title: [Malleostapedotomy in the pathology of the incudomalleolar complex combined with fixation of the stapes].
abstract: BACKGROUND
  Stapes fixation combined with disorders of the incudo-malleolar complex disorders requires a sound transmission reconstruction that often is difficult to solve. This circumstance can turn up in several pathologies and also in revision surgery for otosclerosis.
  
  
  METHODS
  We present our experience with four patients that underwent to malleostapedotomy with removal of the malleus anterior ligament and the malleus anterior apophysis.
  
  
  RESULTS
  We discuss the previous findings in each case. Two patients reached a gap closure and the other two patients obtained an auditive gain without complete gap closure.
  
  
  CONCLUSIONS
  We set out the ethiology of malleus and incus hipomobility. We do a bibliographic review on the results of this technique in revision stapedectomy.
authors: Hospital Universitari Arnau de Vilanova, Facultad de Medicina de la Universitat de Lleida. vpalomar@arnau.scs.es
authors: V
authors: V
authors: Palomar Asenjo
authors: V
authors: V
authors: Palomar García
authors: J C
authors: JC
authors: Fortuny Llanses
authors: A
authors: A
authors: Ruiz Giner