Table 1

- Timeline table for case 1.

Date	Relevant past medical history and interventions
2013	26 years old male underwent right ear tympanoplasty twice in peripheral hospital with no improvement in hearing
	From	Diagnostic testing	Interventions
2018/2019	Decreased hearing on the right ear with no improvement at all after the previous surgery	PTA: right hearing loss, moderately severe up to 2 kHz rising to mild then sloping to moderate conductive hearing loss (15/07/2019)	Consented for right revision tympanoplasty with possible ossiculoplasty
November 2019	Confirmed hearing loss and taken to the operating room for right tympanoplasty/with or without ossiculoplasty	Intra-operative finding: anterior inferior dry perforation, mobile lateral chain and fixed stapes.	During the steps for stapes surgery the incus was dislocated accidently by suction movement therefore the patient underwent MS
January 2020	Postoperative: Hearing improved subjectively. On examination: cartilage graft was intact and Weber test lateralized to the right side There were no complications	Postoperative PTA: air bone gap improved from 40 dB to 15 dB (20/01/2020)	Patient was satisfied No further intervention