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The use of cortical bone grafts in ossiculoplasty

I: Surgical techniques and hearing results

Published online by Cambridge University Press:  29 June 2007

R. P. Mills*
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee.
*
Mr R. P. Mills, Department of Otolaryngology, Ninewells Hospital, Dundee DD1 9SY.

Abstarct

Concern about the possible risk of viral infection being transmitted by the use of homografts has renewed interest in cortical bone autografts as an ossicular substitute. Over the last four years I have used cortical bone on a regular basis. Comparison of hearing results obtained using ossicular and cortical bone grafts shows no significant difference between the two groups. Cortical bone appears to be satisfactory material for ossiculoplasty, but long-term studies of outcome are required to confirm this.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1993

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References

Bauer, M. (1966) Bone autografts for ossicular reconstruction. Archives of Otolaryngology 83: 335338CrossRefGoogle ScholarPubMed
Benitez, J. T., Brejar, I. R., Mclntyre, L. (1971) Ossiculoplasty:experimental studies of cortical bone grafts for replacement of the incus in cats. Journal of Laryngology and Otology 85: 11771182CrossRefGoogle ScholarPubMed
Berkowitz, R. W., Kruithof, C., Bos, L. E., Van den Berg, J. (1978) Reconstruction of the ossicular chain with an autologous bone cylinder produced by a hollow drill. Journal of Laryngology and Otology 92 969978Google Scholar
Browning, G. G., Gatehouse, S., Swan, I. R. C. (1991) The Glasgow Benefit Plot: a new method for reporting benefits from middle ear surgery. Laryngoscopy 101: 180185CrossRefGoogle ScholarPubMed
Center for Disease Control (1988) Transmission of HIV through bone transplantation: case report and public health recommendations. MMWR 37: 597599Google Scholar
DHSS (1987) HIV infection and tissue and organ donation. Letter from Chief Medical Officer.Google Scholar
Farrior, J. B. (1960) Ossicular repositioning and ossicular prosthesis in tympanoplasty. Archives of Otolaryngology 71 443449CrossRefGoogle ScholarPubMed
Guildford, F. R. (1966) Tympanoplasty: repair of the sound conducting mechanism. Laryngoscope 76: 709718CrossRefGoogle Scholar
Hildman, H., Steinbach, E., Kobring, E. (1969) The fate of bone transplants in the middle ear: an auto-radiographic study in rabbits. Journal of Laryngology and Otology 88: 531537CrossRefGoogle Scholar
Hoffman, A., Zollner, F. (1969) Ossicular autografts and homografts: round table discussion. Archives of Otolaryngology 258: 229234Google Scholar
JAMA Update (1987) Creutzfeldt-Jacob disease in a patient receiving a cadaveric dura mater graft. JAMA 258: 309310CrossRefGoogle Scholar
Marquet, J. (1973) Physics and ear surgery tympano-and ossiculoplasty. Ada Otorrhinolaryngologica Belgica 27: 269279Google Scholar
Ojala, K., Sorri, M., Vainio-Mattila, J., Sipila, P. (1983) Late results of tympanoplasty using ossicle or cortical bone. Journal Olaryngology Otology 97: 1925CrossRefGoogle ScholarPubMed
Plester, D., Steinbach, E. (1977) Histologic fate of tympanic membrane and ossicle homografts. Otology Clinics of North America 10: 487499CrossRefGoogle ScholarPubMed
Pulec, J. L., Sheehy, J. (1973) Symposium on tympanoplasty: ossicular chain reconstruction. Laryngoscope 83: 448465CrossRefGoogle ScholarPubMed
Tos, M. (1974) Late results in tympanoplasty. Archives of Otolaryngology 100: 302305CrossRefGoogle ScholarPubMed
Vartainen, E., Karjalainen, S. (1985) Autologous ossicle and cortical bone in ossicular reconstruction. Clinical Otolaryngology 20: 307310CrossRefGoogle Scholar
Wright, W. K. (1967) Reconstruction of the middle ear with fascia and bone. Archives of Otolaryngology 85: 492496CrossRefGoogle ScholarPubMed