ENT · Otologic Surgery and Implants (Tympanoplasty, Mastoidectomy, Cochlear/BAHA Implants)

A patient undergoes tympanoplasty type III. In this procedure, the neotympanum is placed directly on the:

  • A Head of malleus
  • B Stapes footplate
  • C Incus long process
  • D Stapes superstructure (head and crura)
Correct answer: D. Stapes superstructure (head and crura)

Explanation

In Wullstein's tympanoplasty type III (myringostapediopexy), the tympanic membrane graft is placed directly onto the intact stapes superstructure, bypassing the absent malleus and incus. Type IV places the graft on the mobile footplate (only round window is shielded), and type V involves a fenestration procedure.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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