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Iran J Otorhinolaryngol 2021 Mar;33(115):65-70

Department Of Otolaryngology , Head and Neck Surgery, Government Medical College, Patiala, India.

Introduction: The ossicles of the middle ear are affected by the erosive effect of pathology in chronic otitis media. Ossicular reparation can be done via autologous incus or with alloplastic materials. Glass ionomer cement (GIC) is simple to use and saves considerable operative time and expenses especially in developing countries where costly ossicular prosthesis are not affordable for the majority of the patients. Read More

Am J Otolaryngol 2021 Apr 17;42(5):103062. Epub 2021 Apr 17.

Department of Otolaryngology, Head and Neck Surgery, Friedrich-Alexander University Erlangen-Nuremberg (FAU), Erlangen, Germany.

Objectives: The aim of our study was to perform a comparative analysis in our cases with titanium partial clip ossiculoplasty in terms of audiometric outcome and extrusion rates as well as to review the literature for relevant information on this surgical issue.

Materials And Methods: The records of all patients who had undergone primary partial ossiculoplasty with the implantation of a CliP® Partial Prosthesis Dresden Type (CPPDT, group A) or a CliP Partial FlexiBAL® (CPF, Group B, both Heinz Kurz GmbH, Dusslingen, Germany) between 2012 and 2020 were studied retrospectively.

Results: 274 patients made up our study sample (148 men, 126 women, male to female ratio: 1. Read More

Otol Neurotol 2021 Mar 19. Epub 2021 Mar 19.

Sengkang General Hospital, Singapore Ear Science Institute Australia, Subiaco WA Ear Sciences Centre, Medical School, The University of Western Australia, Nedlands, Australia Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Otolaryngology-Head and Neck Surgery, Section Ear and Hearing, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.

Objective: Conductive hearing loss (CHL) commonly arises in patients with spontaneous dehiscence of the tegmen of the temporal bone with meningoencephalocele (SME). The aim of this study was to further investigate 1) the potential mechanisms for CHL in this setting; 2) hearing outcomes following surgery to address SME, and 3) the possible causes of persistent CHL following surgery.

Study Design: Retrospective case review. Read More

PLoS One 2021 11;16(3):e0248421. Epub 2021 Mar 11.

Audiology and Speech Pathology Center, Chang Gung Memorial Hospital, Chiayi, Taiwan.

Postoperative hearing improvement is one of the main expectations for patients receiving tympanoplasty. The capacity to predict postoperative hearing may help to counsel a patient properly and avoid untoward expectations. It is difficult to predict postoperative hearing without knowing the disease process in the middle ear, which can only be assessed intraoperatively. Read More

Exp Ther Med 2021 Mar 25;21(3):260. Epub 2021 Jan 25.

Department of ENT&HNS, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Middle ear problems are addressed using tympanoplasty, which requires a mobile tympanic membrane and secure sound-conducting mechanism. The present is a long-term, retrospective, non-controlled study on the results of ossiculoplasty using bioceramic implants of autochthonous origin and which defined the statistical relevant factors that could influence the rate of implant rejection. In a cohort of 108 patients ossiculoplasties with bioceramic implants were performed and patients were followed up clinically for a period of minimum 7 years. Read More

Int Arch Otorhinolaryngol 2021 Jan 24;25(1):e12-e17. Epub 2020 Apr 24.

Department of Audiology, University of Palermo, Palermo, PA, Italy.

 Retraction pocket is a condition in which the eardrum lies deeper within the middle ear. Its management has no consensus in literature.  To assess the role of mastoidectomy in the management of retraction pockets added to a tympanoplasty. Read More

J Laryngol Otol 2021 Mar 1;135(3):273-275. Epub 2021 Feb 1.

Department of ENT Surgery, Lister Hospital, Coreys Mill Ln, Stevenage SG1 4AB, East and North Hertfordshire NHS Trust, UK.

Objective: Microscopic surgery is currently considered the 'gold standard' for middle-ear, mastoid and lateral skull base surgery. The coronavirus disease 2019 pandemic has made microscopic surgery more challenging to perform. This work aimed to demonstrate the feasibility of the Vitom 3D system, which integrates a high-definition (4K) view and three-dimensional technology for ear surgery, within the context of the pandemic. Read More

Ann Otol Rhinol Laryngol 2021 Jan 29:3489421990164. Epub 2021 Jan 29.

Section of Otolaryngology-Head and Neck Surgery, University of Chicago, Chicago, IL, USA.

Objective: Surgery on the ossicular chain may impact its underlying mechanical properties. This study aims to investigate comparative differences in frequency-specific hearing outcomes for ossiculoplasty versus stapedotomy.

Methods: A retrospective chart review was conducted on subjects who underwent ossiculoplasty with partial ossicular replacement prosthesis (PORP) or laser stapedotomy with self-crimping nitinol/fluoroplastic piston, and achieved closure of postoperative pure tone average air-bone gap (PTA-ABG) ≤ 15 dB. Read More

Otol Neurotol 2020 12;41(10):1369-1378

Section of Otolaryngology-Head & Neck Surgery, The University of Chicago, Chicago, Illinois.

Objective: To assess the usefulness of numeric grading scales of middle ear risk in predicting ossiculoplasty hearing outcomes.

Study Design: Retrospective review.

Setting: Tertiary care, academic medical center. Read More

Vestn Otorinolaringol 2020 ;85(6):116-118

National Medical Research Center of Children's Health of the Ministry of Health of Russia, Moscow, Russia.

Nowadays, endoscopic transcanal otosurgery with confident steps is becoming a practice. Obviously, any new method of intervention needs to be repeatedly tested by the surgeon before it is used on the patient. This is why dissection work is so important and popular. Read More

Otol Neurotol 2021 02;42(2):e177-e185

ARC Centre of Excellence for Electromaterial Science, Intelligent Polymer Research Institute, University of Wollongong, Wollongong, Australia.

Introduction: Long term results of ossiculoplasty surgery are considered poor with displacement and extrusion amongst the common reasons for failure. Application of 3Dimensional (3D) printing may help overcome some of these barriers, however digital methods to attain accurate 3D morphological studies of ossicular anatomy are lacking, exacerbated by the limitation of resolution of clinical imaging.

Methods: 20 human cadaveric temporal bones were assessed using micro computed tomography (CT) imaging to demonstrate the lowest resolution required for accurate 3D reconstruction. Read More

Eur Arch Otorhinolaryngol 2020 Nov 26. Epub 2020 Nov 26.

Department of Otorhinolaryngology, Head and Neck Surgery "Otto Körner", University Medical Centre, Doberaner Strasse 137-139, 18057, Rostock, Germany.

Purpose: Different types of chronic middle ear disease (CMED) present with differing severity of single symptoms, such as discharge, vertigo or hearing loss, which impair health-related quality of life (HRQoL). Here, we aimed to (i) investigate characteristics of HRQoL and (ii) evaluate the association between HRQoL and hearing among different types of CMED.

Methods: In this prospective longitudinal cohort study, we included adult patients undergoing surgical treatment for CMED. Read More

Ear Nose Throat J 2020 Nov 25:145561320973785. Epub 2020 Nov 25.

School of Medicine, 8784University of California at San Diego, La Jolla, CA, USA.

Objectives: Congenital cholesteatomas originate from epithelial tissue present within the middle ear in patients with an intact tympanic membrane, no history of otologic surgery, otorrhea, or tympanic membrane perforation. They are diagnosed by a pearl-like lesion on otoscopy and computed tomography (CT) scan showing an expansile soft-tissue mass. We describe a series of patients with no prior otologic history presenting with progressive unilateral conductive hearing loss and normal otoscopy. Read More

Am J Otolaryngol 2021 Jan - Feb;42(1):102831. Epub 2020 Nov 6.

Department of Otolaryngology-Head and Neck Surgery, Changi General Hospital, 2 Simei Street 3, 529889, Singapore. Electronic address:

Introduction: In this series, we describe ossicular reconstruction using routine TORP in the presence of the stapes superstructure using a tympanic-membrane-to-footplate configuration.

Materials And Methods: This is a case series of 12 patients who underwent TORP ossiculoplasties from 1st January 2010 to 31st October 2017. Data collected included demographics, indication for surgery, status of the middle ear and pre-operative and post-operative audiometric data (including pure tone average (PTA) and air-bone gap (ABG)). Read More

Otol Neurotol 2021 01;42(1):76-81

Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University Hospital, Daegu, Republic of Korea.

Objective: This study aimed to evaluate success rates after ossicular chain reconstruction using different materials.

Study Design: Retrospective cohort study.

Setting: Tertiary referral center. Read More

AJNR Am J Neuroradiol 2021 01 12;42(1):12-21. Epub 2020 Nov 12.

From the Departments of Radiology (A.P., J.I.L., F.E.D.)

Postoperative temporal bone imaging after surgical procedures such as ossiculoplasty, tympanomastoidectomy, cochlear implantation, and vestibular schwannoma resection is often encountered in clinical neuroradiology practice. Less common otologic procedures can present diagnostic dilemmas, particularly if access to prior operative reports is not possible. Lack of familiarity with the less common surgical procedures and expected postoperative changes may render radiologic interpretation challenging. Read More

Otolaryngol Clin North Am 2021 Feb 2;54(1):125-128. Epub 2020 Nov 2.

Department of Otolaryngology, Massachusetts Eye and Ear and Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA. Electronic address:

Pediatric chronic ear disease and its sequelae often necessitate surgical intervention, such as ear tube insertion, ossiculoplasty, tympanoplasty, and cholesteatoma removal. Although these procedures have traditionally been performed with the microscope, use of rigid endoscopes provides an alternative method for visualization. The endoscope offers improved visualization of the middle ear space and adjacent structures and can either be used alone to perform surgery through the ear canal or together with the microscope if mastoidectomy is required. Read More

Mymensingh Med J 2020 Oct;29(4):847-851

Dr Md Monirul Alam, Registrar, Department of ENT, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh; E-mail:

This prospective study was conducted at Department of ENT, Mymensingh Medical College Hospital, a tertiary care center in Bangladesh January 2017 to December 2018 to report hearing results and post operative complications of cartilage interposition ossiculoplasty in one-stage intact canal wall (ICW) tympanoplasty for cholesteatoma where ossicular chain is eroded or has to be removed either partially or totally. Total 42 patients underwent Intact canal wall (ICW) tympanoplasty for cholesteatoma with at least intact stapes footplate and in conjunction, cartilage ossiculoplasty was done during the same procedure. Patients were followed up regularly at 1 week, 1 month, 3 month, 6 month and at 1 year as usual follow up protocol to note complications and hearing status in 1 year follow up. Read More

Ear Nose Throat J 2020 Oct 23:145561320968925. Epub 2020 Oct 23.

Department of Otolaryngology-Head and Neck Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

Stapediovestibular dislocation is a rare disorder as a result of traumatic injury to the structures in the middle ear. We described a case of a 60-year-old female with stapediovestibular dislocation with associated perilymph fistula. She presented with symptoms including hearing loss, vertigo, and tinnitus after a penetrating injury by an ear pick. Read More

Eur Ann Otorhinolaryngol Head Neck Dis 2020 Oct 9. Epub 2020 Oct 9.

Service d'otologie et d'otoneurologie, hospices civils de Lyon, centre hospitalier Lyon Sud, université de Lyon, université Claude-Bernard Lyon 1, 69495 Pierre-Bénite, France. Electronic address:

Aims: To study the evolution of middle-ear surgery in 2019 in relation to the French Health Authority target of 66% day-surgery by 2020.

Material And Methods: A single-center retrospective observational study included all patients undergoing otologic surgery between January 2014 and December 2018 in a university hospital center. 1064 of the 1368 patients were scheduled for outpatient surgery: 309 for otosclerosis, 355 for tympanoplasty with or without ossiculoplasty, 376 for cholesteatoma and 24 for other procedures. Read More

J Laryngol Otol 2020 Oct 6:1-7. Epub 2020 Oct 6.

Department of Otolaryngology, Division of Neurotology, Louisiana State University Health Sciences Center, New Orleans, USA.

Objective: This study aimed to describe the microscopic over-under cartilage tympanoplasty technique, provide hearing results and detail clinically significant complications.

Method: This was a retrospective case series chart review study of over-under cartilage tympanoplasty procedures performed by the senior author between January 2015 and January 2019 at three tertiary care centres. Cases were excluded for previous or intra-operative cholesteatoma, if a mastoidectomy was performed during the procedure or if ossiculoplasty was performed. Read More

Eur Arch Otorhinolaryngol 2020 Oct 3. Epub 2020 Oct 3.

Faculty of Medicine Carl Gustav Carus, Department of Otorhinolaryngology, Head and Neck Surgery, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden Saxony, Germany.

Purpose: The aim of this study was to determine whether preoperative depressive symptoms influence health-related quality of life (HRQOL) after middle ear surgery in patients with chronic otitis media (COM).

Methods: This prospective clinical case study was conducted at a tertiary referral center. All 102 patients who had undergone middle ear surgery for COM were assessed clinically and by audiometric testing (pure tone audiometry) in pre- and postoperative settings. Read More

Otol Neurotol 2020 12;41(10):1379-1386

Department of Otolaryngology-Head and Neck Surgery.

Objective: The aim of this study was to evaluate the feasibility and safety of transcanal underwater endoscopic bone resection (TUEBR) of the external auditory canal (EAC) for the management of cholesteatoma involving the antrum and mastoid.

Study Design: Retrospective case review.

Setting: Tertiary referral center. Read More

World J Clin Cases 2020 Aug;8(16):3616-3620

Department of Otorhinolaryngology, Head and Neck Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou Province, China.

Background: We report a rare case of first branchial cleft anomaly (FBCA) accompanied by bony atresia of the external auditory canal, middle ear malformation, and location malformation of the facial nerve according to the intraoperative findings.

Case Summary: A 19-year-old male patient presented to our department with a mass behind the right earlobe and recurrent postauricular swelling and pain since childhood, he also had severe hearing loss in the right ear since birth. The patient underwent surgery including mass removal, mastoidectomy, and simultaneous meatoplasty and ossiculoplasty under microscopy. Read More

Laryngoscope Investig Otolaryngol 2020 Aug 26;5(4):734-742. Epub 2020 Jun 26.

Eaton-Peabody Laboratories Massachusetts Eye and Ear Infirmary Boston Massachusetts USA.

Objectives: Conventional reporting of postoperative hearing outcomes utilizes a pure-tone averaged air-bone gap (ABG) that is biased toward low frequencies. Consequently, a high-frequency ABG after otologic surgery may go unnoticed. In this study, we evaluate changes in low- and high-frequency ABG following ossiculoplasty. Read More

Case Rep Otolaryngol 2020 23;2020:8828969. Epub 2020 Jul 23.

Department of Otolaryngology, Shiga Medical Center for Children, 5-7-30 Moriyama, Moriyama City 524-0022, Japan.

Malleus bar is an abnormal bony connection between the malleus handle and the posterior wall of the tympanic cavity. We report a patient with a malleus bar and another malformation of the ossicles. An 11-year-old boy presented with hearing impairment since early childhood. Read More

Otolaryngol Pol 2020 May;74(4):1-7

Katedra i Klinika Otolaryngologii, Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.

<b>Introduction: </b>Knowledge about the physiology of a healthy middle ear is essential for understanding the activity and mechanics of the ear as well as the basics of ossiculoplasty. Trauma of the epithelial lining of the tympanic cavity as well as the ossicular chain may be the result of chronic inflammation and surgery. Depending on the observed changes of the middle ear lining, there are several types of distinguished chronic inflammatory changes: simple, with cholesteatoma, with the formation of inflammatory granulation tissue, in course of specific diseases. Read More

Am J Otolaryngol 2020 Nov - Dec;41(6):102620. Epub 2020 Jun 19.

Istanbul Medeniyet University, School of Medicine, Department of Otorhinolaryngology, Head and Neck Surgery, Goztepe Training and Research Hospital, Istanbul, Turkey. Electronic address:

Purpose: Bone-cement (BC) ossiculoplasty is one of the options to solve ossicular chain problems. Many authors reported successful results in the early or mid-follow-up period; however, there is no long-term result in the literature. We aim to evaluate long term results of BC ossiculoplasty. Read More