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The use of cortical bone grafts in ossiculoplasty

II: Graft mass and hearing change at different frequencies

Published online by Cambridge University Press:  29 June 2007

R. P. Mills*
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee.
*
Mr R. P. Mills, Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY.

Abstarct

The masses of preserved ossicles and cortical bone grafts have been studied in vitro using a Stanton Unimatic CL41 balance. The cortical bone grafts prepared for use in malleus-stapes assemblies had a mean mass 28 per cent greater than that for an incus, while those prepared for use in a malleus-footplate or drum-footplate assembly had a mean mass 58 per cent greater. Analysis of the hearing results for the first 20 ossiculoplasty operations performed by the author using cortical bone grafts revealed no significant differences in outcome attributable to increased mass. However, large grafts did become fixed to surrounding structures in some cases.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1993

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References

Anthony, W. P., Harrison, C. W. (1972) Tympanic membrane perforation: effect on audiogram. Archives of Otolaryngology 95: 506510CrossRefGoogle ScholarPubMed
Clarke, G. M., Dunlop, C. W. (1968) Middle ear sound transmission. Archives of Otolaryngology 88: 3542Google Scholar
Elbrond, O., Elpern, S. (1965) Reconstruction of ossicular chain in incus defects: an experimental study. Archives of Otolaryngology 82: 603608Google Scholar
Green, D. S., Lee, K. J. (1973) Hearing and speech. In The Otolaryngology Boards. (Lee, K. J., ed.), The Medical Books Publishing Co. Inc., p.3956Google Scholar
Hoffman, A., Zollner, F. (1969) Ossicular autografts and homografts: round table discussion. Archives of Otolaryngology 89: 229234Google Scholar
Kirkae, I., Sato, Y., Kawamura, S., Sato, M., Funasaka, S., Okabe, K. (1964) An experimental study of pathological middle ear mechanisms. Annals of Otology, Rhinology and Laryngology 73: 124.CrossRefGoogle Scholar
Pickles, J. O. (1987) Physiology of the ear. In Scott-Brown's Otolaryngology. 5th edition. (Kerr, A. G., Wright, D. W., eds.), p. 4780Google Scholar
Plester, D., Steinbach, E. (1977) Histologic fate of tympanic membrane and ossicle homografts. Otology Climes of North America 10: 487499Google Scholar
Pulec, J. L., Sheehy, J. (1973) Symposium on tympanoplasty: ossicular reconstruction. Laryngoscope 83: 448465Google Scholar
Schuring, A. G., Lippy, W. H. (1983) Solving ossicular problems in tympanoplasty. Laryngoscope 93: 11511154Google Scholar