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The sandwich cartilage shoe technique for ossicular reconstruction in a case of an unsecure stapes footplate
Author(s) -
Bremke Martin,
Hüttenbrink KarlBernd,
Beutner Dirk
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.21919
Subject(s) - footplate , stapes , medicine , cartilage , silicone , surgery , oval window , prosthesis , middle ear , anatomy , materials science , engineering , mechanical engineering , composite material
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.