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 ot...

Introduction There is limited evidence regarding the quality of otolaryngology residency programs in Iran. Regarding this, the present study aimed to assess some aspects of otolaryngology residency program in the field of otology in Iran based on the perspectives of faculty members and graduates.   Materials and Methods: This study was conducted on 105 recent graduates and 30 faculty members an...

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...

OBJECTIVES/HYPOTHESIS To prospectively evaluate surgical findings and hearing results in children undergoing surgery for congenital malformations of the ossicular chain with a mobile stapes footplate (Teunissen and Cremers class III malformations). STUDY DESIGN A nonrandomized, nonblinded, prospective case series. METHODS Fifteen consecutive pediatric patients who underwent 17 surgical proc...

OBJECTIVE To assess the efficacy of partial ossicular chain reconstruction using autologous cartilage. DESIGN Prospective study (April 1, 1997, through January 1, 2008). SETTING Tertiary academic children's hospital. PATIENTS Two hundred forty-eight children (268 ears) underwent partial ossicular chain reconstruction using a shaped block of tragal cartilage interposed between the head of ...

Otitis media is an inflammation of the middle ear cleft without reference to etiology or pathogenesis. Chronic suppurative otitis media (CSOM) is a destructive disease with irreversible sequelae and can proceed to serious intra and or extra cranial complications. The study of bacteriology and anti-biotic sensitivity is necessary in management of CSOM and is essential for the ENT surgeon to make...

HYPOTHESIS Ossiculoplasty using prosthetic reconstruction with a malleus assembly to the stapes head will result in better transmission of vibrations from the eardrum to the stapes footplate than reconstruction with a tympanic membrane assembly to the stapes head. Both types of reconstruction will be affected by tension of the prosthesis. BACKGROUND Theories (and some clinical studies) that t...

OBJECTIVES/HYPOTHESIS To prospectively evaluate surgical findings and hearing results in children undergoing surgery for congenital oval or round window malformations (class IV malformations). STUDY DESIGN A nonrandomized, nonblinded, case series of prospectively collected data. METHODS Fourteen consecutive pediatric patients who underwent 17 surgical procedures for congenital oval or round...

OBJECTIVES Mastoid obliteration is used to obliterate the mastoid cavity following a mastoidectomy or to prevent the formation of a retraction pocket. This study evaluated the effectiveness of β-tricalcium phosphate and polyphosphate (β-TPP) for mastoid obliteration in middle ear surgeries in prospective human and animal studies. METHODS Twenty patients with chronic otitis media underwent mas...

OBJECTIVE To describe the technique used for total ossiculoplasty with the Fisch titanium total prosthesis and evaluate the 1-year postoperative functional results in patients presenting with the stapes (or footplate) without the malleus handle. STUDY DESIGN Prospective trial with preoperative and postoperative comparison. SETTING Academic and private practice tertiary care center for otolo...