Abstract
Reconstruction of the annular ligament using vein graft at the stapedotomy site gives a very good gain at low, frequencies as compared to Stapedotomy without a tissue seal It also protects against perilymph leak 1 0 8mm stapedotomy with a 0 4mm piston with 0 2 mm vein graft interposition is a better technique in the surgical treatment of stapes fixation The purpose of the present study is to determine the effectiveness of vein graft in sealing the oval window in small fenestra stapedotomy for stapedial otoselerosis We performed a prospective randomi ed trial in 80 cases of stapedial otoselerosis, 40 with and 40 without having a tissue seal at a tertiary referal center Ihere was a good air bone gap closure in both the groups There was a better gain in the lower frequencies in subjects where the vein graft was used
Similar content being viewed by others
References
Shea JJ (1958). Fenestration of the oval window Ann Otol Rhinol Laryngol 67 932–951
Shea JJ(1988) Thirty years of stapes surgeryJ Laryngol Otol, 102. 14–19
Causse JR(1965) Present problems in the surgery of Otoselerosis Laryngol Otol 79 265–299
Causse JB(1989) The twenty-five points of otoselerosis surgery-Clinical vignette Am J Otol 10 75–77,
Causse JB(1990) Otoselerosis The Method of Jean-Bernard Causse In current therapy in Otolaryngology, Head & Neck Surgery-4 B C Decker,
Causse JB(1985). Causse JR, Parahy CL. Stapedotomy technique and results Am J Otol 6 68–71
Kamal, Syed Akhtar (1996) Vein Graft in Stapes Surgery American Journal of Otology 17(2) 230–235
Lim, DJ, Saunders WH (1977) Otoselerotic Stapes Morphological and microchemical correlates Ann Otol Rhinol Laryngol 86 525
Lopez, Andre, Juberthie, Lysiane, Olivier, Jean-Claude, Causse, Jean-Bernard, Robinson, James (1992) Survival and evolution of vein grafts in otoselerosis surgery structural and ultrastructural evidence American Journal of Otology 13(2). 173–184
Jean-Bernard Causse, Gherini, Lopez, Andre, Juberthie, Lysiane, Olivier, Jean-Claude Bastianelli, Guido (1993) Impedance transfer Acoustic impedance of the annular ligament and stapedial tendon reconstruction in otoselerosis surgery American Journal of Otology 14(6)613–617
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Das, U.C., Ross, A. & Chary, G. Annular ligament reconstruction - a better technique in the surgical treatment of stapes fixation. Indian J Otolaryngol Head Neck Surg 56, 88–90 (2004). https://doi.org/10.1007/BF02974304
Issue Date:
DOI: https://doi.org/10.1007/BF02974304