By Aina Julianna Gulya

Precise wisdom of the complicated microanatomy of the temporal bone is key for surgeons executing invasive healing strategies. in line with the human temporal bone assortment on the Massachusetts Eye and Ear Infirmary, this lavishly illustrated 3rd variation encompasses a DVD providing 159 full-color photomicrographs and side-by-side three-D stereo photographs for split-screen viewing of standard and irregular shows of the human temporal bone.

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

Sample text

11 on p. ) CHAPTER 1: SERIAL PHOTOGRAPHS OF SECTIONS OF THE TEMPORAL BONE ■ 25 Figure 42 The conical shape of the pars tensa is evident. The stapedius tendon attaches to the head of the stapes. The promontory of the cochlea lies fully exposed. The posterior ampullary nerve traverses the singular canal on its way to the ampulla of the posterior canal. There is a small arachnoid cyst causing slight displacement but no atrophy of the cochlear nerve bundles in the internal auditory canal. (Comparable to Fig.

The subcutaneous layer has no glands or hair follicles. The bony posterior wall of the external auditory canal, which overlies the mastoid air cells, may be extremely thin (Fig. 4). The thinness of the skin of the bony external auditory canal has the following clinical implications: (1) it is easily traumatized during manipulations such as removing cerumen, (2) it is easily torn in the course of surgical procedures such as tympanotomy, and (3) it permits thermal irritation of the periosteum and consequently the formation of exostoses caused by swimming in cold water.

The anterior and posterior tympanic striae extend from the lateral process of the malleus to the anterior and posterior tympanic spines, respectively. These striae divide the tympanic membrane into larger pars tensa below, and smaller triangular pars flaccida (or Shrapnell’s membrane) above. The superior recess of the tympanic membrane is eponymically known as Prussak’s space (9). The pars flaccida forms the lateral border of this space as it attaches superiorly to the bony margins of the notch of Rivinus or tympanic incisura.

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