PT  - JOURNAL ARTICLE
AU  - Abdullah A. Alabdulqader
AU  - Eman A. Hajr
TI  - The role of malleostapedotomy in intra-operative incus injury
AID  - 10.15537/smj.2021.42.6.20200460
DP  - 2021 Jun 01
TA  - Saudi Medical Journal
PG  - 688--692
VI  - 42
IP  - 6
4099  - http://smj.org.sa/content/42/6/688.short
4100  - http://smj.org.sa/content/42/6/688.full
SO  - Saudi Med J2021 Jun 01; 42
AB  - 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.