The patient was a 45 year old female with a conductive hearing loss in the left ear for last two years.  Audiometric testing showed 45 dB air-bone gap.  Exploration of the left ear revealed that stapes was mobile and so was the incus, but independently. 

The decision was made at the time of surgery to insert a bridge between the lenticular process and the head of the stapes.  Since prior preparation had been made for a possible stapedectomy, a cylindrical block made from the shaft of a Teflon piston was inserted between the incudo-stapedial joint.  The block was roughly 1 mm in length. Hearing improved to 15 dB one month after the operation.

Other solutions to this problem might include the use of fibrin glue, bone pate or hydroxyapatite paste.

Abstract:  A care report and video demonstrates a method of repairing a hyper mobile or disarticulated incudostapedial joint, along with a discussion of alternative techniques.

Author:  Jayant K. Watve,  Professor and Head, Dept of E.N.T.  Rajarshi Chhatrapati Shahu Maharaj Govt. Medical College (RCSMGMC)  Kolhapur, India. 

Letters-To-The-Editor (LTTE) View Letters

A maximum of 2500 characters may be submitted utilizing an online form.

Go To LTTE Submission Page

Indian Translation Section

The information in this site is provided for educational purposes only, and is not intended to be a substitute for a physician consultation. Please consult your own physician about any opinions or recommendations with respect to your own medical condition and symptoms.

( Site Map )

This site complies to the HONcode standard for trustworthy health information: verify here.

ISSN 1948-9579

WAENT, ENT USA, Cumberland Otolaryngology or Dr Kevin Kavanagh, MD do not endorse, recommend, refer to or are responsible for the content and claims made by authors or advertisers seen in WAENT and ENTUSA. 
Always consult a qualified physician for recommendations for diagnosis and treatment of medical conditions.

DMCA Complaints:  Digital Millennium Copyright Act.  All complaints are taken seriously and will be investigated.  To file a copyright infringement notice please go to: 
 FILE DMCA Complaint

View Editorial Review Board