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Abstract Of 686 patients who underwent tympanoplasty, 45 had nonotosclerotic bony fixation of the ossicular chain (malleus, 17; incus, 10; stapes, 4; malleus and incus, 11; all ossicles, 1). Two patients had bony fixation of autografts. The incus and malleus may be fixed in various sites in the epitympanum. The most common causes were cholesteatoma and sequelae of otitis, in particular, of mastoidectomy. Bony fixation was also found as a mild solitary congenital anomaly, in atresia of the auditory meatus, traumatic ossicular dislocation due to fracture of the petrous portion of the temporal bone, tympanosclerosis, chronic adhesive otitis media, and chronic granulating otitis. References 1. Beck CH: Remobilisation der durch ostitische Veränderungen fixierten Schalleitungskette . Hals- Nasen- Ohrenheilk , 8:210-212, 1960. 2. Goodhill V: Pseudo-otosclerosis . Laryngoscope 70:722-759, 1960.Crossref 3. House HP: Early and late complications of stapes surgery . Arch Otolaryngol 78:606-613, 1963.Crossref 4. Guilford FR, in Lindsay et al: Panel on footplate pathology, techniques and prognosis . Arch Otolaryngol 78:520-538, 1963.Crossref 5. Sleeckx P, Shea JJ, Pitzer FJ: Epitympanic ossicular fixation . Arch Otolaryngol 85:619-631, 1967.Crossref 6. Powers WH, Sheehy J, House HP: The fixed malleus head: A report of 35 cases . Arch Otolaryngol 85:177-181, 1967.Crossref 7. Guilford FR, Anson BJ: Osseous fixation of the malleus . Trans Am Acad Ophthalmol Otolaryngol 71:398-407, 1967. 8. Tos M: Bony fixation of the malleus and incus . Acta Otolaryngol 70:95-104, 1970.Crossref 9. House HP: Diagnostic aspects of congenital ossicular fixation . Trans Am Acad Ophthalmol Otolaryngol 60:787-790, 1956. 10. Andersen HC, Jepsen 0, Ratien E: Ossicular chain defects . Acta Otolaryngol 54:393-402, 1962.Crossref 11. Scheer AA: Correction of congenital middle ear deformities . Arch Otolaryngol 85:269-277, 1967.Crossref 12. Does IE, Bottema T: Posttraumatic conductive hearing loss . Arch Otolaryngol 82:331-339, 1965.Crossref 13. Tos M: Prognosis of hearing loss in temporal bone fractures . J Laryngol Otol 85:1147-1159, 1971.Crossref 14. Ojala L: Pathogenesis and histopathology of chronic adhesive otitis . Arch Otolaryngol 57:378-401, 1953.Crossref 15. Hilding DA: Postinflammatory fixation of the malleus . Arch Otolaryngol , 81:17-19, 1965.Crossref 16. Davies DG: Malleus fixation . J Laryngol Otol 82:331-351, 1968.Crossref 17. Hallpike CS, Harrison MS: Bony fixation of the stapes due to chronic "adhesive" otitis media: A clinico-pathological study . J Laryngol Otol 70:565-567, 1956.Crossref 18. Ueda T: Development of the epitympanum and auditory ossicle chain in pneumatisation of the temporal bone . J Otorhinolaryngol Soc Jap 66:913-916, 1963. 19. Goto T, Eguchi S, Ueda T: Fixed ossicles as related to pneumatisation . Arch Otolaryngol 87:547-549, 1968.Crossref 20. Altmann F: The finer structure of the auditory ossicles in otosclerosis . Arch Otolaryngol 82:569-574, 1965.Crossref 21. Goodhill V: External conductive hypacusis and the fixed malleus syndrome . Acta Otolaryng ( (suppl) )217:1-43, 1966.
Archives of Otolaryngology – American Medical Association
Published: Jun 1, 1974
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