Abstract

We report a case of ossicular fixation caused by bone pâté. A 57-year-old woman underwent staged tympanoplasty for right middle ear cholesteatoma. Bone pat6 was used for reconstruction of the scutum and for the prevention of the extrusion of an artificial ossicle at the second-stage operation. Although right hearing initially improved postoperatively, it gradually deteriorated 4 months after the operation. Revision surgery performed 1 year after the second-stage operation showed that the bone pâté used for scutumplasty had been incorporated with that used for eardrum augmentation, which resulted in ossicular fixation. After the removal of the part of the bone pat6 that was fixed to the artiflcial ossicle, both the mobility of the ossicle and right hearing markedly improved.

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