[Homologous transplants in the middle ear (author's transl)]

The original concept of tympanoplasty included besides the closure of the middle ear, the removal of pathological middle ear components leaving intact the functional and healthy components. The special conditions that prevail in the middle ear (aeration, absence of intrinsic trauma) allow the reconstruction of the middle ear mechanics to a great extent. Animal experiments and clinical experience reveal good transplantation properties of denatured and preserved ear ossicles. They are partly replaced by the body's own true tissue, and preserve the original form over a period of years. Denatured dear drums with malleus, incus, and parts of the stapes give astounding acoustic results. The posterior bony canal wall in old radical cavities can be replaced by the posterior wall of the human temporal bone which has been preserved in Cialit.