Learning Objectives: The author developed a technique called manubrio-stapedioplasty using glass ionomer cement for malleus and incus fixation due to tympanosclerosis and congenital fixation. Method: this method can be used in situations where malleus and incus are fixed but stapes is mobile. Head of the malleus and incus are removed and manubrium is connected to the head of the stapes with glass ionomer cement. In a group of five patients with conductive hearing loss mean pre-operative air-bone gap of 42.75 dB, and mean post-operative air-bone gap was 5.25 dB. This method can also be used in situations with fixation of all ossicles. Here the stapes is mobilized after removing of all tympanosclerotic plaques but the postoperative hearing results are not as good as situations where stapes is mobile. During this presentation videos of different patients will be provided showing the technique.
The author developed a technique called manubrio-stapedioplasty using glass ionomer cement for malleus and incus fixation due to tympanosclerosis and congenital fixation.
Method: this method can be used in situations where malleus and incus are fixed but stapes is mobile. Head of the malleus and incus are removed and manubrium is connected to the head of the stapes with glass ionomer cement.
In a group of five patients with conductive hearing loss mean pre-operative air–bone gap of 42.75 dB, and mean post-operative air–bone gap was 5.25 dB.
This method can also be used in situations with fixation of all ossicles. Here the stapes is mobilized after removing of all tympanosclerotic plaques but the postoperative hearing results are not as good as situations where stapes is mobile.
During this presentation videos of different patients will be provided showing the technique.
