gms | German Medical Science

81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

Cartilage-wire-fascia compact total ossicular replacement prosthesis in one-stage cholesteatoma surgery

Meeting Abstract

  • corresponding author Victor Vital - University Thessaloniki, Greece
  • Iordanis Konstantinidis - University Thessaloniki, Greece
  • Iosif Vital - Suraski Hospital, Tel Aviv, Israel
  • Stefanos Triaridis - University Thessaloniki, Greece
  • Jannis Constantinidis - University Thessaloniki, Greece

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod470

DOI: 10.3205/10hnod470, URN: urn:nbn:de:0183-10hnod4706

Published: April 22, 2010

© 2010 Vital et al.
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Outline

Text

Retraction pocket and extrusion of the ossicular prosthesis remain significant problems after tympanoplasty in cholesteatoma surgery. This study presents an alternative surgical technique with a total compact ossicular prosthesis including cartilage, wire, and temporalis fascia.

A total of 42 patients (27 adults, 15 children) underwent an ear operation for cholesteatoma requiring total ossicular chain replacement during a 10-year period. Surgery included canal wall down mastoidectomy and reconstruction of the middle ear in one stage. The total ossicular replacement prosthesis was made by a stainless steel wire passed and secured through a piece of conchal cartilage and temporalis fascia positioned on the free end of the wire. The analysis of our data included hearing results pre-surgery and post-surgery, complications recorded in the case notes, and prostoperative otoscopic findings.