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Incus Replacement Prosthesis in Otosclerosis Surgery

Incus Replacement Prosthesis in Otosclerosis Surgery Abstract A PROSTHESIS from the malleus handle to the oval window is necessary at times to obtain satisfactory hearing for the otosclerotic patient. The purpose of this paper is to present the indications for and the technique and results of using an incus replacement prosthesis in the otosclerotic ear (Fig 1). Essentially, it represents a progress report, inasmuch as the early results in both the fenestrated and nonfenestrated ear have been reported previously.1,2 The Prosthesis A prosthesis from the malleus handle (incus replacement prosthesis or IRP) was first used by us in 1961 following the lead of Schuknecht and Kos.1 A wire and fat prosthesis was used initially.It became apparent, however, that it was not advisable to use a tissue graft in the oval window because of the problem of sensorineural hearing impairment.3 A prefabricated wire loop IRP was designed and has been used since 1963. The References 1. Sheehy, J.L.: Stapedectomy in the Fenestrated Ear: A Progress Report , Arch Otolaryng 78:574-577 ( (Oct) ) 1963.Crossref 2. Sheehy, J.L.: Stapedectomy With Incus Replacement Prosthesis: A Report of 50 Cases , Laryngoscope 76:1165-1180 ( (July) ) 1966.Crossref 3. Panel on Techniques and Results in Stapes Surgery , Arch Otolaryng 78:546 ( (Oct) ) 1963Crossref 4. House, H.P.: Schuknecht, H.; and Shea, J.J., pp 569-572. 5. Guilford, F.R.: Personal Experiences With the Shea Oval Window-Vein Graft Technique , Laryngoscope 71:484-503 ( (May) ) 1961.Crossref 6. Guilford, F.R., and Anson, B.J.: Osseous Fixation of the Malleus , Trans Amer Acad Ophthal Otolaryng 71:398-407 ( (May) -June) 1967. 7. Goodhill, V.: The Fixed Malleus Syndrome , Trans Amer Acad Ophthal Otolaryng 70:370-380 ( (May) -June) 1966. 8. Powers, W.H.; Sheehy, J.L.; and House, H.P.: The Fixed Malleus Head: A Report of 35 Cases , Arch Otolaryng 85:177-181 ( (Feb) ) 1967.Crossref 9. Sheehy, J.L.: Stapedectomy in the Fenestrated Ear , Ann Otol 71:1027-1038 ( (Dec) ) 1962. 10. Hough, J.V.D.: Otosclerosis: Progress Report , Arch Otolaryng 79:421-429 ( (April) ) 1964.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Incus Replacement Prosthesis in Otosclerosis Surgery

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1969.00770020395029
Publisher site
See Article on Publisher Site

Abstract

Abstract A PROSTHESIS from the malleus handle to the oval window is necessary at times to obtain satisfactory hearing for the otosclerotic patient. The purpose of this paper is to present the indications for and the technique and results of using an incus replacement prosthesis in the otosclerotic ear (Fig 1). Essentially, it represents a progress report, inasmuch as the early results in both the fenestrated and nonfenestrated ear have been reported previously.1,2 The Prosthesis A prosthesis from the malleus handle (incus replacement prosthesis or IRP) was first used by us in 1961 following the lead of Schuknecht and Kos.1 A wire and fat prosthesis was used initially.It became apparent, however, that it was not advisable to use a tissue graft in the oval window because of the problem of sensorineural hearing impairment.3 A prefabricated wire loop IRP was designed and has been used since 1963. The References 1. Sheehy, J.L.: Stapedectomy in the Fenestrated Ear: A Progress Report , Arch Otolaryng 78:574-577 ( (Oct) ) 1963.Crossref 2. Sheehy, J.L.: Stapedectomy With Incus Replacement Prosthesis: A Report of 50 Cases , Laryngoscope 76:1165-1180 ( (July) ) 1966.Crossref 3. Panel on Techniques and Results in Stapes Surgery , Arch Otolaryng 78:546 ( (Oct) ) 1963Crossref 4. House, H.P.: Schuknecht, H.; and Shea, J.J., pp 569-572. 5. Guilford, F.R.: Personal Experiences With the Shea Oval Window-Vein Graft Technique , Laryngoscope 71:484-503 ( (May) ) 1961.Crossref 6. Guilford, F.R., and Anson, B.J.: Osseous Fixation of the Malleus , Trans Amer Acad Ophthal Otolaryng 71:398-407 ( (May) -June) 1967. 7. Goodhill, V.: The Fixed Malleus Syndrome , Trans Amer Acad Ophthal Otolaryng 70:370-380 ( (May) -June) 1966. 8. Powers, W.H.; Sheehy, J.L.; and House, H.P.: The Fixed Malleus Head: A Report of 35 Cases , Arch Otolaryng 85:177-181 ( (Feb) ) 1967.Crossref 9. Sheehy, J.L.: Stapedectomy in the Fenestrated Ear , Ann Otol 71:1027-1038 ( (Dec) ) 1962. 10. Hough, J.V.D.: Otosclerosis: Progress Report , Arch Otolaryng 79:421-429 ( (April) ) 1964.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Feb 1, 1969

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