Otology Japan
Online ISSN : 1884-1457
Print ISSN : 0917-2025
ISSN-L : 0917-2025
Panel discussion 2
Hearing improvement of tympanosclerosis with tympanoplastyIIIr: A case report
Naohito Hato
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2011 Volume 21 Issue 1 Pages 81-84

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Abstract
Tympanosclerosis is characterized by the deposition of calcareous plaques in the eardrum and middle ear, usually results from prior middle ear infections. Surgery for tympanosclerosis involves excision of the sclerotic tissue and many variationsof reconstruction of the ossicular chain. My aim is to present clinical findings and results of treatment of a patient with tympanosclerosis, in order to discuss the better surgical treatment of tympanosclerosis. I report a case of a 53-year-old male who have suffered from otorrhea and combined hearing loss. Otoscopic examination revealed a calcification and perforation in the tympanic membrane. Tympanosclerosis resulting from chronic otitis media was suspected. The calcareous plagues in the middle ear were resected surgically with canal wall up method and posterior tympanotomy. The ossicular chain was reconstructed with incus replacement technique. The myringoplasty was performed using thin sliced island cartilagegraft. Postoperatively, the problem disappeared and his hearing recovered well.
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© 2011 Japan Otological Society
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