Staged Tympanoplasty: syears experience

ABSTRACT

This study has reported data of 155 staged tympanoplasty cases. Staging has been done for 105 cholesteatoma cases and 50 cases with advanced mucosal disease. The results showed closure of air-bone gap to 20 dB or less in more than 60% of patients. These encouraging results, despite the small number of cases, are in favor of staging tympanoplasty for the management of patients with chronic supportive otitis media. Staging allows establishment of a good middle ear space and gives a chance to remove possible cholesteatoma remnants or recurrence. The preserved ossicles of the patient were used as an autograft for ossicular reconstruction. This is more economical and as effective as other expensive plastipore or more recently used gold prostheses