Incudostapedial joint arthroplasty using temporalis fascia/perichondrium ties

Vishwakarma, Rajesh; More, Yogesh Indrasen; Joseph, Shawn T.; Patel, Kalpesh B.; Ramani, Mukesh K.; More, Rishikesh I.

doi:10.1016/j.amjoto.2008.04.010

« Previous Next »American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 30, Issue 3 , Pages 171-175, May 2009

Incudostapedial joint arthroplasty using temporalis fascia/perichondrium ties

Rajesh Vishwakarma, MD
- Department of Otolaryngology, B. J. Medical College, Gujarat University, Ahmedabad, India
Yogesh Indrasen More, MD
- Department of Otolaryngology, B. J. Medical College, Gujarat University, Ahmedabad, India
- Corresponding author. B J Medical College, Otorhinolaryngology, F5, Department of ENT, Second floor, Civil Hospital Asarwa, Ahmedabad 16, Ahmedabad, Gujarat 380016, India. Tel.: +91 079 2680653.
Shawn T. Joseph, MD
- Department of Otolaryngology, Bhavnagar Civil Hospital, Bhavnagar, Gujarat, India
Kalpesh B. Patel, MD
- Department of Otolaryngology, B. J. Medical College, Gujarat University, Ahmedabad, India
Mukesh K. Ramani, MD
- Department of Otolaryngology, B. J. Medical College, Gujarat University, Ahmedabad, India
Rishikesh I. More, MBBS
- Department of Otolaryngology, B. J. Medical College, Gujarat University, Ahmedabad, India

Received 20 January 2008 published online 09 February 2009.

Abstract

Incudostapedial joint dislocation is the most frequently found ossicular chain defect. In these cases reconstitution of joint capsule is important in maintaining joint integrity. But reconstruction of dislocated incudostapedial joint is a challenging procedure as this joint is devoid of any muscular or soft tissue support. Here we describe a technique designed to reposition the incudostapedial joint in its anatomical position using temporalis fascia or perichondrium. Data have been collected and analyzed from 42 patients with incudostapedial joint discontinuity. The fascial ties used for reconstruction of joint capsule ensure a dynamic union of the repositioned incus with stapes, leading to a significant improvement in conductive hearing loss.