Tuesday, December 28, 2010


It is an operation to (I) emdicme disease in the middle car
and ( ii) to rec.on stnict heming mechanism. It may be combmcd
wirh mastOldectomy if disease proce~s so nen1~li n s .
TYr€'". of minnie ear reconstructi.on dcpcnJs on r.he d(lm(lge
present in the ea r. The procedure m(lY be limited only to
repair of tympanic memhrane (myringoplast),), or to reconstruc
tion of oss icular chain (ossicuioplaslY), or both (l)'m-
1}{1T1lJl)U1.~t),). Reconsffilcrive surgery of the car has heen
gready facihcared by development of opcrating microscope,
microsurgical instruments and hi(Kompatible implant
Front the ph)'1'iiology uf hearing mech anism, the follow~
ing principles can be ded uced Lo reslOre hearing surgicillly:(i) An intact tympanic memhrane, to provide large
hydraulic ralio between the rympanic membrane
and stapes f(.:x) tplate.
(ii) Ossicular chain , to conduct sound from tympa nic
membrane ro (he oval window.
( iii) Two funcCluning windows, one 011 the scala veslibuli
([0 receJve sound vibrations) ~nd lhe other on the
scala rympani (to act as <.I re lief window). If it is only
one Window, as in smpes fixation or closurc of round
Window, (here will he no movement uf cochlem
fluids re::.ultin~ in conductivt: he;)[lng loss.
(Lv) Acou.~ tic separation of twO wirnlool.l's, so that sound
does not" reach bo th the 'windows simultaneo usly.
It can be achie ved by providlllg an inrac t tympanic
membrane, prefe re ntia l I,athway to o ne window
(usually the uvcd.) by providing o~::;icu lar c hain and
by the prese nc.e of air in thc miJdle e~r.
(v) Functioning cus wchian tube) to provide J,erthe lUlddle eat.
(v i) A functioning sensorineum/ apparatus, I.e. t he
cochlca and Vllltb ncrv e.
Types of tympanoplasty. Wullstein c l ~ssi fied l ympano~
pl"sry into five types (Fig. S.2).
Type I De fcCl is perforation of tympanic membrane
which i1'i repaired with a graCe It i~ also cill l~rI
Type II Defect is perforation of tymparuc: mc: mhl~lte
with ero~iO n of m~lIel..1s. Uraft is placed un the
incus o r rt:rnn~nt of malleus.
Type III M""eu, and incus are ahscnt. Gra(t is placed
di recd y on the stapes head . it is als() called
mY"ingostapcdiopcX)' flf" columella tympano·
T ype IV Only the (ootplutc of stapes is present. Ir is
exposcJ LO the eXTernal ear, and grafr is placed
between the oval and round wiuJows. A narrowmiddle e-al (cClvum minor) is rhus ereattn , to
h~V(' ~n nir pocket around rhe round willdow. A
mlK'( )Sn~ l iTleJ SI);)CC cx(ends from the eustachian
(Ube ro [he round window. Sound wa vc~ in this
case ::let di recrly on the footp late whil ~ the
rou nd window h as been shielded.
Type V Stapes footplate is fix ed hllr round wLndow i::;
iunctioning. In such ('8~CS, another window is
crerlteJ un hOfl2ontal semlC ircular canal and
covered with rt graft. A lso catted fenestration
operation .
Several modificat ions h", ve rJPpeared in the above
classificarion and they mainly perta in [U lhe types of
ossiculnr reconstruction.
My ringoplasty. It is tepair


  1. common peoples knows nothing about the operation, their only headache is whether it s painful or whether the scar will be visible or not. success and technique are far more distant thing .thanks.

  2. I have been in the tinnitus community for a while now and I have experience what you are going though with tinnitus , I do know people that have got
    tinnitus from having their implants done. Ringing in the ear after an implant can go away on its own, but that is BS of what the mouth and jaw specialist said. I have definitely seen and heard of a connection between tinnitus and teeth and mouth. There is a treatment for ringing ears and if you are
    interested you can contact Dr William herbal remedies that what I take that stop the ringing in my ear that was really driving me crazy, don't Lose hope .,I have found a solution for my fellow citizens . If you haven't I would suggest trying Dr William herbal supplement. Again, this is a thing that takes time and usually requires time and patience for it to work WITH no side effects. But I'm not hear to sell you the product, I'm only hear to tell you that it works, but it is a journey and can be difficult. I hope at this point in want away on it own. Good luck . his email address drwilliams098765@gmail.com for advice and for his product

  3. Find The Best Best ENT Surgeon in Lahore. Get Online Appointment ENT Surgery Offers Treatment Of Disorders Of Ear, Nose And, Throat When Medicines And Non-invasive Treatment Approaches Fail To Recuperate.Prof. Dr. Ayub is best ENT specialist in Lahore and a best cosmetic surgeon in Lahore he is also known as best ENT doctor surgeon specialist and consultant.