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Malleomyringoplasty using a silicone prosthesis

Published online by Cambridge University Press:  29 June 2007

A. Schiller
Affiliation:
Cape Town, South Africa
P. J. Wormald*
Affiliation:
Cape Town, South Africa
*
Dr P.J. Wormald, Department of Otolaryngology, Groote Schuur Hospital, Observatory 7925, Cape Town, South Africa

Abstract

Successful replacement of the sound conducting mechanism of the ear has been hampered by infection, perforation, prosthesis instability and extrusion. In this animal study on thirty rats a silicone prosthesis was inserted between two layers of fascia as a total replacement of the tympanic membrane and ossicular chain. After four months the graft was found to be intact without evidence of infection or extrusion in all but one of the 30 rats. These results justify a trial of a similar silicone prosthesis in humans.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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