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The Auditory Ossicles

The Auditory Ossicles

The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...

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Stapes stabilizing cartilage graft.

Ibrahim Erdim^1,2, Emrah Sapmaz^3,4

¹ENT Department, Gaziosmanpasa University Medical Faculty, Tokat, Turkey. ibrahim_erdim@hotmail.com.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

|November 14, 2019

Summary

Autologous cartilage grafts for type 3 tympanoplasty show better hearing results than prostheses. Stapes stabilizing cartilage graft (SSCG) offers a promising alternative for hearing reconstruction with fewer complications.

Keywords:

Cartilage Graft Stapes Type 3 tympanoplasty

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Area of Science:

Otolaryngology
Audiology
Regenerative Medicine

Background:

Type 3 tympanoplasty involves complex middle ear reconstruction.
Evaluating hearing outcomes and complications is crucial for surgical success.

Purpose of the Study:

To compare hearing results of type 3 tympanoplasty using autologous cartilage grafts versus prostheses.
To assess the efficacy and safety of stapes stabilizing cartilage graft (SSCG) compared to Plastipore partial ossicular replacement prosthesis (PPORP).

Main Methods:

Retrospective study comparing SSCG and PPORP for hearing reconstruction in type 3 tympanoplasty.
Postoperative audiological tests performed at least 6 months post-surgery.
Assessment of hearing thresholds, air-bone gap (ABG), and complications.

Main Results:

SSCG group showed a statistically significant improvement in air conduction threshold compared to PPORP (p=0.022).
No complications were reported in the SSCG group, while PPORP had cases of vertigo and one extrusion.
While ABG changes were greater in SSCG, the difference was not statistically significant.

Conclusions:

Stapes stabilizing cartilage graft (SSCG) demonstrates superior hearing outcomes compared to PPORP.
SSCG is a viable and safe alternative for hearing reconstruction in type 3 tympanoplasty.