Patients are typically seen 2 weeks following surgery. At this time, all packing is removed from the canal, the tympanic membrane is inspected, and the patient begins a regimen of steroid-containing antibiotic drops. At 6 to 8 weeks postossiculoplasty, an audiogram is performed. Depending on the mechanism to support the middle ear space, results at 6 to 8 weeks can vary. Given our recent results with the Dornhoffer titanium bell PORP, which requires no Gelfoam for support, we have found the 6- to 8-week audiogram to be representative of long-term results. In reconstructions that require more stabilization, audiograms may not be predictive of long-term results until 2 or 3 months postossiculoplasty.
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