ABSTRACT
16 cases of chronic suppurative otitis media with cholesteatoma were treated by open technique tympanoplasty. Ossicular reconstruction was done using tragal cartilage and perichondrium presenting a new technique for its fashioning and application. This was done either as one stage or two stages procedure. Follow up was done for 15 months both clinically and audiologically. Results were assessed both anatomically and functionally. Good anatomical results i. e. grajr take was obtained in 81.25% of cases. As for functional results; post-operative air bone gap equal or less than 20 dB was obtained in 37.5% of cases, while air bone gap equal or less than 25 dB was obtained in 75% of cases. This method is presented as an alternative to autograft ossicles whenever they can not be used