Abstract
Objective: Ossicular reconstruction with autologous materials has been practised for a long time, but the procedure may lead to stiffness of joints and bony ankyloses thus hampering the sound conduction mechanism. This paper describes a novel technique of creating joint capsule around the reconstructed joints with temporalis fascia strips hoping a firm and movable union with full functional restoration. Materials & Methods: This study is a prospective study of 35 patients requiring tympanomastoid surgery with ossicular reconstruction and were studied over a period of 2 years. The newly reconstructed ossicular joints were wrapped with temporalis fascia strips. Post-operatively air-bone gap closure were studied and statistically analysed. Results: A significant air-bone gap closure was achieved in 23 patients, while moderate improvement was seen in remaining cases. Only 1 patient had tympanic membrane graft failure and rest all had well healed tympanic membrane. Conclusion: Fascial arthroplastic ossiculoplasty is a simple and safe procedure and the results are reproducible and more predictable. It provides an ossicular assembly which is near to normal in its physiological functions.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Data Availability
Not applicable.
Code of Availability
Not applicable.
References
Mudhol RS, Naragund AI (2013) Shruthi ; Ossiculoplasty: Revisited ;. Indian J Otolaryngol Head Neck Surg (December 65(Suppl 3):S451–S454
Hough JVD (1970) Fractures of the temporal bone and associated middle and inner ear trauma. Proc R Soc Med 63:245–252
Shuknecht HF, Trupiano S (1957) Some interesting middle ear problems. Laryngoscope 67:396–401
Farrior JB (1969) Tympanoplasty (ossicular repositioning in reconstruction). Arch Otol 89:220–225
Vishwakarma R, More YI, Joseph ST, Patel KB et al (2009) Incudostapedial joint arthroplasty using temporalis fascia/perichondrium ties. Am J Otolaryngology–Head Neck Med Surg 30:171–175
Mundada PS, Dasgupta KS (2002) Tapadiya; Temporalis Fascia assisted Ossicular Arthroplasty for the Dislocated Incus: Fascial Arthroplastic Ossiculoplasty. Laryngoscope 112:1699–1702
Acknowledgements
The authors thank P.S. Mundada, Emeritus Professor of Department of Otolaryngology, Indira Gandhi Government Medical College, Nagpur, for their invaluable suggestions.
Funding
This study was not funded.
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Dr. Jeevan Vedi, Dr. Vipin Ekhar, and Dr. Akanksha Jain. The first draft of the manuscript was written by Dr. Akanksha Jain and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Jain, A., Vedi, J., Ekhar, V. et al. Fascial Arthroplastic Ossiculoplasty – A New Technique of Ossicular Reconstruction. Indian J Otolaryngol Head Neck Surg 75, 3514–3518 (2023). https://doi.org/10.1007/s12070-022-03375-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-022-03375-9