Bone cement in ossiculoplasty

This study included 30 patients having conductive hearing loss secondary to chronic otitis media with ossicular discontinuity. Biocompatible polymethylmethacrylate [PMMA] bone cement was used as a locally manufactured prosthesis for ossicular reconstruction in the forms of PORP and TORP. In ears with intact stapes superstructure, PORP was used [18 cases]; while, in ears with absent stapes superstructure, a similar TORP was used [12 cases]. The postoperative mean air-bone gap gain was 20 dB at the speech frequencies of 500 Hz-1000 Hz, 2000 Hz-4000 Hz in 22 cases. An extrusion of the prosthesis occurred in two cases. It was concluded that this locally made prosthesis is efficient in closing air-bone gap as well as cost- effective

Endoscopic septoplasty

The aim of this study was to compare the efficacy of endoscopic septoplasty with traditional septoplasty in treating cases having septal deviations. The study included 60 patients complaining mainly of nasal obstruction due to significant septal deviations. They were divided into two groups: Group A 30 patients who had endoscopic septoplasty performed in order to correct their deviated septum and group B 30 patients who had a traditional septoplasty performed as a method of treatment of their septal deviation. Each patient was subjected to a preoperative assessment protocol that included a thorough history taking, general and local examination, nasal endoscopic examination and active anterior rhinomanometry. Postoperatively, the patients were subjected to an assessment protocol similar to the preoperative one