title: [Fixed mallear head syndrome].
abstract: Fixed head malleus syndrome is a rare anatomoclinical entity first described by Goodhill in 1966. We present a series of 9 patients who underwent surgery between 1991 and 1997 and discuss the technical procedures used and functional outcome. Ossicular mobility can be re-established with two surgical methods. The more simple method consists in a classical incus transposition with malleus neck section. The more physiological method consists in drilling the synostosis fixing the malleus without disrupting the ossicular chain; stapedotomy is associated in certain cases (Type III).
authors.affiliation: Service d'ORL et de chirurgie Cervico-faciale, Professeur Magnan-Hôpital Nord, Marseille.
authors.forename: M
authors.initials: M
authors.lastname: Bruzzo
authors.forename: F
authors.initials: F
authors.lastname: Braccini
authors.forename: F
authors.initials: F
authors.lastname: Cacès
authors.forename: J M
authors.initials: JM
authors.lastname: Vallicioni
authors.forename: A
authors.initials: A
authors.lastname: Chays
authors.forename: J
authors.initials: J
authors.lastname: Magnan
mesh_terms: D000328:Adult; D000368:Aged; D001299:Audiometry; D001844:Bone Conduction / Q000502:physiology; D004427:Ear Diseases / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D034381:Hearing Loss / Q000209:etiology; D006801:Humans; D007188:Incus / Q000601:surgery; D008297:Male; D008307:Malleus / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D019933:Ossicular Replacement; D012018:Reflex / Q000502:physiology; D013199:Stapes / Q000503:physiopathology; D013577:Syndrome; D013580:Synostosis / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome