Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-19T06:53:29.090Z Has data issue: false hasContentIssue false
  • English
  • Français

Malleostapedotomy in tympanosclerosis patients

Published online by Cambridge University Press:  25 May 2007

G Magliulo ,
A Celebrini ,
G Cuiuli ,
D Parrotto  and
M Re
G Magliulo*
Affiliation:
‘G Ferreri’ Department of Otorhinolaryngology, Audiology and Phoniatrics, ‘La Sapienza’ University, Rome
A Celebrini
Affiliation:
‘G Ferreri’ Department of Otorhinolaryngology, Audiology and Phoniatrics, ‘La Sapienza’ University, Rome
G Cuiuli
Affiliation:
‘G Ferreri’ Department of Otorhinolaryngology, Audiology and Phoniatrics, ‘La Sapienza’ University, Rome
D Parrotto
Affiliation:
‘G Ferreri’ Department of Otorhinolaryngology, Audiology and Phoniatrics, ‘La Sapienza’ University, Rome
M Re
Affiliation:
Otorhinolaryngology Department, University Politecnico delle Marche, Ancona, Italy
*
Address for correspondence: Dr Giuseppe Magliulo, Via Gregorio VII n 80, 00165 Rome, Italy. Fax: 6 49976817 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

To present our personal experience of a series of 10 patients suffering from tympanosclerosis with functional blocking of the stapes or footplate, who underwent malleostapedotomy surgery. The criteria for patient selection for this type of operation, and its results and complications, are discussed.

Methods:

Prospective study.

Results:

Incus and malleus dysfunction was observed in 70 per cent of cases, either alone or combined with fixation of the stapes. The post-operative hearing results were considered to be satisfactory (i.e. within 20 dB) in 80 per cent of cases. Only one patient had sensorineural hearing loss over 10 dB.

Conclusions:

Malleostapedotomy has proved its practicability in the treatment of patients with fixed footplate or stapes complicated by ankylosis of the incudomalleolar joint. This procedure can be considered a further, valid technique within the otologist's surgical armamentarium.

Keywords

StapesChronic Otitis MediaTympanosclerosisOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 12 , December 2007 , pp. 1148 - 1150
Copyright
Copyright © JLO (1984) Limited 2007

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

1 Fisch, U. Tympanoplasty, Mastoidectomy and Stapes Surgery. Stuttgart: Georg Thieme Verlag, 1994;212–71Google Scholar
2 Fisch, U, Acar, GO, Huber, AM. Malleostapedotomy in revision surgery for otosclerosis. Otol Neurotol 2001;22:776–85CrossRefGoogle ScholarPubMed
3 Goode, RL, Ball, G, Nishihara, S. Measurement of umbo vibration in human subjects – method and possible clinical applications. Am J Otol 1993;14:217–51Google ScholarPubMed
4 Willi, UB, Ferrazzini, MA, Huber, AM. The incudo-malleolar joint and sound transmission losses. Hear Res 2002;174:32–44CrossRefGoogle ScholarPubMed
5 Rajan, GP, Atlas, MD, Subramaniam, K, Eikelboom, RH. Eliminating the limitations of manual crimping in stapes surgery? A preliminary trial with the shape memory Nitinol stapes piston. Laryngoscope 2005;115:366–9CrossRefGoogle ScholarPubMed