There are many different ways to treat complex chronic middle ear disease, with ongoing advancements being made globally. Diverse approaches are necessitated for variations in patient age, degree of infection, extent of middle ear remodeling, inflammation severity, and underlying mechanisms of Eustachian tube dysfunction. Addressing multinational and clinical nuances, the editors have compiled 48 chapters with eclectic perspectives from otology experts in 13 countries.The surgical anatomy of the middle ear cleft and mastoid and underlying pathophysiological mechanisms of chronic otitis media are clinically challenging. Articles cover anatomy, physiology, disease characterizations and manifestations, clinical evaluation, office management, surgical procedures, and new horizons. Traditional and newer hybrid techniques for systematic disease and inflammatory conditions are presented in roundtable format, for example, underlay fascia tympanoplasty as well as the use of cartilage and bioengineered materials.Selected Key Topics: Applied middle ear anatomy and physiology Pathologic mechanisms of chronic otitis media Office evaluation, management and surgical decision making Mastoid cavity obliteration and canal wall reconstruction Challenges in tympanoplasty and ossicular chain reconstruction Traditional and hybrid tympanomastoid surgery Hearing implants in the chronic ear This is an exceptional teaching tool for ear surgeons in training as well as a must-have clinical resource for practicing otolaryngologists.

There are many different ways to treat complex chronic middle ear disease, with ongoing advancements being made globally. Diverse approaches are necessitated for variations in patient age, degree of infection, extent of middle ear remodeling, inflammation severity, extent of middle ear remodeling, and underlying mechanisms of Eustachian tube dysfunction. Addressing multinational and clinical nuances, the editors have compiled 48 chapters with eclectic perspectives from otology experts in 13 countries.Exceptional teaching toolThe surgical anatomy of the middle ear cleft and mastoid and underlying pathophysiological mechanisms of chronic otitis media are clinically challengingArticles cover anatomy, physiology, disease characterizations and manifestations, clinical evaluation, office management, surgical procedures, and new horizonsTraditional and newer hybrid techniques for systematic disease and inflammatory conditions are presented in roundtable format

Part 1. The Fundamentals of Chronic Ear Disease1. Chronic Ear Disease in the Modern Era: Evolution of Treatment, Epidemiology, and Classification2. Eustachian Tube Dysfunction, Mucosal Gas Exchange, and Effusion3. Tympanic Membrane Wound Healing and Epithelial Migration4. Pathophysiology of Cholesteatoma5. Microbiology of Chronic Ear Disease6. Histopathology of Chronic Otitis Media7. Surgical Anatomy Relevant to the Chronic Ear8. Biomaterials in Tympanomastoid Surgery9. Middle Ear Mechanics in Hearing ReconstructionPart 2. Clinical Evaluation and Office Management of Chronic Ear Disease10. Pearls in Audiovestibular Assessment11. Radiographic Evaluation of Chronic Ear Disease12. Inflammatory Conditions and Systemic Diseases Affecting the Middle Ear13. Myringitis14. Office Evaluation and Management of a Canal Wall-Down Mastoid Cavity15. Tubo-Tympanic Diseases: Retraction, Atelectasis, and Middle Ear Effusion16. Evaluation and Nonsurgical Management of Chronic Suppurative Otitis Media17. Intratemporal and Intracranial Complications of Otitis MediaPart 3. Introduction to Surgical Management of Chronic Ear Disease18. General Principles of Surgery for Chronic Ear Disease19. Tympanostomy Tubes20. Canalplasty and Meatoplasty21. Cholesteatoma Dissection: Problems and SolutionsPart 4. Roundtable on Tympanic Membrane Reconstruction22. Overview and Introduction23. Underlay and Related Techniques24. Overlay Tympanoplasty Technique25. Cartilage TympanoplastyPart 5. Roundtable on Ossiculoplasty26. Overview and Introduction27. Reconstruction of the Incudostapedial Articulation28. Autograft Ossicular Reconstruction29. Ossiculoplasty with Synthetic PORPS and TORPS30. The Malleus in Ossicular Reconstruction31. Surgical Management of the Fixed Stapes in Chronic Ear DiseasePart 6. Roundtable on Tympanomastoidectomy32. Overview and Introduction33. Canal Wall-Up Techniques34. Epitympanectomy35. Canal Wall-Down MastoidectomyPart 7. Roundtable on Hybrid Tympanomastoid Surgical Techniques36. Overview and Introduction37. Retrograde Technique for Management of Cholesteatoma38. Canal Wall Removal and Replacement with Obliteration39. Soft-Wall Canal Reconstruction40. Canal Wall Reconstruction Using the Titanium Mesh CagePart 8. Special Topics and New Horizons in Surgery for Chronic Ear Disease41. Mastoid Cavity Obliteration42. Skull Base Approaches in Chronic Ear Surgery43. Implantable Hearing Devices and Chronic Otitis Media44. Endoscopic Ear Surgery45. Eustachian Tuboplasty46. Tympanic Membrane Tissue Engineering47. Chronic Otitis Media in the Setting of Congenital Ear Disease48. Skin Grafting in the Management of Chronic Ear Disease