Abstract
We examined 30 ears of 30 patients who underwent ossiculoplasty under the diagnosis of direct traumatic injury of the ossicles at the Jikei University Hospital between 1984 and 2011, and evaluated the pathologic condition and surgical results. The surgical findings induced dialysis of the incudostapedial joint in 18 patients, and abnormal stapes in 21 patients, including 14 patients with a perilymphatic fistula. In the patients, the position of the auditory ossicle was reduced and the perilymphatic fistula closed, with ossicular reconstruction depending on the state of the stapes. The surgical results were satisfactory, with the auditory acuity improving in 96.7% of patients. We propose that in cases of injury of the stapes with a perilymphatic fistula, surgical treatment must be considered with careful attention paid to the timing of the procedure and the surgical method, according to the condition in individual patients.
