Anatomy of the Temporal Bone with Surgical Implications, by Aina Julianna Gulya

By Aina Julianna Gulya

Distinct wisdom of the complicated microanatomy of the temporal bone is key for surgeons executing invasive healing methods. in line with the human temporal bone assortment on the Massachusetts Eye and Ear Infirmary, this lavishly illustrated 3rd version encompasses a DVD delivering 159 full-color photomicrographs and side-by-side 3-D stereo photos for split-screen viewing of ordinary and irregular displays of the human temporal bone.

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Additional resources for Anatomy of the Temporal Bone with Surgical Implications, Third Edition

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The pars flaccida, although lax, is actually thicker than the pars tensa (10). First described by Shrapnell (11), it also consists of epidermal, fibrous, and mucosal layers. The epidermis is composed of 5 to 10 layers of epithelial cells, the fibrous layer consists of irregularly arranged collagen and elastic fibers, and the mucosal layer is composed of simple squamous cells, as in the pars tensa. When the tympanic membrane is perforated by either trauma or infection, the extent of fibrous tissue proliferation determines the thickness of the healing membrane.

There are three extrinsic ligaments and three extrinsic muscles, both sets referred to as superior, anterior, and posterior. The superior ligament links the superior aspect of the bony external auditory canal to the spine of the cartilaginous helix, the anterior ligament connects the zygoma to the helix and the tragus, and the posterior ligament attaches the eminence of the concha to the mastoid process. The three extrinsic muscles originate from the galea aponeurotica of the scalp. The superior auricular muscle inserts upon the eminence of the triangular fossa, the anterior auricular muscle inserts upon the spine of the helix, and the posterior auricular muscle inserts upon the eminence of the cavum concha.

2 on p. ) Figure 39 At a deeper level, we see the genu of the facial nerve. It is an important landmark in the middle cranial fossa approach to the internal auditory canal. The vertical crest (also known as “Bill’s bar”) separates the facial nerve anteriorly from the superior vestibular nerve posteriorly. The lateral and posterior canals are both visible. The lateral part of the internal auditory canal is narrower than the midportion, with the cochlea located anteriorly and the ampulla of the superior canal located posteriorly.

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