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Laryngol Rhinol Otol (Stuttg). 1988 Jan;67(1):31-3.

[Tympanoplasty with incus interposition].

Laryngologie, Rhinologie, Otologie

[Article in German]
W Mann, R Hoffmann

Affiliations

  1. Universitäts-HNO-Klinik Freiburg.

PMID: 3347133

Abstract

We report on a 5-year experience with 44 patients (1980-1985) with incus interposition using a modelled or sculptured incus, either autograft or homograft, to correct ossicular discontinuity when a functional malleus and stapes are present. After a period of 21 months, 75% of our patients achieved an air-bone gap closure between 1 and 10 dB. The postoperative hearing results of patients with trauma and middle ear atelectases were better than the hearing results of patients with cholesteatomas. These long-term results are dependent upon intact malleus attic ligaments and an intact tensor tympani tendon. It is very important that the modelled incus is repositioned under the malleus handle neck.

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