Hearing improvement following stapedectomy during tympanoplasty

Report of a case

Abstract

A44-year-old woman with bilateral chronic otitis media underwent left tympanoplasty for improvementof the left hearing acuity. During removal of peristapedial granulation tissue, the footplate of the stapeswas dislocated accidentally and a perilymphatic fistula was encountered. The oval window was closedwith a piece of temporalis fascia and fibrin glue. Ossicular chain was reconstructed with a ceramicprosthesis (T-type) and a perforation was grafted with temporalis fascia and lyophilized homograft dura.The patient complained of vertigo postoperatively. Hearing has been improved to 34 dB by 6 months afterdischarge from hospital.