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In this surgical video, Dr. Akbar Abbas demonstrates the reconstruction of a large central tympanic membrane perforation with ossicular chain disruption. The patient presented with a subtotal perforation and a damaged incudo-stapedial joint requiring careful repair. 🔹 Surgical Highlights: Reconstruction of the incudo-stapedial joint using glass ionomer cement (commonly used in dentistry, safe for middle ear use). Placement of gel foam over the stapes footplate to protect against cement spillage. Reverse tympanomeatal flap creation for better access and coverage. Cartilage tympanoplasty with temporalis fascia underlay technique to restore the tympanic membrane. Final reinforcement with cartilage grafting and gel foam packing. This meticulous approach helps restore ossicular mobility, improve hearing outcomes, and provides long-term graft stability. 📍 For ENT surgeons, medical students, and audiology professionals, this case illustrates modern techniques in ossiculoplasty and tympanoplasty. This educational video allows students and patients to make informed decisions about their own and others' health. Dr Akbar Abbas is a leading figure in ENT surgery within Pakistan, offering hope and expertise to countless patients facing similar challenges. He specializes in otolaryngology, cochlear implants, and ear surgery and is one of the few experts on pituitary and head and neck cancer surgery in Pakistan. Presently serving at Aga Khan University. ====================================================== Follow Dr Akbar Abbas on Social Media Platforms :- ====================================================== 👉 Website: https://drakbarabbas.com/ 👉 Instagram : / drsyedakbarabbas 👉 Facebook: / drakbarabbas 👉 Twitter : / drsyedakbarabb4 👉 LinkedIn: / dr-syed-akbar-abbas-187202209 👉 Youtube : / @dr.syedakbarabbas7103 Check out more great content from top channels: @MayoClinic #MayoClinicENT @StanfordMedicine #StanfordENT @aaohns #AAOHNS @JohnsHopkinsMedicine #JohnsHopkinsCochlearImplants #ViralYoutubeShorts #dr.syedakbarabbas7103 #YoutubeShorts #Viral #youtube #trending #shorts #viralvideo #youtuber #ENT #Ossiculoplasty #Tympanoplasty #DrAkbarAbbas #EarSurgery #MiddleEarReconstruction #SurgicalEducation