gms | German Medical Science

76th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

04.05. - 08.05.2005, Erfurt

Posterior canal wall reconstruction with titanium meshs in middle ear surgery

Meeting Abstract

  • corresponding author Holger Sudhoff - ENT-University Department Bochum
  • Amar Al-Lawati - ENT-University Department Bochum
  • Esther Giminez - ENT-University Department Bochum
  • Henning Hildmann - ENT-University Department Bochum

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Erfurt, 04.-08.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05hno017

The electronic version of this article is the complete one and can be found online at:

Published: September 22, 2005

© 2005 Sudhoff et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



This study war performed to investigate the posterior ear canal wall reconstruction with a compound cartilage - titanium mesh in canal wall down tympanoplasty and revision surgery for open mastoids. Defects of the posterior external ear canal resulting from canal wall down technique or present in revision surgery were eliminated by a reconstruction using a composite titanium-cartilage mesh. The mesh was covered with conchal cartilage and attached to the remnants if the posterior wall or mastoid bone at two corners using 3-mm titanium screws. All patients maintained a normal contour of the external ear canal without depression, extrusion or infection. There were no failures based on short-term postoperative controls. However 2 patients has to be revised due to incomplete coverage of the titanium mesh. This study reveals that the reconstruction of posterior ear canal wall defects with titanium meshs is a reliable method for preserving the morphology of the external ear canal and an alternative option besides other reconstructive or obliterative techniques.