results of Cartilage Shield T-Tube Tympanoplasty 324 Hall s Series of Children 324 The First Series of Duckert and Co-workers .. 324 The Later Series of Duckert and Co-workers.. 325 The Series of Danner and Dornhoffer 325 The Randomized Prospective Study of Elsheikh and Co-workers 325 Author s Comments and Recommendations 326 Proposal of an Inferior Cartilage Shield T-Tube Graft 326 Comments on Tubal Function 326 Need for Testing of Tubal Function 328 Cartilage Shield T-Tube Tympanoplasty Provides Ideal Opportunities for Long-Term Research on Tubal Function 328 Table of Contents XI 21 Underlay Tympanoplasty Techniques with Cartilage-Perichondrium Composite Island Graft 331 Definition 331 Harvesting and Shaping of the Island Craft 331 Indication for Application of the Underlay Island Graft 331 Surgical Techniques 331 Anterior Perforation 331 inferior Perforation 337 Subtotal Perforation 337 Cartilage Graft in Type 1 Tympanoplasty— A Modification without Perichondrium Flaps. 338 Results of Surgery with the Island Graft 341 Comparison with Fascia 342 Author s Comments and Recommendations 343 Drilling a Hole or a Groove into the Bony Annulus 343 Modifications of the Techniques 344 22 In-lay Underlay Tympanoplasty Techniques with Cartilage-Perichondrium Composite Island Graft 345 Definition 345 Harvesting and Shaping of the Graft 345 Indications for In-lay Underlay Technique 346 The In-lay Underlay Techniques 346 Anterior Perforation 346 Inferior Perforation 346 Posterior Perforation 351 Subtotal Perforation 351 Results of Surgery 352 Author s Comments and Recommendations 352 23 On-lay Tympanoplasty Techniques with Cartilage-Perichondrium Composite Island Graft 353 Definition 353 Harvesting and Elaboration of the On-lay Island Graft 354 Thinning, Trimming, and Shaping of On-lay Island Grafts 354 Indications for Surgery 354 Surgical Techniques of On-lay Tympanoplasty with Island Grafts 355 Anterior Perforation 355 Inferior Perforation 357 Total and Subtotal Perforations 358 Results of Surgery with On-lay Techniques 362 Author s Comments and Recommendations 363 Research on Epithelialization of the Cartilage Grafts is Needed 364 24 In-lay On-lay Tympanoplasty Techniques with Cartilage-Perichondrium Composite Island Graft 365 Definition 365 Harvesting and Elaboration of the Graft 365 Indications for Application of the In-lay On-lay Graft 366 XII Table of Contents The In-lay On-lay Technique 366 Anterior Perforation 366 Posterior Perforation 368 Inferior Perforation 368 Subtotal Perforation 368 Total Perforation 371 Pediatric Interleave Tympanoplasty 371 Results of Surgery 373 Results of Pediatric Cartilage Interleave Tympanoplasty 374 Author s Comments and Recommendations 375 Minimally Invasive Surgery 375 Composite Island Grafts for Small and Medium-sized Perforations 375 25 In-lay Butterfly Cartilage Tympanoplasty 376 Definition 376 Indications 376 Harvesting and Shaping of the Butterfly Cartilage Graft 376 The In-lay Butterfly Cartilage Technique 378 Grafting of a Small Anterior Perforation 378 Grafting of a Medium-Sized Inferior Perforation 378 Butterfly Technique in Large Perforations 378 Butterfly Prosthesis Placed onto the Bony Annulus 378 Results of the In-lay Butterfly Technique 381 Author s Comments and Recommendations 381 Problems with Epithelialization of the Graft .. 384 Elevation of the Epithelium Instead of Removal 385 Closure of Large Perforations and Postoperative Hearing 385 Future Research Needed 385 26 Composite Chondroperichondrial Clip Tympanoplasty: The Triple C Technique 387 Definition 387 Indications for the Triple C Techniques 387 Harvesting and Preparation of the Graft 388 Surgical Techniques 389 Anterior Perforation 389 Inferior Perforation 391 Posterior Perforation 396 Results of Triple C Technique 402 Author s Comments and Proposals 402 27 The Fate of Implanted Cartilage Crafts 403 The Nourishment of the Cartilage 403 Experiments on the Fate of Transplanted Cartilage 403 Living Cartilage Implanted into Animals 403 Living Cartilage Implanted into Humans 403 Otological Research on Cartilage Grafts 404 The Fate of Cartilage Columellae and Struts... 404 The Fate of Cartilage Grafts after Myringoplasty 405 Author s Comments and Recommendations 406 The Fate of the Implanted Cartilage and Clinical Consequences 407 28 Clinical Research in Cartilage Tympanoplasties .. 410 Postoperative Results without Comparison with Other Series 410 Comparison of Functional Results within the Same Cartilage Tympanoplasty in Relation to the Preoperative Tubal Function 410 Comparison of Functional Results within the Same Cartilage Tympanoplasty in Relation to the Postoperative Tubal Function 410 Comparison of the Results in Cartilage Tympanoplasty Methods with the Results in Tympanoplasty Methods Using Fascia or Perichondrium Graft 411 Tympanoplasty with Total Pars Tensa Cartilage-Perichondrium Composite Island Graft Compared with Tympanoplasty with Perichondrium Graft 411 Underlay Tympanoplasty with Cartilage Palisades Compared with Underlay Tympanoplasty with Fascia Graft 411 Tympanoplasty with Total Pars Tensa Cartilage- Perichondrium Composite Island Graft Compared with Tympanoplasty with Fascia Graft 411 Underlay Tympanoplasty with Cartilage Strips Compared with Underlay Tympanoplasty with Fascia 411 Comparison of Results between Various Cartilage Tympanoplasty Methods 411 Proposals for the Methods of Clinical Research in Cartilage Tympanoplasty 411 Comparison of Results within Group A 411 Index 414 Cross references occasionally appear in the text of this book labeled MMES_1, MMES_2, MMES_3, and MMES_4. These refer to figures contained in the four-volume series Manual of Middle Ear Surgery, written by Professor Mirko Tos, published by Thieme Publishers between 1993 and 2000. MMES_1: Vol. 1. Approaches, Myringoplasty, Ossiculoplasty,Tympanoplasty (1993) MMES_2: Vol. 2. Mastoid Surgery and Reconstructive Procedures (1995) MMES_3i Vol. 3. Surgery of the External Auditory Canal (1997) MMES_4: Vol. 4. Surgical Solutions for Conductive Hearing Loss (2000)
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genre	Bildliche Darstellung gnd
genre_facet	Bildliche Darstellung
id	DE-604.BV036866009
illustrated	Illustrated
indexdate	2024-07-09T22:49:44Z
institution	BVB
isbn	9783131450913
language	English
oai_aleph_id	oai:aleph.bib-bvb.de:BVB01-020781678
oclc_num	499082471
open_access_boolean
owner	DE-355 DE-BY-UBR DE-29
owner_facet	DE-355 DE-BY-UBR DE-29
physical	XII, 420 S. zahlr. Ill. 28 cm
publishDate	2009
publishDateSearch	2009
publishDateSort	2009
publisher	Thieme
record_format	marc
spelling	Tos, Mirko Verfasser (DE-588)112631002 aut Cartilage tympanoplasty [classification of methods, techniques, results] Mirko Tos Stuttgart ; New York, NY Thieme 2009 XII, 420 S. zahlr. Ill. 28 cm txt rdacontent n rdamedia nc rdacarrier Literaturangaben Ohrmuschel (DE-588)4133603-3 gnd rswk-swf Operationstechnik (DE-588)4215428-5 gnd rswk-swf Tympanoplastik (DE-588)4061312-4 gnd rswk-swf Knorpel (DE-588)4031355-4 gnd rswk-swf Bildliche Darstellung gnd rswk-swf Ohrmuschel (DE-588)4133603-3 s Knorpel (DE-588)4031355-4 s Tympanoplastik (DE-588)4061312-4 s Operationstechnik (DE-588)4215428-5 s Bildliche Darstellung f DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020781678&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Tos, Mirko Cartilage tympanoplasty [classification of methods, techniques, results] Ohrmuschel (DE-588)4133603-3 gnd Operationstechnik (DE-588)4215428-5 gnd Tympanoplastik (DE-588)4061312-4 gnd Knorpel (DE-588)4031355-4 gnd
subject_GND	(DE-588)4133603-3 (DE-588)4215428-5 (DE-588)4061312-4 (DE-588)4031355-4
title	Cartilage tympanoplasty [classification of methods, techniques, results]
title_auth	Cartilage tympanoplasty [classification of methods, techniques, results]
title_exact_search	Cartilage tympanoplasty [classification of methods, techniques, results]
title_full	Cartilage tympanoplasty [classification of methods, techniques, results] Mirko Tos
title_fullStr	Cartilage tympanoplasty [classification of methods, techniques, results] Mirko Tos
title_full_unstemmed	Cartilage tympanoplasty [classification of methods, techniques, results] Mirko Tos
title_short	Cartilage tympanoplasty
title_sort	cartilage tympanoplasty classification of methods techniques results
title_sub	[classification of methods, techniques, results]
topic	Ohrmuschel (DE-588)4133603-3 gnd Operationstechnik (DE-588)4215428-5 gnd Tympanoplastik (DE-588)4061312-4 gnd Knorpel (DE-588)4031355-4 gnd
topic_facet	Ohrmuschel Operationstechnik Tympanoplastik Knorpel Bildliche Darstellung
url	http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020781678&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
work_keys_str_mv	AT tosmirko cartilagetympanoplastyclassificationofmethodstechniquesresults

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