In nine dogs submitted to a severe myocardial ischaemic challenge, multiple prosthetic implants running from the descending aorta to myocardial tunnels were successful in sustaining effective ventricular contraction for a mean period of 27 minutes. A control series of five dogs and five animals, in which the prostheses clotted, developed ventricular fibrillation within six minutes of the ligati...

Due to the simplicity of their manufacture and placement, middle-ear prostheses are generally constructed using only a single 'ossicle'. The variety of pathologies frequently make it necessary to devise individual solutions and the results are often unsatisfactory. Many methods of improving the prostheses have been tried, with very mixed results. Even until recently, the fundamental assumptions...

OBJECTIVES/HYPOTHESIS From an acoustic aspect, fixation of the medial end of an ossicular replacement prosthesis to the stapedial footplate would be desirable. Technically, ionomer cement seems an ideal material for this purpose. The objective was to determine the aluminum level of the perilymph after the application of ionomer cement on the stapedial footplate. STUDY DESIGN An experimental s...

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...

OBJECTIVES/HYPOTHESIS To prospectively evaluate surgical findings and hearing results in children undergoing surgery for congenital oval or round window malformations (class IV malformations). STUDY DESIGN A nonrandomized, nonblinded, case series of prospectively collected data. METHODS Fourteen consecutive pediatric patients who underwent 17 surgical procedures for congenital oval or round...

Materials used in ossicular replacement prostheses must possess appropriate biological properties, such as biocompatibility, stability, no cytotoxicity. Due to the risk of infection (otitis media and chronic otitis media), it is desirable to use an antibacterial agent for illness prevention during the ossicular reconstruction. The goal of this work was to observe biological properties of a new ...