KeypointsA novel ossiculoplastic technique of bone‐cartilage composite graft (BCCG) showed the satisfactory hearing outcomes and the lowest complication rate.The BCCG seems to be a useful ossiculoplastic material.INTRODUCTIONOssiculoplasty is a surgical technique for reconstruction of the ossicular chain in conductive hearing loss caused by suppurative chronic otitis media (OM), cholesteatoma or disruption of the ossicular chain for any reason. As myringostapediopexy was introduced in 1901, many otolaryngologists have performed ossiculoplasty and tried to achieve better hearing outcomes. Reconstruction of the ossicular chain can be performed using autologous cartilage, bone or synthetic materials such as vinyl‐acryl, polyethylene, gold, plastipore, hydroxyapatite, bioglass and titanium. Technical advances in ossiculoplastic materials have resulted in better surgical outcomes, but the most ideal material for ossiculoplasty remains controversial.We propose that autologous cartilage, ossicle and bone chips from the mastoid cortex are excellent materials for ossicular reconstruction that are comparable to other synthetic materials once properly reshaped. Better long‐term hearing results and a lower extrusion rate were expected with these biocompatible autologous ossiculoplastic materials.Bone‐cartilage composite graft (BCCG) is a novel method of autologous ossiculoplasty with a mushroom‐shaped graft made by reshaped incus and conchal cartilage. This study introduced the new technique of ossiculoplasty using BCCG and compared
Clinical Otolaryngology – Wiley
Published: Jan 1, 2018
Keywords: ; ;
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