title: Incudostapedial joint arthroplasty using temporalis fascia/perichondrium ties.
abstract: Incudostapedial joint dislocation is the most frequently found ossicular chain defect. In these cases reconstitution of joint capsule is important in maintaining joint integrity. But reconstruction of dislocated incudostapedial joint is a challenging procedure as this joint is devoid of any muscular or soft tissue support. Here we describe a technique designed to reposition the incudostapedial joint in its anatomical position using temporalis fascia or perichondrium. Data have been collected and analyzed from 42 patients with incudostapedial joint discontinuity. The fascial ties used for reconstruction of joint capsule ensure a dynamic union of the repositioned incus with stapes, leading to a significant improvement in conductive hearing loss.
authors.affiliation: Department of Otolaryngology, BJ Medical College, Gujarat University, Ahmedabad, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Vishwakarma
authors.forename: Yogesh Indrasen
authors.initials: YI
authors.lastname: More
authors.forename: Shawn T
authors.initials: ST
authors.lastname: Joseph
authors.forename: Kalpesh B
authors.initials: KB
authors.lastname: Patel
authors.forename: Mukesh K
authors.initials: MK
authors.lastname: Ramani
authors.forename: Rishikesh I
authors.initials: RI
authors.lastname: More
mesh_terms: D000328:Adult; D001178:Arthroplasty / Q000379:methods*; D004429:Ear Ossicles / Q000601:surgery; D000071938:Fasciotomy; D005260:Female; D006314:Hearing Loss, Conductive / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007188:Incus / Q000293:injuries / Q000601:surgery*; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013506:Otologic Surgical Procedures; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome