Prognostic Factors in Endoscopic Ossiculoplasty: Case Report And Review Of The Literature

Introduction: As surgeons become more au fait with the strengths and limitations of the endoscope in middle ear surgery, the boundaries of same are being explored. What was once thought to be technically challenging has become the norm for some. One such important operative step is that of ossicular chain reconstruction (ossiculoplasty), a challenging task when operating single handedly. The reporting of outcomes in otological surgery remains somewhat ill-defined, but certainly the improvement of audiological thresholds when performing ossiculoplasty is a clear area of focus. Methods A case report of a totally endoscopic ear surgery case (Cohens classification 3) and review of the literature. Results Case report discusses a favourable audiological and surgical outcome despite a number of negative prognostic issues. The literature highlights the need for an individualised approach to each patient when considering the type and extent of defect, state of the middle ear mucosa and also in selecting the prosthesis and graft material. Conclusions Results of endoscopic ossiculoplasty are extremely variable. There are a number of factors to be considered in order to achieve optimal outcomes.