Description
This procedure is rarely perform by a few ENT surgeon in Khyber pakhtoonkhwa. This is now performing by professor dr Asmat ullah . We approach this area through per meatal. First we give incision in external auditory canal a few millimeter lateral from Tympanic member to elevate the tympano meatal flap. Till we see the carda tympani nerve and the ossicles. Then we check the mobility of the ossicles which is restricted in otosclerosis for which we are doing this procedure. Then we measure the length from stapes foot plate to the incus. For to put the prothesis in stapes foot plate we make a fenestra and to the precise measurement we cut the prosthesis and place or anchor the prosthesis with incus and insert the other end into the fenestra already made in stapes foot plate make it stable and then remove the stapes from its place. And make the prosthesis stable with corda typmani nerve pushing over the prosthesis. The reposition the tympano meatal flap.