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Postinflammatory Fixation of the Malleus: Its Surgical Correction

Postinflammatory Fixation of the Malleus: Its Surgical Correction Abstract During the recent "Second Workshop on Reconstructive Middle Ear Surgery," malleus fixation as a cause of conductive hearing loss was briefly discussed. House1 and Hough2 mentioned it as a complicating factor in stapes surgery. Guilford3 showed photographs of excised mallei with bony changes and discussed his experiences with 16 cases. In three of these, no other fixation of the ossicular chain was present. He pointed out that stapedectomy would be useless for these patients. In his comprehensive study of the history and pathology in a series of 116 temporal bones, Ojala4 found a case of malleus fixation. His published photomicrograph shows that the malleus is being fixed by new bone formation from the surrounding walls of the epitympanum. A case of fixation of the stapes due to chronic otitis media has been reported by Hallpike and Harrison.5 When we recently had the opportunity to take References 1. House, H. P.: Early and Late Complications of Stapes Surgery , Arch Otolaryng 78:606-613, 1963.Crossref 2. Hough, J., in Lindsay, J., et al: Panel on Footplate Pathology, Techniques, and Prognosis , Arch Otolaryng 78:520-538, 1963.Crossref 3. Guilford, E., in Lindsay, J., et al: Panel on Footplate Pathology, Techniques, and Prognosis , Arch Otolaryng 78:520-538, 1963.Crossref 4. Ojala, L.: Pathogenesis and Histopathology of Chronic Adhesive Otitis , Arch Otolaryng 57:378-401, 1953.Crossref 5. Hallpike, C. S., and Harrison, M. S.: Bony Fixation of Stapes Due to Chronic "Adhesive" Otitis Media: Clinico-Pathological Study , J Laryng 70:565-567, 1956.Crossref 6. Eggston, A. A., and Wolff, D.: Histopathology of Ear, Nose and Throat , New York: Williams & Wilkins Co., 1947, p 423. 7. Zöllner, F.: Tympanosclerosis , J Laryng 70:77-85, 1956.Crossref 8. House, W. F., and Sheehy, J. L.: Tympanosclerosis , Arch Otolaryng 72:308-313, 1960.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Postinflammatory Fixation of the Malleus: Its Surgical Correction

Archives of Otolaryngology , Volume 81 (1) – Jan 1, 1965

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Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1965.00750050022006
Publisher site
See Article on Publisher Site

Abstract

Abstract During the recent "Second Workshop on Reconstructive Middle Ear Surgery," malleus fixation as a cause of conductive hearing loss was briefly discussed. House1 and Hough2 mentioned it as a complicating factor in stapes surgery. Guilford3 showed photographs of excised mallei with bony changes and discussed his experiences with 16 cases. In three of these, no other fixation of the ossicular chain was present. He pointed out that stapedectomy would be useless for these patients. In his comprehensive study of the history and pathology in a series of 116 temporal bones, Ojala4 found a case of malleus fixation. His published photomicrograph shows that the malleus is being fixed by new bone formation from the surrounding walls of the epitympanum. A case of fixation of the stapes due to chronic otitis media has been reported by Hallpike and Harrison.5 When we recently had the opportunity to take References 1. House, H. P.: Early and Late Complications of Stapes Surgery , Arch Otolaryng 78:606-613, 1963.Crossref 2. Hough, J., in Lindsay, J., et al: Panel on Footplate Pathology, Techniques, and Prognosis , Arch Otolaryng 78:520-538, 1963.Crossref 3. Guilford, E., in Lindsay, J., et al: Panel on Footplate Pathology, Techniques, and Prognosis , Arch Otolaryng 78:520-538, 1963.Crossref 4. Ojala, L.: Pathogenesis and Histopathology of Chronic Adhesive Otitis , Arch Otolaryng 57:378-401, 1953.Crossref 5. Hallpike, C. S., and Harrison, M. S.: Bony Fixation of Stapes Due to Chronic "Adhesive" Otitis Media: Clinico-Pathological Study , J Laryng 70:565-567, 1956.Crossref 6. Eggston, A. A., and Wolff, D.: Histopathology of Ear, Nose and Throat , New York: Williams & Wilkins Co., 1947, p 423. 7. Zöllner, F.: Tympanosclerosis , J Laryng 70:77-85, 1956.Crossref 8. House, W. F., and Sheehy, J. L.: Tympanosclerosis , Arch Otolaryng 72:308-313, 1960.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jan 1, 1965

References