AIMS The aim was to evaluate if any correlation exists between variation in angulation of Po-Na-ANS angle and relative parallelism of the occlusal plane to the different tragal levels of the ear in dentulous subjects. METHODOLOGY A total of 200 subjects were selected for the study. A custom made occlusal plane analyzer was used to determine the posterior point of the ala-tragal line. The late...

Introduction: Tympanoplasty is the procedure of choice for surgical correction tympanic membrane perforation triggered by either chronic otitis media or trauma. Various types autologous grafts have been used to close perforations among which temporalis fascia and tragal cartilage are preferred, due their anatomic proximity, ease harvesting suppleness.
 Aims: To compare clinical audiologica...

Learning Objectives: Patulous eustachian tube (PET) can have a significant negative impact on a patient’s quality of life. Several methods of surgical management can be an option to treat PET, and our objective is to evaluate the safety and efficacy of autologous cartilage injection in patients with PET. Thirty-three ears of twenty-five patientswith chronic PET refractory to conservative treatm...

The posterior reference for the ala tragal line is a cause of confusion, with different authors suggesting different locations as to the superior, middle or inferior part of the tragus. This study was conducted on 200 subjects to evaluate if any correlation exists between the variation of angulation of palatal throat form and the relative parallelism of occlusal plane to ala-tragal line at diff...

OBJECTIVE Candidates for revision tympanoplasty have experienced at least one failed attempt at repair of the tympanic membrane and are, therefore, at higher risk for subsequent repair failure. The adjunctive use of mastoidectomy with tympanoplasty in those patients with noncholesteatomatous chronic otitis media is often used to decrease the risk for subsequent failure. However, at this institu...

Abstract Background This study aims to compare the graft uptake rate and hearing improvement of fat versus inlay butterfly tragal cartilage in repair perforations chronic otitis media mucosal adults. In this retrospective study, twenty-eight patients were included with small dry anteroinferior tympanic membrane (less than 1/3 membrane). The age range was 18 44 years old. Myringoplasty done unde...

Objective: The perichondrium cartilage graft has its advantage not only on hearing outcome but also in graft uptake rate. So, the main aims are to compare the pre and post-operative hearing results and to observe the graft uptake rate. Materials and methodology: This is a prospective, longitudinal and analytical study conducted in the department of otorhinolaryngology in Kathmandu university ho...