The OOPS index makes it possible to accurately prognosticate hearing outcomes in adult and pediatric patients undergoing ossiculoplasty in both the short term and the long term.

Smoking is not a significant risk factor for anatomic failure of cartilage tympanic membrane graft or worsened audiometric outcome after ossiculoplasty. However, complications were significantly more common in smokers, supporting the practice of primary tympanostomy tube placement at the time of ossiculoplasty.

Learning Objectives: To learn if different strategies for ossicular chain reconstruction in cholesteatoma surgery have effect on the hearing results.

Use of the titanium stapes FPP during TORP ossiculoplasty provides a statistically significant advantage in short-term PTA-ABG closure and a higher rate of successful rehabilitation of conductive hearing loss. Further studies are necessary to assess any long-term advantages a FPP may offer.

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Cartilage tympanoplasty with intubation achieves good anatomical and audiologic results when Eustachian tube dysfunction or craniofacial abnormalities are present. Significant hearing improvement was realized in a patient population that is characteristically more prone to problems.