Type IV tympanoplasty is used for ossicular destruction, which includes all or part of the stapes arch. It involves placing a graft onto or around a mobile stapes footplate.
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failure of the graft to heal, causing recurrent eardrum perforation; narrowing (stenosis) of the ear canal; scarring or adhesions in the middle ear; perilymph fistula and hearing loss
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Type III tympanoplasty is indicated for destruction of two ossicles, with the stapes still intact and mobile. It involves placing a graft onto the stapes, and providing protection for the assembly.
An incision is made into the ear canal and the remaining eardrum is elevated away from the bony ear canal, and lifted forward. The surgeon uses an operating microscope to enlarge the view of the ear structures.
Type II tympanoplasty is a surgical procedure to repair a perforated eardrum and reconstruct the middle ear structures. It involves making an incision behind the ear to access the middle ear, removing any diseased tissue, and then grafting a piece of tissue (often taken from the temporalis muscle) onto the perforation to close it. The aim is to restore hearing and prevent recurrent ear infections.
tympanoplasty (reconstruction of the ear drum),Tympanoplasty =Surgical modification of the eardrum.
For tympanoplasty with ossicular reconstruction, the patient usually stays in the hospital overnight
Phase IV is the implementation of the system. The new system is converted from the old system, and the new system is implemented and then refined. There must then be ongoing maintenance and reevaluation
Tympanoplasty
Type IV or the newer type IV which is backwards compatible.
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The main advantage of type IV PFD is that it is designed to be thrown to someone in trouble.