Autologous Cartilage Ossiculoplasty.

Ossicular chain defects are commonly encountered in otologic practice. The search for the ideal ossicular psosthesis is an ongoing debate. In this article, we describe our experience with the use of autologous cartilage tympanoplasty. Septal floor cartilage is harvested via the Killian incision and remodelled to fit the various ossicular defects identified in the middle ear. We describe the procedure from harvesting of cartilage through to ossiculoplasty. Different scenarios are described, as encountered intra operatively. We have not experienced extrusion when using this material. The cartilage remains sturdy even in the setting of recurrent disease. Audiological outcomes with the use of this technique are comparable to other ossiculoplasty material in the literature.