INTRODUCTION One of the most difficult and time-consuming steps in malleostapedotomy surgery is the crimping of the prosthesis onto the malleus handle manually. The advent of the nitinol prosthesis (Gyrus nitinol piston [GNP]; Gyrus ENT LLC, Bartlett, TN) significantly reduced the difficulty of this surgical step, rendering its fixation to the malleus easy and fast. However, Kwok et al. analyze...

We herein report a case of traumatic fracture of the stapes accompanying vestibular window rupture with perilymph fistula, and its diagnosis and surgical procedure were discussed. In the present case, a direct force through the external auditory canal damaged not only the ossicular chain but also the vestibular window. On the exploratory tympanotomy, the complete dislocation and fracture of the...