ArticleCureus2025
Sutured Cartilage Graft for Middle Ear Prosthesis Stabilization: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Prosthesis extrusion following ossicular chain reconstruction remains a common complication with a variable reported incidence. Interposition cartilage grafts are commonly used to minimize this risk, yet displacement still occurs. We describe a novel surgical technique in which a tragal cartilage graft is sutured directly to the prosthesis before placement, aiming to improve stability and reduce extrusion risk. A 37-year-old female with chronic otitis media and tympanic membrane retraction underwent ossiculoplasty. A partial ossicular replacement prosthesis was used. Prior to implantation, an autologous tragal cartilage graft was anchored to the prosthesis using two 9-0 nylon sutures in mirror configuration. The assembly was then positioned in the middle ear through an endoscopic transcanal approach. Follow-up at one week and one month demonstrated no evidence of extrusion, displacement, or complications. This technique offers a simple, low-cost, and effective modification to conventional ossiculoplasty. Suturing the cartilage graft to the prosthesis may enhance mechanical stability. Further studies are needed to evaluate long-term outcomes.
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