The sandwich cartilage shoe technique for ossicular reconstruction in a case of an unsecure stapes footplate.
This article describes a new surgical method for total ossicular reconstruction in a case of a broken stapes footplate. We developed the technique of the "cartilage shoe sandwich," which consists of two surgical steps. First, the closure of the oval window is achieved by a cartilage shoe without a central perforation. During this surgical intervention, the prearrangement of a secure placement of a total ossicular replacement prosthesis is provided by a second cartilage with a central hole that is plugged with silicone. In a staged procedure, the silicone plug is removed and the ossicular reconstruction can be performed. The audiological results of the first patients show a stable inner ear function with an air-conduction gain of 9 dB. The technique described herein has proven to be safe and reliable in total ossicular reconstruction in the event of an unsecure stapes footplate.
Department of Otorhinolaryngology-Head and Neck Surgery, University of Cologne, Cologne, Germany.
Martin
M
Bremke
Karl-Bernd
KB
Hüttenbrink
Dirk
D
Beutner
D000328:Adult; D000368:Aged; D002356:Cartilage / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009998:Ossicular Prosthesis; D019933:Ossicular Replacement / Q000379:methods*; D013201:Stapes Surgery / Q000379:methods*; D016896:Treatment Outcome