Description

A tympanoplasty is classified based on the extent of surgery required.


 

NOTE: These types overlap with the classification for cholesteatoma in the previous section.

 

Ossicles of the middle ear:

(1) malleolus (on the tympanic membrane)

(2) incus

(3) stapes (with footplate in the fenestra vestibuli)

 

Tympanic Membrane

Malleolus

Incus

Stapes

Type

perforation or retraction

normal

normal

normal

I

variable

eroded or missing

normal

normal

II

variable

eroded or missing

eroded or missing

normal

III

variable

eroded or missing

eroded or missing

abnormal; footplate mobile

IV

variable

eroded or missing

eroded or missing

abnormal; footplate fixed

V

 

where:

• A normal ossicle is one that is intact and mobile.

• In a Type Vb tympanoplasty the stapes is removed (stapedectomy).

• In a Type Va tympanoplasty a new opening is made in the horizontal semicircular canal.

 


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