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April 1970

Malleomyringoplasty and Wireclip Prosthesis

Author Affiliations

Cape Town, South Africa
From the Somerset Hospital, Cape Town, South Africa.

Arch Otolaryngol. 1970;91(4):336-340. doi:10.1001/archotol.1970.00770040494006

A new tympanoplastic method reestablished an effective sound conducting mechanism in cases in which there was destruction of the tympanic membrane and the handle of the malleus.

The tympanic membrane is reconstructed from the two adherent fascial layers covering the temporalis muscle and the handle of the malleus is reproduced by incorporating a shaped and perforated autogenous bone graft between the layers (malleomyringoplasty). Ossicular continuity is restored by utilizing a corrugated wireclip prosthesis to connect the malleus replacement bone to the long process of the incus in type 2 cases and to a stapedial crus in type 3 cases.

The results in two cases show that this tympanoplastic procedure is worth pursuing in cases characterized by loss of the handle of the malleus.

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