Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-23T10:15:27.426Z Has data issue: false hasContentIssue false

Malleomyringoplasty using a silicone prosthesis

Published online by Cambridge University Press:  29 June 2007

A. Schiller
Affiliation:
Cape Town, South Africa
P. J. Wormald*
Affiliation:
Cape Town, South Africa
*
Dr P.J. Wormald, Department of Otolaryngology, Groote Schuur Hospital, Observatory 7925, Cape Town, South Africa

Abstract

Successful replacement of the sound conducting mechanism of the ear has been hampered by infection, perforation, prosthesis instability and extrusion. In this animal study on thirty rats a silicone prosthesis was inserted between two layers of fascia as a total replacement of the tympanic membrane and ossicular chain. After four months the graft was found to be intact without evidence of infection or extrusion in all but one of the 30 rats. These results justify a trial of a similar silicone prosthesis in humans.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anniko, M., Hellstom, S., Wahlstrom, G. (1989) Frequency specific auditory brainstem response analysis of young normal, aged normal and aged alcohol-addicted rats. Otorhinolaryngology, 51: 285289.Google ScholarPubMed
Borg, E. (1982) Auditory thresholds in rats of different age and strain: a behavioural and electrophysiological study. Hearing Reserve, 8: 101115.CrossRefGoogle Scholar
Farrior, J. B. (1960) Ossicular repositioning and ossicular prosthesis in tympanoplasty. Archives of Otolaryngology, 71: 443449.CrossRefGoogle ScholarPubMed
Glascock, M., House, W. (1968) Homograft reconstruction of the middle ear. Laryngoscope, 78: 12191226.CrossRefGoogle Scholar
Goodhill, V. (1967) Tragal perichondrium and cartilage in tympanoplasty. Archives of Otolaryngology, 85: 480492.CrossRefGoogle ScholarPubMed
Hack, M. H. (1971) Auditory intensity discrimination in the rat. Journal of Comparative Physiology and Psychology, 74: 315318.CrossRefGoogle ScholarPubMed
Hall, A., Rytzner, C. (1960) Vitality of autotransplanted ossicles. Ada Otolaryngologica, 52 (Supplement 58): 335340.CrossRefGoogle Scholar
Jansen, C. (1963) Cartilage tympanoplasty. Laryngoscope, 73: 12881302.CrossRefGoogle ScholarPubMed
Marquet, J. (1966) Le traitment chirurgical de la rupture traumatique de la chaine ossiculare. Acta Otorhinolaryngologica (Belgica), 20: 529.Google Scholar
Paparella, M. M, Sugiura, S. (1968) Silicones in middle ear reconstructive surgery. Journal of Laryngology and Otology, 81: 2940.CrossRefGoogle Scholar
Schiller, A. (1968) Malleo-myringoplasty: Reconstruction of the tympanic membrane and the handle of the malleus. Archives of Otolaryngology, 88: 463468.CrossRefGoogle Scholar
Schiller, A. (1971) Reconstruction of the sound conducting mechanism by the malleo-myringoplasty and prosthesis method. South African Medical Journal, 27: 339344.Google Scholar
Sheehy, J. L. (1965) Ossicular problems in tympanoplasty. Archives of Otolaryngology, 81: 115122.CrossRefGoogle ScholarPubMed
Smyth, G., Kerr, A. (1969) Inner ear protection after experimental teflon piston stapedectomy in cats. Journal of Laryngology and Otology, 82: 897906.CrossRefGoogle Scholar
Wullstein, H. (1956) The theory and practice of tympanoplasty. Laryngoscope, 66: 10761093.CrossRefGoogle ScholarPubMed
Zoellner, F. (1956) The principles of plastic surgery of the sound conducting apparatus. Journal of Laryngology and Otology, 69: 637652.CrossRefGoogle Scholar