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. 2009 Mar;61(1):9-13.
doi: 10.1007/s12070-009-0025-5. Epub 2009 Mar 31.

Use of autogenic and allogenic malleus in tympanic membrane to footplate assembly - long-term results

A Mahadevaiah  1 , Bhavin Parikh
Affiliations

Use of autogenic and allogenic malleus in tympanic membrane to footplate assembly - long-term results

A Mahadevaiah et al. Indian J Otolaryngol Head Neck Surg. 2009 Mar.

Abstract

The objective of this study was to assess the functional performance and long-term stability of autogenic and allogenic malleus used for ossiculoplasty as tympanic membrane to footplate assembly. A retrospective study of 119 patients who underwent such ossiculoplasty in closed cavity mastoidectomy from 1989-2004 was carried out. There was no extrusion in any of our cases. Serviceable hearing (<20 dB air bone gap closure) was achieved in 24 out of 37 (65%) over long-term follow up of more than 1 year (mean and median for follow up being 37.4 and 30 months respectively). Thus malleus ossicle graft give acceptable long-term hearing results in one of the most difficult ossiculoplasty situations (absence of stapes suprastructure and malleus) with virtually no extrusion problems.

Keywords: Malleus allografts; Ossicle grafts; Ossiculoplasty.

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