structive, and pediatric mastoidectomy. Virtually all chronic ear diseases can be handled by having a thorough knowledge of those techniques. Some otologists believe that general otolaryngologists should not perform stapedectomy, an opinion I do not agree with. If an otolaryngologist is performing at least five stapedectomies per year and has predictably excellent results, I see no reason to limit that activity. Therefore, three chapters are devoted to the operation, including a chapter on endoscopic procedures relating to otosclerosis. Our intent is to present stapedectomy as a procedure that the surgeon may relatively quickly review prior to performing it to enhance operator poise and surety We present two chapters on ossiculoplasty, each written by internationally renowned otologists, with the idea that the reader should be given more choice when it comes to reconstructing the ossicular chain. There are many ways to get a satisfactory result and those options should be readily available.

Later on, the text presents some procedures that may require additional training or expertise, but nevertheless remain true otolaryngologic procedures. Canaloplasty for atresia can be one of the most demanding of all otologic procedures. Our chapter makes each step seem clear as possible, and is an excellent review for those about to take that operation on. Surgery for Meniere's disease has had its controversy over the decades, but many otologists, including me, believe that endolymphatic sac surgery has its place and should be part of the surgeon's armamentarium. Labyrinthectomy and basic neurotologic procedures present more options on how to treat recalcitrant Meniere's and other diseases. Finally, the book presents the newest technology and information regarding cochlear implants and implantable hearing aids. The future may indeed lie in those areas, particularly in implantable hearing aids, once costs are held to reasonable levels so that the general public can afford such operations or third-party payers decide it is good policy to cover implantation.

I am confident that once the general otolaryngol-ogist and otolaryngology resident becomes familiar with this text, it will be used often. The future will determine the course of the next edition. I am convinced that our approach, presenting each chapter as a procedure, is an excellent way to present this information. I hope you, the reader, will enjoy the book as much as we enjoyed preparing it.

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