OBJECTIVE To describe and quantify growth patterns of cholesteatomas within the middle ear using a scaled rating system that characterizes patterns of ossicular erosion. STUDY DESIGN Retrospective case review. SETTING Tertiary referral center. PATIENTS Patients undergoing first-time surgery for primary and secondary acquired cholesteatomas. INTERVENTIONS Intraoperative assessments of os...

Background: Exploratorytympanotomy is done to identify the cause ofconductivehearingloss in a patient withintacttympanic membrane. Objective: Toenlist and analyze the middle ear pathologies in patients with conductive hearing loss with intact tympanic membrane. Methods: 50 patients in age group between 20 years and 50 years, with hard of hearing, consulting department of ENT at a tertiary care ...

A sweep-frequency tympanometer has been developed to diagnose auditory ossicular lesions more precisely. This device measures acoustic middle ear features by changing the probe tone frequency continuously. The oscillator sweeps frequency of the probe tone from 200 to 2,500Hz 1.5 seconds. A microphone picks up the changes in the acoustic pressure and the phase in the external auditory meatus dur...

Objectives: To evaluate the anatomical and audiological out­ comes of synchronous ossiculoplasty with ossicular replace­ ment prosthesis during canal wall down mastoidectomy for advanced cholesteatoma. Methods: The prospective study was done at a tertiary referral institute included 30 patients of cholesteatoma who underwent canal wall down mastoidectomy. Ossicular reconstruction was performed ...

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:...

Background: Conductive hearing loss due to ossicular abnormalities occurs from many causes, including trauma, infection, cholesteatoma, surgery and congenital anomalies. Surgical reconstruction of the ossicular chain is a wellestablished procedure for repair of ossicular defects, but is still plagued by high failure rates. Underlying disease and proper sizing of prostheses are two challenges th...

Objective The purpose of this study is to evaluate our experience with endoscopic repair of ossicular discontinuity at the incudostapedial joint, with or without an intact stapes suprastructure, and present our hearing results. We classify results based on the causative pathology, the type of ossiculoplasty, and type of lesion. We demonstrate the ability to endoscopically place a total ossicula...

Introduction: The use of ossicular graft material in ossicular chain reconstruction has significantly improved hearing results hearing after tympanoplasty and tympanomastoid surgery for chronic otitis media. Today, otologists have a wide array of tools from which to choose, but may find it difficult to know which middle ear implant works best.   Materials and Methods: A prospective study of 80 ...

BACKGROUND Bone conduction (BC) threshold depression is not always by means of sensory neural hearing loss and sometimes it is an artifact caused by middle ear pathologies and ossicular chain problems. In this research, the influences of ear surgeries on bone conduction were evaluated. MATERIALS AND METHODS This study was conducted as a clinical trial study. The ear surgery performed on 83 pa...

The potential risk of infection due to the biofilm formation on implant surface constitutes one of the drawbacks of hydroxyapatite ossicular chain prostheses. The current study explores the use of chitosan nanoparticles as an antimicrobial agent impregnated in hydroxyapatite to prevent pathogenic colonization and subsequent suboptimal outcomes associated with ossicular reconstruction surgeries....