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 tool

-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

Part 1. The Fundamentals of Chronic Ear Disease
1. Chronic Ear Disease in the Modern Era: Evolution of Treatment, Epidemiology, and Classification
2. Eustachian Tube Dysfunction, Mucosal Gas Exchange, and Effusion
3. Tympanic Membrane Wound Healing and Epithelial Migration
4. Pathophysiology of Cholesteatoma
5. Microbiology of Chronic Ear Disease
6. Histopathology of Chronic Otitis Media
7. Surgical Anatomy Relevant to the Chronic Ear
8. Biomaterials in Tympanomastoid Surgery
9. Middle Ear Mechanics in Hearing Reconstruction
Part 2. Clinical Evaluation and Office Management of Chronic Ear Disease
10. Pearls in Audiovestibular Assessment
11. Radiographic Evaluation of Chronic Ear Disease
12. Inflammatory Conditions and Systemic Diseases Affecting the Middle Ear
13. Myringitis
14. Office Evaluation and Management of a Canal Wall-Down Mastoid Cavity
15. Tubo-Tympanic Diseases: Retraction, Atelectasis, and Middle Ear Effusion
16. Evaluation and Nonsurgical Management of Chronic Suppurative Otitis Media
17. Intratemporal and Intracranial Complications of Otitis Media
Part 3. Introduction to Surgical Management of Chronic Ear Disease
18. General Principles of Surgery for Chronic Ear Disease
19. Tympanostomy Tubes
20. Canalplasty and Meatoplasty
21. Cholesteatoma Dissection: Problems and Solutions
Part 4. Roundtable on Tympanic Membrane Reconstruction
22. Overview and Introduction
23. Underlay and Related Techniques
24. Overlay Tympanoplasty Technique
25. Cartilage Tympanoplasty
Part 5. Roundtable on Ossiculoplasty
26. Overview and Introduction
27. Reconstruction of the Incudostapedial Articulation
28. Autograft Ossicular Reconstruction
29. Ossiculoplasty with Synthetic PORPS and TORPS
30. The Malleus in Ossicular Reconstruction
31. Surgical Management of the Fixed Stapes in Chronic Ear Disease
Part 6. Roundtable on Tympanomastoidectomy
32. Overview and Introduction
33. Canal Wall-Up Techniques
34. Epitympanectomy
35. Canal Wall-Down Mastoidectomy
Part 7. Roundtable on Hybrid Tympanomastoid Surgical Techniques
36. Overview and Introduction
37. Retrograde Technique for Management of Cholesteatoma
38. Canal Wall Removal and Replacement with Obliteration
39. Soft-Wall Canal Reconstruction
40. Canal Wall Reconstruction Using the Titanium Mesh Cage
Part 8. Special Topics and New Horizons in Surgery for Chronic Ear Disease
41. Mastoid Cavity Obliteration
42. Skull Base Approaches in Chronic Ear Surgery
43. Implantable Hearing Devices and Chronic Otitis Media
44. Endoscopic Ear Surgery
45. Eustachian Tuboplasty
46. Tympanic Membrane Tissue Engineering
47. Chronic Otitis Media in the Setting of Congenital Ear Disease
48. Skin Grafting in the Management of Chronic Ear Disease