Endoscopic Management of Tympanosclerosis

By June 7, 2019

Özdek, Ali1
1 Private Practice, Ankara, Turkey.

Tympanosclerosis is a sequel of chronic otitis media characterized by deposition of calcareous plaques following hyaline degeneration in the fibrous layer of the tympanic membrane and inside middle ear mucosa. Our objective is to describe a novel ossiculoplasty techinique to improve the hearing loss in conductive hearing loss due to fixed ossicular chain.

Thirty two years old lady was operated due to chronic otitis media. surgery was performed transcanal endoscopic approach. Ossicular chain was fixed with diffuse tympanosclerosis. Incus was removed. malleus and stapes were mobilized. malleu-stapes bridge was restored by using bone cement. cartilage tympanoplasty was performed. early postoperative result was encouraging with a marked improvement in hearing.

Our surgical aprroach seems to be effective to restore ossicular chain in selected tympanosclerosis cases.