As every middle ear surgeon can attest, achieving good hearing results from middle ear reconstruction is difficult and unpredictable, with a myriad of factors impacting the outcomes. Published hearing results…
The use of cartilage in middle ear surgery is not a new concept and has been recommended on a limited basis to manage retraction pockets for many years.1,2 More recently,…
Canalplasty refers to the surgical procedure that attempts to restore or create the natural contour and patency of the external auditory canal (EAC). Meatoplasty, on the other hand, describes the…
An unstable canal wall-down mastoidectomy cavity has the potential to impart a major negative impact on a patient’s quality of life due to the collective burden of chronic otorrhea, frequent…
Although there are numerous procedures for external auditory canal wall reconstruction after its removal during cholesteatoma surgery, the soft-wall canal reconstruction (SWCR) technique, first reported by Smith et al in…
Meticulous removal of disease is a requirement common to the various types of cholesteatoma surgery. Although this may be pursued via one of a variety of described techniques for surgical…
This chapter will cover the underlay tympanoplasty, defined as the reconstruction of the tympanic membrane via placement of graft material medial to the tympanic membrane defect, with the graft positioned…
Safe and effective surgery for chronic ear disease demands an understanding of temporal bone anatomy and its relevance to function and pathophysiology. Whereas knowledge of surgical anatomy informs the technical…
Anatomy The incudostapedial joint connects the incus and stapes and represents the smallest interosseous joint in the human body. Like any other joint, it comprises hyaline cartilage, a synovial membrane,…
Several factors influence the results in ossiculoplasty, including the middle ear environment, the surgical technique, and the qualities of the prosthesis. There is no question that the first of these…
