About The Book

In the treatment of otosclerosis, it is crucial that surgeons be in full command of the many nuances involved in this extraordinarily challenging surgery. Authors Chris de Souza, Marcos V. Goycoolea, and Neil M. Sperling have written a comprehensive text, Otosclerosis: Diagnosis, Evaluation, Pathology, Surgical Techniques, and Outcomes, for otologic surgeons seeking to provide treatment with the most current surgical techniques. As a guide to performing stapedectomies, this book is a concise and practical aid paired with an invaluable atlas developed by internationally acknowledged experts. These full-color photos and illustrations are effective learning tools for ensuring the best surgical results. Furthermore, the experience and techniques offered by these experts have been gleaned through years of success performing this demanding procedure.

The accompanying DVD includes 15 videos that demonstrate a step-by-step approach to performing stapedectomy procedures. The young surgeon studying stapes surgeries will find these videos applicable to challenges specific to this surgery, and seasoned surgeons will find these videos to be a convenient resource.

Part VII includes Chapters 20-26 and serves as an altas with beautiful step-by-step illustrations and photos.

With both theoretical and practical aspects addressed succinctly, yet thoroughly, through contributions from the following acclaimed international experts, Otosclerosis: Diagnosis, Evaluation, Pathology, Surgical Techniques, and Outcomes, will be an authoritative text for years to come.


Audrey P. Calzada, MD, Los Angeles, CA
John C. Goddard, MD, Los Angeles, CA
Robert K. Jackler, MD, Stanford, CA
Thomas Linder, MD, Lucerne, Switzerland
A. G. Pusalkar, MD, Mumbai, India
Christoph Schlegel-Wagner, MD, Lucerne, Switzerland
Robert Vincent, MD, Béziers, France
Richard J. Wiet, MD, Chicago, IL

About The Authors

Chris de Souza MS, DORL, DNB, FACS, FRCS trained at the University of Minnesota with Dr. Michael Paparella, and completed his externship in otology and neurotology with Dr. Michael Glasscock and Dr. C. Gary Jackson at Baptist Hospital in Nashville, Tennessee. He furthered his training in India and was given the gold medal in the DORL exam from the College of Physicians and Surgeons in Mumbai, India. In 1995, Dr. de Souza was the second person in the world to be awarded the Orbit Silver Medal for his work on the nose, paranasal sinuses, and skull base. He was appointed visiting assistant professor of Otorhinolaryngology-Head and Neck Surgery at the State University of New York, Brooklyn and also at the Louisiana State University Health Science Center, Shreveport, where he has conducted temporal bone surgery workshops. He has held these appointments for the past 16 years. Dr. de Souza has published extensively in internationally peer-reviewed journals and several of his publications are considered landmark papers. He has published 18 postgraduate ENT medical textbooks in the United States, Germany, and India. Currently, he is editor-in-chief of the International Journal of Head and Neck Surgery. Dr. de Souza’s current clinical appointments include senior ENT consultant at Lilavati Hospital, Tata Memorial Hospital, Holy Family Hospital, and the Holy Spirit Hospital in Mumbai, India, and he is also the coordinator for implantable hearing devices in children and adults at Holy Family Hospital.

Marcos V. Goycoolea, MD, MS, PhD, completed medical school at the University of Chile and obtained his master’s and doctoral degrees in basic sciences—as a Phi Beta Kappa graduate student—at the University of Minnesota. He also completed his Ear, Nose and Throat (ENT) residency at the University of Minnesota. Dr. Goycoolea joined the University of Minnesota faculty as an associate professor in the Minnesota Ear, Head & Neck Clinic (currently the Paparella Clinic). He is a member of the American Academy of Otolaryngology, the American Otological Society, the Collegium Otolaryngologicum (where he was a board member for12 years), the Chilean Society of Otolaryngology, and is an honorary member of numerous societies, including the Otolaryngological Society of Spain. He has published more than 180 refereed peer-reviewed papers and numerous chapters, edited textbooks and surgical atlases, and been principal investigator of various research grants. Dr. Goycoolea has developed original surgical techniques, and has described new cell groups in the ear as well as a syndrome of musical memory. He is currently working at Clínica Las Condes in Santiago, Chile where he is an otologist and he is also a member of both the Academic Board and Board of Directors at this institution.

Neil M. Sperling, MD, FACS, is in full-time otologic practice at the New York Otolaryngology Group in New York City. He is associate professor in the Department of Otolaryngology at State University of New York (SUNY) Downstate College of Medicine in Brooklyn, New York, where he served as the director of otology from 1991–2010. He also serves on the teaching faculty at the Causse Ear Hospital in France, one of the most innovative and experienced centers in the world for ear surgery and stapedectomy surgery.

Dr. Sperling graduated with honors from New York Medical College. He completed his postgraduate residency in Otolaryngology-Head and Neck Surgery at the New York Eye and Ear Infirmary, and a fellowship in otologic surgery and research at the Minnesota Ear Clinic and the University of Minnesota in Minneapolis under Dr. Michael Paparella. He is a member of Alpha Omega Alpha Honor Medical Society, the American Neurotology Society, the American Academy of Otolaryngology-Head and Neck Surgery, the American College of Surgeons, and the New York Otologic Society.

Table oF Contents

List of Videos

Part I. Basic Science

  • Chapter 1. Pathology of Otosclerosis
  • Chapter 2. Genetics of Otosclerosis
  • Chapter 3. Measles and Otosclerosis
  • Chapter 4. Molecular Biology

Part II. Investigations

  • Chapter 5. Audiological Evaluation of the Patient with Otosclerosis
  • Chapter 6. Radiological Imaging of Otosclerosis

Part III. Cochlear Otosclerosis and Conservative Management of Otosclerosis

  • Chapter 7. Cochlear Otosclerosis
  • Chapter 8. Medical Treatment of Otosclerosis
  • Chapter 9. Hearing Aids and Otosclerosis

Part IV. Surgical Management of Otosclerosis

  • Chapter 10. Stapedectomy
  • Chapter 11. Stapedectomy Versus Stapedotomy
  • Chapter 12. Lasers in Otosclerosis
  • Chapter 13. The Stapedectomy Prothesis
  • Chapter 14. Bilateral Otosclerosis
  • Chapter 15. Revision Stapedectomy

Part V. Complications of Stapedectomy

  • Chapter 16. Post-Stapedectomy Perilymph Fistula

Part VI. Miscellaneous

  • Chapter 17. Obliterative Otosclerosis
  • Chapter 18. The Learning Curve
  • Chapter 19. Special Conditions and Complications in Otosclerosis Surgery

Part VII. Atlas

  • Chapter 20. The Art of Stapes Surgery
    • Robert K. Jackler
    • Christine Gralapp, Chapter Illustrator
  • Chapter 21. Otosclerosis: Clinical Considerations
    • Richard James Wiet
  • Chapter 22. Obliterative Otosclerosis
    • Neil M. Sperling and Robert Vincent
  • Chapter 23. How to Do a Stapedotomy When the Facial Nerve is Dehiscent
    • Thomas Linder and Christoph Schlegel-Wagner
  • Chapter 24. Revision Stapes Surgery: Technique of Neil M. Sperling
    • Neil M. Sperling
  • Chapter 25. Revision Stapedectomy: Technique of John C. Goddard
    • John C. Goddard and Audrey P. Calzada
  • Chapter 26. Causes of Failure of Stapedectomy
    • A. G. Pusalkar

List of Videos on DVD

  • 1. Malleostapedectomy in Otosclerosis
    • Thomas Linder and Christoph Schlegel-Wagner

  • 2. Stapedotomy in Persistent Stapedia Artery
    • Thomas Linder and Christoph Schlegel-Wagner

  • 3. Full Stapedotomy Procedure
    • Neil M. Sperling

  • 4. Laser-Assisted Superstructure Removal
    • Neil M. Sperling

  • 5. Laser Rosette
    • Neil M. Sperling

  • 6. Vein Graft Replacement
    • Neil M. Sperling

  • 7. Bucket-Handle Prosthesis Placement
    • Neil M. Sperling

  • 8. Loop Piston Placement
    • Neil M. Sperling


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