OBJECTIVE To determine factors that predict hearing results using a standard prosthesis system. STUDY DESIGN Retrospective chart review. SETTING Tertiary referral center. PATIENTS All patients undergoing ossiculoplasty with the Dornhoffer HAPEX partial and total ossicular replacement prostheses (PORP and TORP) from February 1995 to May 1999 who had documented postoperative follow-up and n...

Despite the fact that cartilage, cortical bone and corneal homograft tissue is still widely used in South Africa and that there has never been a reported case of human immunodeficiency virus or Creutzfeldt-Jakob disease infection transmission via this route, otolaryngologists are still reluctant to use homograft ossicles. In third world countries, such as South Africa, where ossicular prosthese...

Introduction: The aim of this study was to evaluate the condition of the ossicular chain in patients requiring surgery for cholesteatoma.  Materials and Methods: In a retrospective analysis, the destruction of the individual and combined bony structures of the ear was described in 166 patients with cholesteatoma who went through surgery in our Otology Center between 2003 and 2009.  Results:...

A combined tympanoplasty method, the mobile-bridge tympanoplasty, has been applied at the Clinic for Ear, Nose and Throat Diseases in Novi Sad since 1998. Mobile-bridge tympanoplasty is performed at our Clinic by applying Feldmann's procedure utilizing a microsurgical oscillating saw. It is a combination of closed and open techniques for surgical treatment of middle ear diseases. In addition to...

OBJECTIVES To evaluate the microsurgical skills training on a tympanoplasty model with regard to the learning curve and the participants' motivation for a surgical specialty. STUDY DESIGN Randomized controlled prospective study. SETTING Department of Otolaryngology, Head and Neck Surgery, Medical Campus Carl Gustav Carus at the Technische Universität Dresden, Germany. SUBJECTS Thirty rand...

HYPOTHESIS It was hypothesized that the differences in the bioacoustic performance of ossicular replacement prosthesis designs, and insertion positions, could be quantified using finite element analysis. BACKGROUND Many designs of prosthesis are available for middle ear surgery. The materials used, and the shape of the implants, differ widely. Advances in computer simulation technologies offe...

Background: Chronic otitis media (COM) is defined as a perforation of the tympanic membrane with persistent drainage pus from middle ear lasting at least two weeks. Tympanoplasty surgical procedure in ENT practice which aims removal diseased pathology along reconstruction sound conducting mechanism by reconstructing ossicular chain various materials. Methods:All cases CSOM deformity were includ...

This study was conducted to find out the status of the ossicles in cases of chronic suppurative otitis media (CSOM). One hundred and fifty cases of CSOM, who underwent surgery, were included and their intra-operative ossicular chain findings noted. Ossicular erosion was found to be much more common in unsafe CSOM than in safe CSOM. Malleus was found to be the most resistant ossicle to erosion w...