Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Ossiculoplasty with semibiologic and composite prostheses

A G Schuring1

  • 1Warren Otologic Group, Inc, Ohio.

Otolaryngologic Clinics of North America
|August 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Stapedectomy following tympanoplasty.

The Journal of laryngology and otology·2001
Same author

Ossiculoplasty in canal wall down mastoidectomy.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2000
Same author

Cavum major tympano-ossiculoplasty.

The American journal of otology·2000
Same author

Partial ossicular reconstruction in children: a review of 62 operations.

The Laryngoscope·1998
Same author

Revision stapedectomy for incus erosion: long-term hearing.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·1998
Same author

Pediatric tympanoplasty of iatrogenic perforations from ventilation tube therapy.

The American journal of otology·1998
Same journal

Little Tube; Big Problems: Eustachian Tube Dysfunction.

Otolaryngologic clinics of North America·2026
Same journal

Current State of Button Battery Ingestion Injuries.

Otolaryngologic clinics of North America·2026
Same journal

Diagnostic Algorithm for Eustachian Tube Dysfunction and Indications for Balloon Dilation of the Eustachian Tube.

Otolaryngologic clinics of North America·2026
Same journal

Patulous Eustachian Tube Dysfunction.

Otolaryngologic clinics of North America·2026
Same journal

Revisiting Eustachian Tube Anatomy and Physiology.

Otolaryngologic clinics of North America·2026
Same journal

Glottic Stenosis.

Otolaryngologic clinics of North America·2026
See all related articles

The ossicle cup prosthesis offers a versatile solution for ossicular reconstruction, adapting to various anatomical challenges. Its design ensures efficient sound transmission and stability, addressing complex cases beyond standard ossiculoplasty.

Area of Science:

  • Otolaryngology
  • Biomedical Engineering
  • Surgical Reconstruction

Background:

  • The Lippy-modified Robinson prosthesis is a successful tool for revision stapedectomy and lenticular process reconstruction.
  • When the Lippy-modified Robinson prosthesis fails, the ossicle cup prosthesis serves as an effective alternative.

Purpose of the Study:

  • To highlight the advantages and adaptability of semibiologic prostheses, specifically the ossicle cup and columella, in ossicular reconstruction.
  • To demonstrate how the modifiable synthetic portion of these prostheses can overcome challenging anatomical and surgical problems.

Main Methods:

  • Utilizing semibiologic prostheses (ossicle cup and columella) for partial and total ossicular replacement.
  • Modifying the synthetic portion of the prosthesis through notching, shaping, and trimming to address specific anatomical issues.

Related Experiment Videos

  • Addressing challenges such as laterally healed tympanic membranes, absent stapes capitulum, footplate variations, low-profile stapes, abnormal tendon attachments, and overhanging facial nerves.

    • Main Results:

    • Semibiologic prostheses provide variable height, avoid contact with critical structures (promontory, facial nerve canal, tympanic membrane), and ensure efficient sound conduction.
    • The ossicle cup offers a stable dynamic joint with the stapes capitulum, and the ossicle columella provides a safe platform distributing weight over the footplate.
    • The adaptability of the synthetic component allows for successful reconstruction in cases previously considered technically difficult or impossible.

    Conclusions:

    • Semibiologic prostheses, particularly the ossicle cup and columella, are highly effective and adaptable for a wide range of ossicular reconstruction scenarios.
    • The future of ossiculoplasty lies in addressing ancillary problems like eustachian tube dysfunction and cholesteatoma, alongside advancements in prosthesis design.
    • Incorporating synthetic components into ossicular reconstruction represents a logical evolutionary step in improving surgical outcomes.