The term congenital aural atresia is used to describe failure of external auditory canal to open. Thus it results in conductive hearing loss. There are ways to improve the transmission of sound to the healthy inner ear, we have performed surgery to open the ear canal and restore the natural sound-conducting mechanism to the inner ear. Thus avoiding multiple surgeries. The study was conducted among patients aged between 12 and 24 years, our study included 8 patients with aural atresia with cholesteotoma. After a detailed examination of patients were subjected to surgery. In our study with the sample size of eight patients Where, all our patients underwent canal wall down mastoidectomy with simultaneous single stage reconstruction of ossicular chain. All our patients were discharge free and Had subjective improvement in hearing with the post operative period was well accomplished to \ 35 dB. In our study all eight patients who underwent canal wall down mastoidectomy had good hearing outcome. As to avoid unnecessary recurrence and complications which are usually seen in intact canal wall down mastoidectomies, we suggest canal wall down and single stage reconstruction.
<p class="abstract">There are different type of pneumatizing air cells in the frontoethmoidal region, as described by Kuhn el all, in this type IV Kuhn cell is that kind of cell which is completely isolated within the frontal sinus, or as Wormald described it as, fronto-ethmoidal cells extending more than 50% of its vertical height of the frontal sinus. In this study we would like to show a macroscopic or panoramic view of type IV Kuhn cell, which was a glorious view while performing an external approach, as there is no literature on type IV Kuhn cell with a panoramic view. Possibly this could be the first of its kind in medical literature. And therefore, this image can be incorporated in various studies for further references.</p><p class="abstract"> </p>
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