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Aubrey Schiller, FRCS (Edin)

Arch Otolaryngol. 1970;91(4):336-340.

Abstract
A new tympanoplastic method reestablished an effective sound conducting mechanism in cases in which there was destruction of the tympanic membrane and the handle of the malleus.

The tympanic membrane is reconstructed from the two adherent fascial layers covering the temporalis muscle and the handle of the malleus is reproduced by incorporating a shaped and perforated autogenous bone graft between the layers (malleomyringoplasty). Ossicular continuity is restored by utilizing a corrugated wireclip prosthesis to connect the malleus replacement bone to the long process of the incus in type 2 cases and to a stapedial crus in type 3 cases.

The results in two cases show that this tympanoplastic procedure is worth pursuing in cases characterized by loss of the handle of the malleus.

Author Affiliations
Cape Town, South Africa

From the Somerset Hospital, Cape Town, South Africa.

Footnotes
Accepted for publication Dec 2, 1969.

Reprint requests to 607 Medipark, Herzog Blvd, Cape Town, South Africa.

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