Efficacy of Topical Epinephrine in Tympanoplasty.

Objectives/hypothesis: To compare the hemostatic effects of commonly used concentrations of topical epinephrine in tympanoplasty.

Study Design: Prospective, randomized, controlled clinical trial.

Methods: Patients undergoing tympanoplasty were randomized to receive topical epinephrine at 1:1,000 or 1:10,000.

Role of Interleukin 5 Inhibition in the Treatment of Eosinophilic Otitis Media.

Objective: Eosinophilic otitis media (EOM) is a rare form of middle ear disease characterized by a viscous effusion rich in eosinophils, a resistance to conventional treatments, and an association with bronchial asthma. The relationship between asthma and EOM suggests similarities in pathogenesis and treatment possibilities. Recent biologic therapies, specifically those that target interleukin 5 (IL-5), have demonstrated efficacy in controlling eosinophil-driven asthma, yet their impact on the treatment of pathologically similar diseases remains unmeasured.

Hearing Outcomes after Ossicular Reconstruction with Removal of the Malleus.

Objectives (1) Evaluate hearing outcomes of patients after planned malleus removal during ossicular chain reconstruction. (2) Analyze hearing results for titanium (Ti) and hydroxyapatite (HA) total ossicular prostheses (TOPs) and partial ossicular prostheses (POPs). (3) Compare Ti and HA partial prostheses.

Loss of stapes prosthesis into vestibule during stapedectomy: a case report.

We present a unique case of intraoperative loss of a piston prosthesis into the right vestibule of a 47-year-old man during stapedectomy. Despite the fact that the prosthesis remains unfixed in the scala vestibuli at the basal turn of the cochlea, the patient has remained nearly asymptomatic in his right ear for approximately 2 years. We discuss the patient's presenting condition, operative course, and our diagnostic and management strategy in this case.