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November 1970


Author Affiliations

607 Medipark Herzog Blvd Cape Town, South Africa

Arch Otolaryngol. 1970;92(5):523. doi:10.1001/archotol.1970.04310050105021

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To the Editor.  —In the April 1970 edition of the Archives I reported a method for connecting a malleus replacement bone incorporated within a reconstructed tympanic membrane to the stapedial superstructure by means of a wireclip prosthesis in a type 3 tympanoplasty where the handle of the malleus had been destroyed. I have now reconstructed a total of 11 of such cases and would like to draw attention to a problem encountered in three of these and to indicate how the technical problem can be solved by modifying the wireclip prosthesis.In each of the three cases mentioned I was unable to connect the wireclip prosthesis to the stapedial superstructure because the entire stapes was deeply situated in a narrow oval window niche and was partially obscured by an overhanging facial nerve. This difficulty was overcome by converting the wireclip prosthesis into a wireclip polythene tube prosthesis, and by positioning

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