RT Journal Article SR Electronic T1 The role of malleostapedotomy in intra-operative incus injury JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 688 OP 692 DO 10.15537/smj.2021.42.6.20200460 VO 42 IS 6 A1 Abdullah A. Alabdulqader A1 Eman A. Hajr YR 2021 UL http://smj.org.sa/content/42/6/688.abstract 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.