Malleus replacement prosthesis stapedectomy in a patient with otosclerosis.

INTRODUCTION Different types of titanium prostheses are used for different types of ossicular chain reconstruction (OCR). However, various ossicular chain problems require different types of reconstruction (incus or prosthesis). Recently, Vincent et al. published a new type of ossiculoplasty with a malleus replacement prosthesis (MRP). The details of this new prosthesis are described in their article. One of the most important factors that influences the prognosis of successful OCR is the role of the malleus handle in cases with additional pathologies of the incus or suprastructure. This new MRP might solve additional problems, especially in revision cases in which a problem exists with the footplate. These problems can range from thickness to fracture to even fixation of the footplate. In this article we demostrate a new malleoreplacement-prosthesis-vestibuloplexy method in a patient without an ossicular chain.