Abstract
To evaluate the success of tympano-ossiculoplasty in patients with previous canal wall down mastoidectomy. A retrospective review of 79 patients who underwent cavum major tympano-ossiculoplasty from a total of 1,910 tympanomastoidectomies from 1976 to 1998. The results of air-bone gap closure, surgical findings, and revision surgery are presented. In 63% of patients, the air-bone gap closed to within 20 dB with a mean gain of 14.7 dB. A significant percentage of patients will gain substantial improvement in their hearing after cavum major tympano-ossiculoplasty with minimal risk.
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