Skip to main content
SpringerLink
Log in

Vestibular fenestration and stapedoplasty in congenital stapes and vestibular window abnormality

Anlegen eines ovalen Fensters und Stapesplastik bei Mittelohrmißbildung

  • Published:
Archives of oto-rhino-laryngology Aims and scope Submit manuscript

Zusammenfassung

Bericht über das operative Vorgehen bei zwölf Patienten mit Mißbildung von Stapes und ovalem Fenster. Wichtig ist, daß das neuangelegte ovale Fenster größer als 2,0 × 1,0 mm ist. Daneben konnte mit der Amboß-Stapesplastik ein wesentlich besserer Hörgewinn erzielt werden als mit der Hammer-Stapesplastik, so daß, wenn möglich, die erstere durchgeführt werden sollte.

Summary

In this paper the results of vestibular fenestration and stapedoplasty in cases of congenital stapes deformity and vestibular window abnormality are presented. The problems in the surgical reconstruction of the middle ear transmission system, especially the importance of the areal ratio between the tympanic membrane and the vestibular window and the ossicular lever action, are discussed. The following conclusions were reached:

  1. 1.

    The area of the new vestibular window should be greater than 2.0 × 1.0 mm, i.e., one third of normal.

  2. 2.

    Hearing gain was about 1.5 times better after incus-stapedoplasty than after malleus-stapedoplasty. It is recommended that an effort be made to adopt incusstapedoplasty whenever possible.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  • Dahmann, H.: Zur Physiologie des Hörens: Experimentelle Untersuchung über die Mechanik der Gehörknöchelchenkette sowie über deren Verhalten auf Ton und Luftdruck. Z. Hals-, Nas.- u. Ohrenheilk. 24, 462–497 (1930)

    Google Scholar 

  • Fumagalli, Z.: Sound conduction apparatus: a study in morphology. Arch. Ital. Otol. 60, [Suppl.], 1 (1949)

    Google Scholar 

  • Helmholz, H. v.: Die Mechanik der Gehörknöchelchen und des Trommelfells. Pflügers Arch. Ges. Physiol. 1, 1–60 (1968)

    Google Scholar 

  • McGee, T. M.: The stainless steel piston: Surgical indication and result. Arch. Otolaryngol. 81, 34–40 (1965)

    Google Scholar 

  • Morimitsu, T., Yamada, A., Nandate, M.: Clinical, surgical, and histological findings of „Monopode Stapes“. Auris Nasus Larynx (Tokyo) 1, 89–100 (1974)

    Google Scholar 

  • Shea, J. J., Jr.: The teflon piston operation for otosclerosis. Laryngoscope 73, 508–509 (1963)

    Google Scholar 

  • Tabor, J. R.: Absence of the oval window. Arch. Otolaryng. 74, 515–521 (1961)

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Miyazaki Medical College, 889-16 Kiyotake, Miyazaki, Japan

    Tamotsu Morimitsu, Ichiro Matsumoto, Masami Takahashi & Shizuo Komune

Authors
  1. Tamotsu Morimitsu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ichiro Matsumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Masami Takahashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Shizuo Komune
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Morimitsu, T., Matsumoto, I., Takahashi, M. et al. Vestibular fenestration and stapedoplasty in congenital stapes and vestibular window abnormality. Arch Otorhinolaryngol 226, 27–33 (1980). https://doi.org/10.1007/BF00455399

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00455399

Schlüsselwörter

Key words

Search

Navigation