title: Use of autogenic and allogenic malleus in tympanic membrane to footplate assembly - long-term results.
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.
authors.affiliation: Basavanagudi ENT Care Centre, Basavanagudi, Bangalore, India.
authors.forename: A
authors.initials: A
authors.lastname: Mahadevaiah
authors.forename: Bhavin
authors.initials: B
authors.lastname: Parikh
keywords: Malleus allografts; Ossicle grafts; Ossiculoplasty