Surgery of major congenital aural atresia.

Accurate preoperative clinical, audiometric and radiographic evaluation is a prerequisite for surgery of major congenital aural atresia, which is accepted as one of the most difficult otological reconstructive procedures to perform. The main aim is to achieve serviceable hearing. Middle ear and facial nerve anomalies and functional results of eleven consecutive primary operations by one of the authors are presented. Familiarity with various Tympanoplastic and Facial nerve surgical techniques is mandatory.