INTRODUCTION Various graft materials have been used to close tympanic membrane perforations. In the literature, there are few studies in pediatric populations comparing different graft materials. To our knowledge, there is no reported study that measured the thickness of the tragal cartilage in pediatric tympanoplasties. The tragal cartilage is not of uniform thickness in every patient. OBJEC...

We report a rare case of a temporal bone encephalocele after a canal wall down mastoidectomy performed to treat chronic otitis media with cholesteatoma. The patient was treated successfully via an intracranial approach. An enhanced layer-by-layer repair of the encephalocele and skull base deficit was achieved from intradurally to extradurally, using temporalis fascia, nasal septum cartilage, an...

This paper reviews the diagnosis and treatment of temporal bone meningoencephalocele , defined as the herniation of meninges or brain tissue into empty spaces within the temporal i.e tympanic or mastoid cavity , through the tegmen tympani or antri respectively. Imaging is the mainstay of the diagnostic process. Management of the condition is surgical , special emphasis on the transmastoid appro...

s: Management of facial paralysis varies according to the cause, the extent and type of paralysis (total vs partial, unilateral vs bilateral) as well as the duration of paralysis. Facial nerve reconstruction including restitution of the facial symmetry and facial expression is a great surgical challenge. Considering the often disappointing results achieved with the currently available technique...