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One of the most intriguing topics in middle ear surgeries is the reconstruction of the conductive mechanism. Continuous research has lead to the gradual improvement in our understanding of design and material used for ossicular implants. But the ideal ossicular implant i.e. one that is biocompatible to enable osseointegration and biostable as well as having appropriate rigidity and weight, still remains elusive. The optimal results in ossicular reconstruction depend not only on the qualities of the prosthesis, but on the environment in which it is placed and the surgical techniques used. The...

The place of cortical mastoidectomy in management of cases of CSOM is been a grey area for otorhinolaryngologists. In this book 150 patients were subjected to tympanoplasty with and without cortical mastoidectomy and results were analysed for success in terms of graft uptake. In this era of evidence based medicine a well planned clinical study based on sound foundation of inclusion and exclusion criteria forms very basis for advocating or refusing an already adopted or to be adopted clinical guideline and protocol; result of which is best clinical practices being established, striking a fine...