We appreciate the valuable comments from Dr Mohnish Grover. We refer to case 1 in Table 1, where facial nerve function was House-Brakeman grade 1. This particular patient presented with conductive deafness and more interestingly with loss of the stapedial reflex at 250 Hz. The diagnosis of otosclerosis was made based on clinical findings. Computed tomography after the initial tympanotomy revealed extensive nature of the disease and trans-labyrinthine approach was undertaken. We would like to remind ourselves that nerve sheath tumor is one of the most common benign neoplasms arising from the middle ear, and the paraganglioma of the glomus jugulare is the commonest tumor of the middle ear.