Surgery to correct congenital conductive hearing loss affords an opportunity for the otologic surgeon to drastically alter the patient’s hearing environment and offer a normal level of hearing in lieu of a lifetime of hearing aids. Unfortunately, the spectrum of abnormalities encountered in the congenital middle ear is wide, and the surgeon must be prepared for a variety of tasks. Perhaps the m...

Objective Chronic otitis media most commonly causes an ossicular chain defect in incus. Different materials can be used for repair of this defect. In this study, the hydroxyapatite prosthesis, used for repair of the incus defect, was compared with the incus interposition. Methods Between 2010 and 2016, 27 female and 16 male patients who underwent ossiculoplasty due to an incus defect were stu...

INTRODUCTION This study was designed to evaluate the usefulness of mastoid cavity obliteration with combined bone pâté and Palva flap in the prevention of problematic mastoid cavities after canal wall down mastoidectomy. MATERIALS AND METHODS In a prospective longitudinal study with a mean follow-up of 28 months conducted between 2008-2012, a series of 56 ears in 48 patients with chronic otit...

OBJECTIVES/HYPOTHESIS To evaluate modified coupling techniques of the Vibrant Soundbridge system in patients with mixed and conductive hearing loss and to compare it with conventional vibroplasty. STUDY DESIGN Retrospective study. METHODS Two different groups were evaluated: 1) nine cases of conventional incus vibroplasty in comparison with 2) nine patients with modified coupling of the flo...

OBJECTIVES To analyze frequency-specific hearing results after surgery for chronic ear diseases while considering pathological findings and various surgical factors. METHODS Patients who underwent surgical management of chronic otitis media were reviewed retrospectively (n=559). Using pure tone audiometry, air conduction (AC), bone conduction (BC), and air bone gap (ABG) change between pre- a...

Techniques and biomaterials for reconstructive middle ear surgery are continuously and steadily developing. At the same time, clinical post-surgery results are evaluated to determine success or failure of the therapy. Routine quality assessment and assurance is of growing importance in the medical field, and therefore also in middle ear surgery. The exact definition and acquisition of outcome p...

OBJECTIVE To analyse patients with cholesteatoma undergoing canal wall down mastoidectomy together with ossicular reconstruction with a titanium prosthesis, in order to identify factors associated with hearing outcomes. STUDY DESIGN Retrospective review of 97 cases undergoing single-stage surgical management. METHODS All patients underwent canal wall down mastoidectomy. Kurz titanium ossicu...