Cartilage tympanoplasty in atelectatic ears

Introduction: Middle ear effusion and Atelectasis with Eustachian tube dysfunction is a multifactorial multifaceted disease that manifest in the middle ear, mastoid and Eustachian tube. Understanding the mechanism of this disease, the presentation and issues involved in its management allows for the most possible outcomes. Surgery for the atelectatic tympanic membrane ranges from ventilation tube insertion to several others. In this prospective study we used conchal cartilage graft to reverse atelectasis and to repneumatize the middle ear in atelectatic ears. Long term results has to be tested in time future. AIMS AND OBJECTIVES: A comprehensive study of cartilage perichondrium tympanoplasty in Stage III and stage IV atelectatic Ears. To analyse the stability of the cartilage To analyse the hearing improvement after the procedure. CONCLUSION: Management of types III and IV retraction though cartilageperichondrium tympanoplasty with or without ossicular reconstruction is a proven treatment modality, with successful results to hearing and complications. This technique provides for expansion of middle ear space, providing rigid support of the tympanic membrane and eliminating the possible risk of cholesteatoma