Dallas Ear Institute
7777 Forest Lane, Suite A-103, Dallas, TX 75230 | Phone: (972) 566-7600 | Fax: (972) 566-6560 | www.dallasear.com

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2nd look procedure for Middle Ear Cholesteatoma Case Number 3

1. A view of the previously operated ear drum and canal wall down cavity is seen through the ear canal.

2. An incision in the back of the cavity is made allowing the ear drum to be elevated. The malleus and incus are missing. The head of the stapes is seen. It is gently touched by the surgeon to confirm that it is mobile.

3. The prosthesis to be used is made completely of titanium. It is safe to have an MRI or to go through a metal detector.

4. The prosthesis is placed securely onto the head of the stapes. It will connect the ear drum to the stapes and allow sound to travel between the two and into the inner ear.

5. A piece of the patient's ear cartilage is harvested and placed over the prosthesis. This secures it to the ear drum and prevents rejection of the prosthesis out of the ear drum. The ear drum is placed back into position and the case is complete.

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Dallas Ear Institute
7777 Forest Lane, Suite A-103, Dallas, TX 75230 | Phone: (972) 566-7600 | Fax: (972) 566-6560 | www.dallasear.com