Facharzt FMH Hals-Nasen-Ohren Practice Questions - Facharzt FMH Für Oto-Rhino-Laryngologie Spécialiste FMH En Oto-rhino-laryngologie Exam

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A 34-year-old female presents with progressive bilateral hearing loss, worse in the right ear, and mild tinnitus over the past 2 years. Her mother underwent ear surgery in her 30s. Otoscopy reveals normal, translucent tympanic membranes with no signs of inflammation or middle ear effusion. Pure-tone audiometry shows bilateral conductive hearing loss with an air-bone gap of 35 dB on the right, along with an apparent elevation of bone-conduction thresholds reaching 15 dB at 2000 Hz ('Carhart notch'). Acoustic reflexes are absent bilaterally. What is the most appropriate definitive surgical management of choice for her right ear?

Small-fenestra stapedotomy with placement of a teflon/titanium piston prosthesis Cortical mastoidectomy with posterior tympanotomy and facial recess approach Endoscopic placement of tympanostomy ventilation tubes bilaterally Total stapedectomy with complete footplate excision and wire-tissue graft

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Small-fenestra stapedotomy with placement of a teflon/titanium piston prosthesis

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