The discomalleolar ligament (Pinto's ligament) is not described in the anatomy textbooks but was demonstrated by Pinto and others. This is a ligamentous structure connecting the malleus in the tympanic cavity and the articular disc and capsule of the temporomandibular joint. This anatomical relationship between the middle ear and the temporomandibular joint is supposed to be one of the explanat...

OBJECTIVE To determine the longitudinal effectiveness of the malleus to oval window stapedotomy technique among patients undergoing revision surgery when the incus is unavailable. STUDY DESIGN Retrospective, case series. METHODS Charts of 15 patients who underwent 17 malleus attachment stapedotomies performed by a single surgeon from 2000 to 2015 were reviewed. Surgery was ambulatory, trans...

We report a rare case where Q-tip induced mixed hearing loss without perilymph fistula and demonstrate the need for computed tomography imaging with three-dimensional reconstruction where fracture and dislocation of the stapes are suspected. A 28-year-old male experienced an accidental penetrating injury by a Q-tip in the right ear 6 years previously. Temporal bone computed tomography revealed ...

Abstract
 Introduction
 Tympanoplasty is a surgical method, to eradicate middle ear infection and improve its function. In tympanoplasty graft can be by overlay or underlay technique. technique the material placed either medial lateral handle of malleus.
 Objective: To compare outcome surgery when temporalis fascia malleus, in terms complete take up hearing improvement after surg...

A 6-year-old girl with Down syndrome was referred to our team for joint management. She was having severe speech and language difficulties. Her hearing was assessed, and the pure tone audiometry showed a moderate conductive hearing loss (40 dB) in the left ear and profound hearing loss in the right ear. A CT scan and MRI of temporal bone (Figs. 1 and 2) revealed a hypodense mass in the left tym...

UNLABELLED The most common etiologies of tympanic membrane perforation are infections and trauma. OBJECTIVE The objective of the present study was to assess the healing of traumatic tympanic membrane perforation in rats. METHODS The tympanic membrane from male Wistar rats was perforated in the anterior and posterior portions to the handle of the malleus. Five tympanic membranes were evaluat...

SUMMARY A subset of patients presents with unilateral conductive hearing loss, a normal pinna or grade I microtia, and mild external auditory canal stenosis. The physical findings of microtia and a small external canal are commonly absent or subtle in this group of patients, who are being commonly referred for imaging to evaluate isolated conductive hearing loss. We present a case series of pat...