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Otology 161 Surgical Outer Ear G Cerumen removing G Foreign physique elimination G Canaloplasty with or without skin graft (for exostosis or stenosis) G Meatoplasty Tympanic Membrane G Myringotomy with or with out placement of a tympanostomy tube for center ear effusion G Paper patch or fat myringoplasty for small perforation (usually workplace procedures) G Tympanoplasty Middle Ear G Ossicular chain reconstruction using transformed incus or synthetic prosthesis G Stapedectomy/stapedotomy G Exploratory tympanotomy with attainable Lysis of middle ear adhesions (tympanosclerosis) Repair of malleus fixation Removal of cholesteatoma or neoplasm N Typical Clinical Pictures Otosclerosis Otosclerosis is a course of during which the stapes loses mobility by extreme bony development at the oval window. 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