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Sutured Cartilage Graft for Middle Ear Prosthesis Stabilization: A Case Report.
Francisco Javier Mancilla Mejía1, Jesus Alejandro Saenz Medina2, Alfredo Vega Alarcon3
1Otorhinolaryngology and Head and Neck Surgery, Universidad Naval, Mexico City, MEX.
Cureus
|August 11, 2025
Summary
A novel surgical technique sutures cartilage to ossicular prostheses, reducing extrusion risk in ear surgery. This method enhances prosthesis stability, offering a simple solution for chronic otitis media patients.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Prosthesis extrusion is a frequent complication after ossicular chain reconstruction.
- Current methods using interposition cartilage grafts are not fully effective in preventing prosthesis displacement.
Observation:
- A novel technique involves suturing an autologous tragal cartilage graft directly to a partial ossicular replacement prosthesis.
- This modified prosthesis assembly was implanted via an endoscopic transcanal approach.
Findings:
- The technique demonstrated no evidence of prosthesis extrusion, displacement, or complications at one week and one month follow-up.
- Suturing the cartilage graft to the prosthesis appears to improve mechanical stability.
Implications:
- This simple, low-cost modification offers a potentially more stable ossiculoplasty technique.
- Further research is warranted to assess the long-term efficacy and outcomes of this surgical approach.
