Question: An 8 year old is referred to you for severe middle ear atelectasis following extrusion of multiple PE tubes. Examination shows retraction of the pars tensa onto the promontory and hypotympanic air cells. The incudostapedial joint appears abnormal. You elect to perform tympanoplasty and placement of a PE tube through cartilage. Upon examining the IS joint, you find a fibrous union. Which is true regarding ossiculoplasty in this situation?

a) TORP offers the best hearing outcome

b) PORP is superior to bone cement

c) Bone cement is superior to PORP

d) Bone cement and PORP offer similar hearing outcomes

[Answer will be posted with next week's new question]

Answer to last week's question, “Getting There" (June 10, 2019)

C - Transotic.