Bacciu S, Pasanisi E, Vega Feijoo S, Pérez Raffo G, Avendaño Arambula J, Zini C
Instituto di Scienze Otorinolaringologiche, Universita degli Studi di Parma, Italia.
Acta Otorrinolaringol Esp. 1997 Nov-Dec;48(8):599-604.
Middle-ear reconstruction using a closed surgical technique has the same surgical stages as in combined-approach tympanoplasty. The only special feature is the reconstruction of the posterior canal wall and scutum, an essential step. This reconstruction process is carried out with allogenic costal cartilage affixed to two deep bony slots with fibrin glue. In 90% of cases surgery is done in two stages.