The homograft notched incus has evolved as a reliable, effective, and permanent prosthesis to reconstruct the middle ear conductive mechanism when the incus and stapedial superstructure are absent or destroyed. It has been found to be useful in a wide range of patients, and indications for its use are constantly expanding. The initial hearing results have been good, and follow-up audiograms indicate that the hearing gain will survive the test of time.
Wehrs RE. The Homograft Notched Incus in Tympanoplasty. Arch Otolaryngol. 1974;100(4):251–255. doi:10.1001/archotol.1974.00780040261002
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