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The tympanic membrane was reconstructed with temporalis tissue. Follow-up revision tympanomastoidectomy was performed upon recurrence of disease. The chorda tympani were sacrificed due to tumor involvement. The incus and head of the malleus were removed to gain better access to the tumor. The ossicular chain was reconstructed with a Goldenberg Total Ossicular Prosthesis. Main outcome measure Recurrence of disease. Follow-up In the 67 months since her most recent surgery, there has been no evidence of recurrence by CT or physical exam. C
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