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February 1969

Tympanoplasty (Ossicular: Repositioning in Reconstruction)

Author Affiliations

Tampa, Fla
From the departments of otolaryngology, St. Joseph's Hospital and Tampa General Hospital, Tampa, Fla.

Arch Otolaryngol. 1969;89(2):220-225. doi:10.1001/archotol.1969.00770020222002

IN THIS PRESENTATION of ossicular repositioning in tympanoplasty, I will present those surgical techniques which I have found advantageous in the reconstruction of the ossicular chain in the chronic ear with particular reference to the incus graft and the spine of Henle graft, either to increase the height of the stapes or to create a columella. The supporting attic graft is presented to maintain the air space in the middle ear and to prevent excess tenting effect on the upright stapes or bone graft. The use of fascia ties is presented to maintain the position of the repositioned ossicles or grafts. The footplate fascia graft is presented to protect the denuded stapedial footplate from possible damaging thrust of the columella reconstructed by a repositioned incus or spine of Henle graft. To aid in the drilling of the incus or the shaping of a bone graft, the Shambaugh retractor is used

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