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Moderator Dr. J. Brown Farrior: This panel is on ossicular problems in tympanoplasty, and we hope to obtain information from around the world on the reconstruction of the sound conductive mechanism in tympanoplasty.
For each one of our panelists, I want to ask the current techniques they are employing, the techniques they have discarded, and why, and the anticipated results.
Dr. James A. Crabtree: To answer your question, we are using patient's ossicles, homograft ossicles, and cartilage in our reconstruction. We have discarded the use of wire or plastic materials which contact the drum. The reason we have discarded these is that in our hands, these have all been extruded.
As far as results, if we have the functioning eustachian tube, which we hope we will obtain, we expect in the majority of cases to be within the 10 or 15 dB closure of the air-bone gap.
Moderator Farrior: When
Farrior JB, Crabtree JA, Harrison WH, Plester D, Smyth GD. Ossicular Problems. Arch Otolaryngol. 1973;97(1):55–57. doi:10.1001/archotol.1973.00780010059014
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