TY - JOUR T1 - The role of malleostapedotomy in intra-operative incus injury JF - Saudi Medical Journal JO - Saudi Med J SP - 688 LP - 692 DO - 10.15537/smj.2021.42.6.20200460 VL - 42 IS - 6 AU - Abdullah A. Alabdulqader AU - Eman A. Hajr Y1 - 2021/06/01 UR - http://smj.org.sa/content/42/6/688.abstract N2 - 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. ER -