Tympanoplasty: Techniques, Approaches, And Outcomes
09-12, 14:00–15:00 (Europe/Istanbul), Otology 2 (ICC - B2 Floor - Beylerbeyi 1)

This presentation reviews the principles of totally endoscopic ossiculoplasty, focusing on sound-transfer mechanics, prosthesis biomechanics, and practical decision-making in type III and IV tympanoplasty. The transcanal endoscopic approach provides superior visualization of the oval window, retrotympanum, and prosthesis alignment while preserving middle-ear ventilation pathways. Key concepts include ossicular and acoustic coupling, the functional importance of round window preservation, and biomechanical factors influencing long-term outcomes, including prosthesis material, alignment, length, and tension. Reconstruction strategies are discussed according to ossicular chain status, highlighting a practical framework for selecting titanium prostheses and achieving stable, durable hearing restoration.

Session Chair Session Chair

Primary School: Barbaros Hayreddin Paşa Primary School, Gaziantep, Türkiye 1991-1996

Secondary School: Atatürk High School, Gaziantep, Türkiye 1996-1999

High School: Atatürk High School (High School with Intensive Foreign Language Education), Gaziantep, Türkiye 1999-2003

University: Atatürk University Medical Faculty, Erzurum, Türkiye 2003-2009

Otolaryngology Training: Gaziantep University Medical Faculty Otolaryngology Department, Gaziantep, Türkiye 2010-2015

Medical Doctor specialized in Ear, Nose, and Throat, with a strong focus on middle ear surgery, cochlear implants, and skull base surgery, and approximately 20 years of experience in middle ear procedures. Currently serving as Head of the Operating Room, ensuring high standards of patient safety and the implementation of all protocols and workflows. Has participated in numerous internationally recognized courses and completed extended training stays at some of the world's most distinguished institutions, including the Medical University of Vienna, University Hospital Salzburg, Gruppo Otologico in Piacenza, Italy, and the House Ear Institute in Los Angeles, USA.

This speaker also appears in:

Medical Education:

 2007-2013: Istanbul University Cerrahpaşa Faculty of Medicine (Turkish), ISTANBUL

Specialization Training:

 2013-2018: Kırıkkale University Faculty of Medicine Hospital ENT Clinic, KIRIKKALE

Specialization Thesis:

 Efficacy of Intratympanic Steroid Injection on Preventing Cisplatin Ototoxicity: An Experimental Study, Medical Specialization Thesis, Kırıkkale University ENT-Head and Neck Surgery Clinic, 2018.

Thesis Advisor: Prof. Dr. Gökçe ŞİMŞEK

Institutions Worked At:

 2013-2018: Research Assistant, ENT Clinic, Kırıkkale University Faculty of Medicine Hospital, KIRIKKALE

 2018-2020: Specialist Doctor, ENT Clinic, Kırıkkale High Specialization Hospital, Ministry of Health, KIRIKKALE

 2018-2019: Deputy Chief Physician, ENT Clinic, Kırıkkale High Specialization Hospital, Ministry of Health, KIRIKKALE

 2020-2022: Specialist Doctor, ENT Clinic, Siirt Training and Research Hospital, SİİRT

 2022-Present: Associate Professor, ENT Clinic, Kırıkkale University Faculty of Medicine Hospital, KIRIKKALE

Dr. Gherasie is an otologic surgeon, academic faculty member, and pioneer of exclusive endoscopic ear surgery in Romania.

She practices at the “Prof. Dr. D. Hociota” Institute of Phonoaudiology and Functional ENT Surgery and is affiliated with Carol Davila University of Medicine and Pharmacy, Bucharest. Her work focuses on performing complex procedures, including advanced tympanoplasty, cholesteatoma surgery, stapedotomy, and middle ear vascular tumors, expanding minimally invasive otologic surgery while integrating patient-reported outcome measures into surgical evaluation.