We report a rare case where Q-tip induced mixed hearing loss without perilymph fistula and demonstrate the need for computed tomography imaging with three-dimensional reconstruction where fracture and dislocation of the stapes are suspected. A 28-year-old male experienced an accidental penetrating injury by a Q-tip in the right ear 6 years previously. Temporal bone computed tomography revealed ...

The Vibrant Soundbridge (VSB) with stapes clip coupler placement at the stapes head has been used successfully to treat mixed hearing loss. Coupling between the floating mass transducer of the VSB and the stapes head is technically less demanding than incus vibroplasty and is more likely to generate a positive outcome without significantly changing residual hearing or resulting in medical or su...

The annular ligament provides a compliant connection of the stapes to the oval window. To estimate the stiffness characteristics of the annular ligament, human temporal bone measurements were conducted. A force was applied sequentially at several points on the stapes footplate leading to different patterns of displacement with different amounts of translational and rotational components. The sp...

A total of 20 stapedotomy and 24 stapedectomy cases were retrospectively reviewed to establish the causes of failure, and to evaluate hearing results after revision surgery. Our series included 23 male and 21 female patients. Mean age at revision time was 42 years, and the mean interval from primary surgery and revision stapes surgery was 27 months. The retrospective review of our data, reveale...

Background/Aim: Surgery for tympanosclerosis with stapes fixation hearing reconstruction is controversial, many reports in the relevant literature advocate opposing suggestions. The primary aims were to evaluate improvement varied techniques performed fixation. Methods: Patients and fixation, whose impairment was re-constructed surgically who followed 1-5 years reviewed this retrospective cohor...

In the UK, stapes surgery is performed almost universally under general anaesthesia. In 1984 there was consensus that local anaesthesia should be the technique of choice in stapes surgery. Despite reports of successful use of local anaesthesia for middle ear surgery, this is still not widely accepted practice in the UK. We describe the senior author's technique for local anaesthetic stapes sur...

Objective: Choice and positioning of the prosthesis is a fundamental element in successful operations for otosclerosis. The present study compares two different techniques placing when undertaking surgery Materials Methods: A retrospective review was undertaken records from 50 cases individuals (33 women, 17 men) undergoing stapedotomy between years 2009 2016. Two alternative procedures were us...

OBJECTIVE To report hearing results using a titanium ossicular replacement prosthesis during canal wall down mastoidectomy with tympanoplasty to treat cholesteatoma. DESIGN Retrospective medical record review. SETTING Referral university hospital. PATIENTS Patients with cholesteatoma treated with primary or revision canal wall down mastoidectomy with tympanoplasty in a single stage. Patie...

"Boomerang" malleus-incus fusion deformity is identified on axial high-resolution CT in a subset of patients with congenital aural atresia, and it is associated with an absent incudostapedial joint and stapes capitulum and attachment of the incus to the tympanic segment of the facial nerve canal. Twelve patients with this deformity were identified on a retrospective review of imaging from a coh...