This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Diagnostic and operative ENT, Subject name: ENT
Columella effect is seen in 
Select and explain. 
A. Tympanoplasty, B. Septoplasty, C. Tracheostomy, D. None of the above
A: Tympanoplasty
Answer: A: Tympanoplasty 
Explanation: Columella effect is seen in type 3 tympanoplasty (myringostapediopexy) where single ossicle remains just like that of bird&;s ear. In Type III tympanoplasty Malleus and incus are absent. Graft is placed directly on the stapes head. It is also called myringostapediopexy or columella tympanoplasty. Re: Textbook of Ear, Nose and Throat, Dhingra, 6th Edition, page 30.