[Tympanoplasty for patients with destruction of the stapes].

Mode of tympanoplasty allowing reconstruction of the drum and erosioned malleus handle is described. For this purpose an autoossicle fragment of the lengthened shape was inserted into the blind channel created in fascia transplant which "dressed" on the handle's remnant for the osseous fragment and remnants of the handle to appear in one fascia channel. This method was applied in 11 patients with subtotal drum perforation and erosion of the hammer's handle. In 9 of them 0.5-2 years later the defect of the drum fully disappeared. In 7 patients the handle resumed normal length while the drum became conic. The average pure air conduction threshold in frequencies 0.5-2 kHz has become 25.5 +/- 3.5 dB (before the operation 38.2 +/- 2.3 dB; p > 0.01), the average bone conduction threshold 14.3 +/- 2.6 dB (before operation 13.9 +/- 2.4 dB; p < 0.05).