GOOD AUDIOLOGICAL RESULTS BY RECONSTRUCTION OF DEFECTS OF THE INCUDO-STAPEDIAL JOINT IN THE MIDDLE-EAR BY RECONSTRUCTING THE OSSICLES IN THEIR NORMAL POSITION

We report the use of an ionomeric based bone substitute to reconstruct the ossicles in their normal position. To reconstruct small defects of the incudo-stapedial joint, this bone replacement material is applied to the long process of the incus and the head of the stapes. After setting and hardening a stable contact to the adjacent bone is formed. The audiological results after reconstruction of small incus defects with ionomeric cement are discussed in comparison to stapedectomy and tympanoplasty.