I. Nazmi Hosal, M.D.

Ankara, Turkiye

The history and evaluation of tympanoplasty surgery are briefly reviewed. Opened, intact canal wall and canal wall down techniques will be discussed and compared with each other. The reasons of the failures of the intact canal wall technique will also be discussed.

The removing all the pathologies such as a cholesteatoma, osteitic tissues, infected diseased hyperplastic mucosa in the chronically infected ear is necessary for a better surgical result. Also a radical surgery is necessary for the masked mastoiditis. The technique I used at Hacettepe University, Ankara will be presented. To remove the all pathologies, The canal wall down and opened mastoidectomy technique is used, and then reconstruction of the ear is performed at the same stage by using the patients autogenous tissues from the operative area. The mastoid cavity should be completely be separated from the middle ear and obliteration in order to protect the mastoid from the middle ear and obliterated in order to protect the mastoid from retraction pockets of the tympanic membrane graft.

The reconstruction of the posterior canal wall by mastoid bone cortex including periost layer, obliteration of the mastoid cavity by bone chips and muscles, grafting the middle ear and ossicular reconstruction will be presented by slides and video show. This approach and technique is based on a personal experience with more than 2000 patients with chronic ear diseases.