The Malleus in Ossicular Reconstruction
The presence or absence of a malleus affects the hearing results in ossiculoplasty, particularly in the absence of a stapes superstructure. Numerous authors have emphasized the importance of the malleus…
Histopathology of Chronic Otitis Media
Otitis media is an inflammation of the middle ear cleft. It has been suggested that all types of otitis media represent different stages of a continuum of events, with the…
Chronic Otitis Media in the Setting of Congenital Ear Disease
Chronic otitis media, defined by the presence of a tympanic membrane perforation or cholesteatoma, is rare in the setting of congenital middle ear abnormalities. Chronic otitis media may take several…
Radiographic Evaluation of Chronic Ear Disease
The role of preoperative imaging has been the subject of debate among those who perform chronic ear surgery. It has been argued that preoperative imaging of the chronic ear is…
Epitympanectomy
The epitympanum is an important anatomical region in otologic surgery, particularly in the treatment of cholesteatoma and chronic suppurative otitis media. Its relevance in the treatment of lesions that extend…
Implantable Hearing Devices and Chronic Otitis Media
Implantable hearing devices have now become standard of care for the rehabilitation of many hearing loss conditions. Devices include cochlear implants (CIs), bone conduction systems, and also active middle ear…
Canal Wall-Up Techniques
Variations of the mastoidectomy procedure are a prerequisite for the management of chronic ear disease. The canal wall-up (CWU, also known as intact–canal wall [ICW] or combined approach) mastoidectomy has…
Pathophysiology of Cholesteatoma
Introduction The word cholesteatoma is connected to Johannes Mueller, a German pathologist who introduced it in the year 1838 as a term for a “tumeur perleé,” which had previously been…
Evaluation and Nonsurgical Management of Chronic Suppurative Otitis Media
The technical definition of otitis media is inflammation of the middle ear space without any reference to etiology, and, in medical terms, a chronic condition typically persists at least 3…