From the Otolaryngology Department, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2021 Jun;42(6):688-692. doi: 10.15537/smj.2021.42.6.20200460.
Malleostapedotomy (MS) is an evolving otology procedure that involves attaching prosthesis to the malleus on one end and the stapes footplate on the other end. It has multiple indications and requires skills and experience. We present 2 cases operated in our center (King Abdullah Ear Specialist Center, Riyadh, Saudi Arabia) in which intraoperative incus injury occurred, and MS was used to reconstruct the ossicular chain with good postoperative outcomes and patient satisfaction. As the procedure was surgically difficult and time consuming, many otologists prefer not to do it. Nevertheless, we believe that all surgeons dealing with stapes surgery should be familiar and gain confidence in performing MS considering that intraoperative incus dislocation is a complication that can happen even with great caution.
镫骨切除术（MS）是一种不断发展的耳科学手术，涉及将假体的一端连接到锤骨，另一端连接到镫骨足板。它有多种适应证，需要技术和经验。我们在我们的中心（沙特阿拉伯利雅得的阿卜杜拉国王耳科专家中心）进行了 2 例手术，术中出现砧骨损伤，采用 MS 重建听骨链，术后效果良好，患者满意度高。由于手术难度大，耗时较长，许多耳科医生不愿意进行这种手术。然而，我们认为，所有处理镫骨手术的外科医生都应该熟悉并对进行 MS 有信心，因为即使非常小心，术中砧骨脱位也可能是一种并发症。
