Skip to main content
AAO-HNSF 2023 Annual Meeting & OTO Experience Main banner
Icon Legend
This session is not in your schedule.
This session is in your schedule. Click again to remove it.

Otology/Neurotology

Revision Ossiculoplasty: Indications and Techniques

Wednesday, October 4, 2023
8:00 AM - 9:00 AM East Coast USA Time
Location: 104DE

    Lead Presenter(s)

  • JD

    John L. Dornhoffer, MD

    Professor & Chair
    University of Arkansas for Medical Sciences
    Little Rock, AR, United States

    • Co-Presenter(s)

  • Robert A. Saadi, MD

    Assistant Professor
    University of Arkansas for Medical Sciences
    Little Rock, AR, United States

Disclosure(s):
John L. Dornhoffer, MD: No relevant relationships to disclose.
Robert A. Saadi, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: The success of ossiculoplasty depends on reconstruction techniques, prosthesis qualities, and middle ear disease severity, with the latter being most important. Unfortunately, not all ossiculoplasties are successful and revision surgery is indicated. Our experience based on over 2000 revision ossiculoplasties will demonstrate common patterns of failure based on the Wüllstein classification, and surgical techniques used to correct these maladies. Emphasis will be placed on anatomical consistencies, stabilization of the prosthesis at the level of the footplate, and cartilage reconstruction using the mosaic technique to prevent extrusion and recurrent disease. In addition, several options for reconstruction based on the chain defect will be discussed, and surgical selection, based on the middle ear severity index will be emphasized. Finally, we will discuss how to determine when revision is indicated.

This is an instructional course utilizing original pictures, artist’s drawings, and surgical videos in a PowerPoint presentation to outline techniques in revision ossiculoplasty, including decision-making based on the middle ear environment and examples of patterns of failure. This course will emphasize standardized techniques in ossiculoplasty based on ossicular defect and middle ear environment and will analyze postoperative results and decision-making based on audiometric findings and middle ear environment.

OUTCOME OBJECTIVE 1: Introduce standardized techniques in ossiculoplasty based on ossicular defect and middle ear environment.

OUTCOME OBJECTIVE 2: Analyze postoperative results and determine whether revision is indicated based on audiometric findings and middle ear environment.

OUTCOME OBJECTIVE 3: Give examples based on Wüllstein classification system and discuss patterns of failure in each.

BACKGROUND STATEMENT: This course provides a standardized approach to revision ossiculoplasty using detailed anatomical preparations with dimensions. It will fill a niche and it can be used by the novice and experienced surgeon using a standardized approach based on experience with thousands of cases .