Incus Homografts in Chronic Ear Surgery

House, William F.; Patterson, Mack E.; Linthicum, Fred H.

doi:10.1001/archotol.1966.00760030150007

Cited by 89 publications

(17 citation statements)

References 3 publications

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“…In the 1950s and 1960s, several otolaryngologists, including Hall and Rytzner [1], Farrior [2], Guilford [3], Austin and Shea [4], and Sheehy [5] began publishing results on using autografts for reconstruction, whereas House and coworkers [6] were the first to publish in 1966 the use of homografts. Cartilage was another material used initially by Jansen [7] in 1956 for reconstruction of eroded ossicles that subsequently became popular with numerous other otologists.…”

Section: Historical Perspectivementioning

confidence: 99%

Ossiculoplasty

Javia¹,

Ruckenstein²

2006

Otolaryngologic Clinics of North America

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Contemporary surgical techniques for treating various pathologies affecting the middle ear address not only eradication of the underlying disease process but also restoration of normal auditory function. Trauma, neoplasms, inflammatory processes, and cholesteatomas can erode and alter normal middle ear components and relationships vital for the transmission of auditory energy to the inner ear. Over the last five decades, various ossiculoplasty techniques and prostheses have been studied and reported in the literature. Unfortunately, the multitude of reconstructive techniques attests to the fact that none of the currently available methods are ideal.

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Section: Historical Perspectivementioning

confidence: 99%

Ossiculoplasty

Javia¹,

Ruckenstein²

2006

Otolaryngologic Clinics of North America

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“…In 1957, Hall and Rytzner [3] first presented a surgical technique replacing the stapes in otosclerosis with the patient's own incus. House et al [4] in 1966 reported a method of introduction of homograft ossicles when the incus was absent or unusable. Jansen [5] [6] , interposition of cartilage at the time of revision surgery could be stable over time.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Results of Plastipore Prostheses in Reconstruction of the Middle Ear Ossicular Chain

Eleftheriadou

Chalastras²,

Georgopoulos³

et al. 2009

ORL

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Purpose: To examine the acoustic results over a long period of time, in patients who underwent ossiculoplasty with Plastipore, and to report the percentage of prosthesis extrusion and factors related to the prognosis. Procedures: Forty-two patients, who underwent ossiculoplasty with Plastipore, were studied. Patients were followed up for the next 14 years. The surgical procedures were classified as: tympanoplasty, tympanoplasty with mastoidectomy with canal wall up, and tympanoplasty with mastoidectomy with canal wall down. A successful hearing result was defined as a postoperative air-bone gap (ABG) of 20 dB or less. Results: Successful results were seen in 65% of our patients, 68.8% with a partial ossicular replacement prosthesis (PORP) and a 62.5% success rate with a total ossicular replacement prosthesis (TORP). The mean value for ABG improvement was 25.5 dB. Prosthesis extrusion occurred in 4.7%. Conclusions: The ossiculoplasty-Plastipore technique leads to good hearing results and a low percentage of prosthesis extrusion in long-term follow-ups.

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“…Allograft ossicles and cartilage have been used extensively for ossiculoplasty since 1966 when House [12] introduced the concept. There is no immune rejection response or resorption [13].…”

Section: Introductionmentioning

confidence: 99%

Use of autogenic and allogenic malleus in tympanic membrane to footplate assembly — long-term results

Mahadevaiah¹,

Parikh²

2009

Indian J Otolaryngol Head Neck Surg

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The objective of this study was to assess the functional performance and long-term stability of autogenic and allogenic malleus used for ossiculoplasty as tympanic membrane to footplate assembly. A retrospective study of 119 patients who underwent such ossiculoplasty in closed cavity mastoidectomy from 1989-2004 was carried out. There was no extrusion in any of our cases. Serviceable hearing (<20 dB air bone gap closure) was achieved in 24 out of 37 (65%) over long-term follow up of more than 1 year (mean and median for follow up being 37.4 and 30 months respectively). Thus malleus ossicle graft give acceptable long-term hearing results in one of the most difficult ossiculoplasty situations (absence of stapes suprastructure and malleus) with virtually no extrusion problems.

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Incus Homografts in Chronic Ear Surgery

Cited by 89 publications

References 3 publications

Ossiculoplasty

Ossiculoplasty

Long-Term Results of Plastipore Prostheses in Reconstruction of the Middle Ear Ossicular Chain

Use of autogenic and allogenic malleus in tympanic membrane to footplate assembly — long-term results

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