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Arch Otolaryngol Head Neck Surg. 2005;131:463-464.

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Diagnosis: Reparative granuloma

Intraoperatively, a large granuloma was identified in the posterior superior quadrant of the middle ear. It was removed along with the titanium prosthesis and the temporalis fascia graft that had covered the oval window niche. A new temporalis fascia graft was placed over the oval window, and a stainless steel prosthesis was placed. After surgery, the patient reported minimal improvement in his hearing but resolution of his unsteadiness. Final pathologic examination of the middle ear contents confirmed granulation tissue and a diagnosis of reparative granuloma.

Harris and Weiss¹ reported the first case of a reparative granuloma in 1962. Subsequent studies have determined that this complication of stapedectomy and stapedotomy surgery occurs with an incidence of 0.07% to 5%.^1-2 Symptoms often begin 6 to 15 days after surgery. Vertigo, tinnitus, and hearing loss after an initial improvement in hearing are usually reported, and the tinnitus is frequently severe. Physical examination may . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2005;131(5):462.
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