incus

Summary

Summary: One of three ossicles of the middle ear. It conducts sound vibrations from the MALLEUS to the STAPES.

Top Publications

  1. al Qudah M, Dawes P. Malleus-stapes assembly: experience with two prostheses. J Laryngol Otol. 2006;120:736-9 pubmed
    ..The most readily available tissue is the patient's incus, reshaped to bridge the space between an intact stapes and the malleus...
  2. Bayazit Y, Ozer E, Kanlikama M, Durmaz T, Yilmaz M. Bone cement ossiculoplasty: incus to stapes versus malleus to stapes cement bridge. Otol Neurotol. 2005;26:364-7 pubmed
    In this study, our purpose was to evaluate results of our experience with bone cement repair of ossicular discontinuity between the incus and stapes and between the malleus and stapes.
  3. Bance M, Campos A, Wong L, Morris D, Van Wijhe R. How does prosthesis head size affect vibration transmission in ossiculoplasty?. Otolaryngol Head Neck Surg. 2007;137:70-3 pubmed
    ..We sought to determine if augmenting or reducing the head size of prosthesis had a systematic effect on transmission of vibrations to the stapes...
  4. Siddiq M, East D. Long-term hearing results of incus transposition. Clin Otolaryngol Allied Sci. 2004;29:115-8 pubmed
    b>Incus transposition is an option for reconstructing an ossicular discontinuity. We looked at the long-term outcome (average 9.2 years) in terms of hearing results in patients who had undergone incus transposition...
  5. Sim J, Puria S. Soft tissue morphometry of the malleus-incus complex from micro-CT imaging. J Assoc Res Otolaryngol. 2008;9:5-21 pubmed publisher
    The malleus-incus complex (MIC) is unique to mammalian hearing. To develop a comprehensive biomechanical MIC model for the human middle ear, measurements regarding its anatomical features are a necessity...
  6. Jang C, Cho Y. Osteoma of the incus with congenital cholesteatoma: a case report. Auris Nasus Larynx. 2009;36:349-52 pubmed publisher
    ..To date, a total of three cases of osteomas of the ossicles, inseparable from malleus and incus, have been described in the English literature...
  7. Geyer G, Rocker J. [Results after rebuilding the ossicular chain using the autogenous incus, ionomer-cement-and titanium implants (tympanoplasty type III)]. Laryngorhinootologie. 2002;81:164-70 pubmed
    ..Prospective clinical trial as well as collecting and evaluating relevant intraoperative and postoperative findings may be helpful to find the appropriate bone substitute in each case when rebuilding middle ear structures...
  8. Stankovic M. Applicability of autologous incus: the influence of age and localization of cholesteatoma. Eur Arch Otorhinolaryngol. 2007;264:995-8 pubmed
    There is a correlation between macroscopic and histologic changes of incus in chronic otitis with cholesteatoma...
  9. Puria S, Steele C. Tympanic-membrane and malleus-incus-complex co-adaptations for high-frequency hearing in mammals. Hear Res. 2010;263:183-90 pubmed publisher
    ..For guinea pig and chinchilla, the fused malleus-incus complex rotates about an anterior-posterior axis, due to the relatively lightweight ossicles and bilateral ..
  10. Tuz M, Dogru H, Yasan H, Doner F, Yariktas M. Incus and stapes necrosis associated with diabetes mellitus. J Laryngol Otol. 2006;120:E22 pubmed
    ..otitis media is often associated with ossicular defects, the most frequent being necrosis of the long process of incus. Except for infection and cholesteatoma; trauma and local pressure by chorda tympani are uncommon causes leading ..

Detail Information

Publications62

  1. al Qudah M, Dawes P. Malleus-stapes assembly: experience with two prostheses. J Laryngol Otol. 2006;120:736-9 pubmed
    ..The most readily available tissue is the patient's incus, reshaped to bridge the space between an intact stapes and the malleus...
  2. Bayazit Y, Ozer E, Kanlikama M, Durmaz T, Yilmaz M. Bone cement ossiculoplasty: incus to stapes versus malleus to stapes cement bridge. Otol Neurotol. 2005;26:364-7 pubmed
    In this study, our purpose was to evaluate results of our experience with bone cement repair of ossicular discontinuity between the incus and stapes and between the malleus and stapes.
  3. Bance M, Campos A, Wong L, Morris D, Van Wijhe R. How does prosthesis head size affect vibration transmission in ossiculoplasty?. Otolaryngol Head Neck Surg. 2007;137:70-3 pubmed
    ..We sought to determine if augmenting or reducing the head size of prosthesis had a systematic effect on transmission of vibrations to the stapes...
  4. Siddiq M, East D. Long-term hearing results of incus transposition. Clin Otolaryngol Allied Sci. 2004;29:115-8 pubmed
    b>Incus transposition is an option for reconstructing an ossicular discontinuity. We looked at the long-term outcome (average 9.2 years) in terms of hearing results in patients who had undergone incus transposition...
  5. Sim J, Puria S. Soft tissue morphometry of the malleus-incus complex from micro-CT imaging. J Assoc Res Otolaryngol. 2008;9:5-21 pubmed publisher
    The malleus-incus complex (MIC) is unique to mammalian hearing. To develop a comprehensive biomechanical MIC model for the human middle ear, measurements regarding its anatomical features are a necessity...
  6. Jang C, Cho Y. Osteoma of the incus with congenital cholesteatoma: a case report. Auris Nasus Larynx. 2009;36:349-52 pubmed publisher
    ..To date, a total of three cases of osteomas of the ossicles, inseparable from malleus and incus, have been described in the English literature...
  7. Geyer G, Rocker J. [Results after rebuilding the ossicular chain using the autogenous incus, ionomer-cement-and titanium implants (tympanoplasty type III)]. Laryngorhinootologie. 2002;81:164-70 pubmed
    ..Prospective clinical trial as well as collecting and evaluating relevant intraoperative and postoperative findings may be helpful to find the appropriate bone substitute in each case when rebuilding middle ear structures...
  8. Stankovic M. Applicability of autologous incus: the influence of age and localization of cholesteatoma. Eur Arch Otorhinolaryngol. 2007;264:995-8 pubmed
    There is a correlation between macroscopic and histologic changes of incus in chronic otitis with cholesteatoma...
  9. Puria S, Steele C. Tympanic-membrane and malleus-incus-complex co-adaptations for high-frequency hearing in mammals. Hear Res. 2010;263:183-90 pubmed publisher
    ..For guinea pig and chinchilla, the fused malleus-incus complex rotates about an anterior-posterior axis, due to the relatively lightweight ossicles and bilateral ..
  10. Tuz M, Dogru H, Yasan H, Doner F, Yariktas M. Incus and stapes necrosis associated with diabetes mellitus. J Laryngol Otol. 2006;120:E22 pubmed
    ..otitis media is often associated with ossicular defects, the most frequent being necrosis of the long process of incus. Except for infection and cholesteatoma; trauma and local pressure by chorda tympani are uncommon causes leading ..
  11. Mills R, Starriit N. Management of incus dislocation by physiological repositioning of the incus. J Laryngol Otol. 2002;116:589-92 pubmed
    ..Isolated dislocation of the incus is the most common finding in our cases, but two had stapes arch features and two had fractures of the tympanic ..
  12. Bauer M, Pytel J, Vóna I, Gerlinger I. Combination of ionomer cement and bone graft for ossicular reconstruction. Eur Arch Otorhinolaryngol. 2007;264:1267-73 pubmed
    ..if at least the handle of the malleus is present: restoration of a large defect of the long process of the incus, formation of the incus body and the long process, and replacement of the missing superstructure of the stapes ..
  13. Ebenezer J, Rupa V. Preoperative predictors of incudal necrosis in chronic suppurative otitis media. Otolaryngol Head Neck Surg. 2010;142:415-20 pubmed publisher
    ..To determine the predictive value of preoperative clinical, audiological, and radiological factors in diagnosing incudal necrosis in patients with tubotympanic chronic suppurative otitis media (CSOM)...
  14. Escada P, Capucho C, Chorão M, da Silva J. Otosclerosis of the incus. Otol Neurotol. 2007;28:301-3 pubmed
    To report a case of a patient with otosclerosis of the incus.
  15. Dalchow C, Dünne A, Sesterhenn A, Teymoortash A, Werner J. Malleostapedotomy: the Marburg experience. Adv Otorhinolaryngol. 2007;65:215-21 pubmed
    The surgical procedure for patients with otosclerosis routinely is incus stapedotomy. In case of otosclerosis with incus necrosis or a bony fixation of the malleus and incus, malleostapedotomy is performed.
  16. Kwok P, Fisch U, Strutz J. The crimping problem in stapes surgery. Adv Otorhinolaryngol. 2007;65:202-5 pubmed
    The goal of this study was to compare the attachment of stapes prostheses with differently shaped loops to the long process of the incus.
  17. Bell B, Stankowski S, Moser B, Oliva V, Stieger C, Nolte L, et al. Integrating optical fiber force sensors into microforceps for ORL microsurgery. Conf Proc IEEE Eng Med Biol Soc. 2010;2010:1848-51 pubmed publisher
    ..stapedectomy, where a small crook shaped piston is placed in the oval window of the cochlea and connected to the incus through crimping thus bypassing the diseased stapes...
  18. Roosli C, Schmid P, Huber A. Biocompatibility of nitinol stapes prosthesis. Otol Neurotol. 2011;32:265-70 pubmed publisher
    ..in stapes surgery may allow improved functional results because of better sound transmission properties at the incus-prosthesis interface because of the elimination of manual crimping...
  19. Amin S, Tucker A. Joint formation in the middle ear: lessons from the mouse and guinea pig. Dev Dyn. 2006;235:1326-33 pubmed
    The malleus, incus and stapes form an ossicle chain in the mammalian middle ear. These ossicles are articulated by joints that link the chain together. In humans and mice, fusion of the ossicles leads to hearing loss...
  20. Zahnert T. [Reconstruction of the middle ear with passive implants]. HNO. 2011;59:964-73 pubmed publisher
    ..Particular attention is paid to the use of alloplastic prosthesis compared to the use of autologous ossicles...
  21. Knox G, Reitan H. Shape-memory stapes prosthesis for otosclerosis surgery. Laryngoscope. 2005;115:1340-6 pubmed
    ..The aim of this study was to determine the efficacy of a shape-memory alloy, Nitinol, as a component of an improved stapes prosthesis...
  22. Verhaegen V, Mulder J, Cremers C, Snik A. Application of active middle ear implants in patients with severe mixed hearing loss. Otol Neurotol. 2012;33:297-301 pubmed publisher
    ..To determine the long-term benefit of the Vibrant Soundbridge (VSB) middle ear implant in patients with severe mixed hearing loss and to compare it with other hearing devices...
  23. Sim J, Chatzimichalis M, Huber A. The influence of postoperative tissue formation on sound transmission after stapes surgery. Hear Res. 2010;263:38-42 pubmed publisher
    In the surgical treatment of otosclerosis, the coupling between the stapes prosthesis and the long process of the incus is critical...
  24. Bance M, Morris D, Vanwijhe R, Kiefte M, Funnell W. Comparison of the mechanical performance of ossiculoplasty using a prosthetic malleus-to-stapes head with a tympanic membrane-to-stapes head assembly in a human cadaveric middle ear model. Otol Neurotol. 2004;25:903-9 pubmed
    ..Both types of reconstruction will be affected by tension of the prosthesis...
  25. Bayazit Y, Ozer E, Kara C, Gökpinar S, Kanlikama M, Mumbuc S. An analysis of the single-stage tympanoplasty with over-underlay grafting in tympanosclerosis. Otol Neurotol. 2004;25:211-4 pubmed
    ..Our objective was to analyze the results of tympanosclerosis surgery using over-underlay tympanoplasty and to find out the effect of single-stage surgery on hearing results...
  26. Seidman M, Standring R, Ahsan S, Marzo S, Shohet J, Lumley C, et al. Normative data of incus and stapes displacement during middle ear surgery using laser Doppler vibrometry. Otol Neurotol. 2013;34:1719-24 pubmed publisher
    To report normative data for incus and stapes motion using laser Doppler vibrometry (LDV) during middle ear surgery and to discuss possible limitations of the procedure.
  27. Mangham C. Long-term impact of incus necrosis on revision stapes surgery: incus versus malleus reconstruction. Otol Neurotol. 2009;30:1145-51 pubmed publisher
    To determine the effect of incus necrosis on the success of revision stapes surgery.
  28. Sarikaya B, Eyibilen A, Aladag I, Guven M, Firat M. Unilateral isolated incus agenesis: detection by virtual endoscopy. J Comput Assist Tomogr. 2008;32:660-1 pubmed publisher
    We report the first case of unilateral incus agenesis in the literature. Preoperative diagnosis by virtual endoscopy further enhances the significance of this case...
  29. Li H, Gong S. [Observation of bridging operation by an autogenous incus in the ossiculoplasty]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2008;43:746-50 pubmed
    To study the clinical effects of bridging operation by an autogenous incus in the ossiculoplasty.
  30. Gerard J, Serry P, Gersdorff M. Outcome and lack of prognostic factors in stapes surgery. Otol Neurotol. 2008;29:290-4 pubmed
    ..To analyze predictive factors of outcome after primary stapes surgery for otosclerosis...
  31. Zhang Z, Chen S, Sun W, Zheng Y. Classification and surgical management of localized attic cholesteatoma: single-institution experience and follow-up. ORL J Otorhinolaryngol Relat Spec. 2010;72:96-100 pubmed publisher
    ..To present an effective system for the evaluation and surgical management of localized attic cholesteatoma, as well as describing the follow-up of patients treated at our institution...
  32. Gluth M, Cohen M, Friedland P, Dornhoffer J, Atlas M. Malleostapedotomy prosthesis size and shape: key measurements from a temporal bone study. Otol Neurotol. 2012;33:518-22 pubmed publisher
    ..By determining the dimensions of middle ear anatomic relationships pertinent to malleostapedotomy (MS), a simplified, yet optimized scheme for sizing, shaping, and placing a prosthesis can be generated...
  33. Demir U, Karaca S, Basut O. [Bone cement or incus interposition in type 2 tympanoplasty: prognostic factors and functional outcomes]. Kulak Burun Bogaz Ihtis Derg. 2012;22:99-104 pubmed publisher
    In this study, we compared the functional results of incus interposition and the use of bone cement in patients who underwent type 2 tympanoplasty due to isolated incus defects.
  34. Zou Y, Liu H, Yang S. Normal hearing after trauma with completely ectopic incus -- how possible?. ORL J Otorhinolaryngol Relat Spec. 2012;74:278-9 pubmed publisher
    To report the rare case of a patient with complete incus dislocation after trauma showing normal hearing.
  35. Guan X, Gan R. Mechanisms of tympanic membrane and incus mobility loss in acute otitis media model of guinea pig. J Assoc Res Otolaryngol. 2013;14:295-307 pubmed publisher
    ..The vibration of the incus tip was also measured after the effusion was removed...
  36. Ye F, Zhao K, Chen B, Gao P, Wang X. [The relationship between ossicular status and conductive hearing loss in cholesteatoma]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013;27:701-3 pubmed
    ..To investigate and analyze the characteristic of destructive ossicular chain and it's impact on air-bone gap (ABG) among patients with cholesteatoma...
  37. Balaker A, Roberson J, Goldsztein H. Fibrous incudostapedial joint in congenital aural atresia. Otolaryngol Head Neck Surg. 2014;150:673-6 pubmed publisher
    ..1) Determine the prevalence of a non-bony or fibrous incudostapedial (IS) joint in the setting of congenital aural atresia. (2) Assess this anomaly's impact on surgical management and associated hearing outcomes...
  38. Whyte J, Cisneros A, Yus C, Obón J, Whyte A, Serrano P, et al. Development of the dynamic structure (force lines) of the middle ear ossicles in human foetuses. Histol Histopathol. 2008;23:1049-60 pubmed publisher
    ..To study the ontogenic development of the organisation of the human middle ear ossicles structure...
  39. Nadol J. Histopathology of residual and recurrent conductive hearing loss after stapedectomy. Otol Neurotol. 2001;22:162-9 pubmed
    ..Histopathologic examination of temporal bones from patients who had undergone stapedectomy may provide information concerning the causes of both residual and recurrent conductive hearing loss (CHL)...
  40. Whyte J, Gonzalez L, Cisneros A, Yus C, Torres A, Sarrat R. Fetal development of the human tympanic ossicular chain articulations. Cells Tissues Organs. 2002;171:241-9 pubmed
    ..To obtain further knowledge on the morphogenesis of the articulations in the tympanic ossicular chain in humans...
  41. Ozer E, Bayazit Y, Kanlikama M, Mumbuc S, Ozen Z. Incudostapedial rebridging ossiculoplasty with bone cement. Otol Neurotol. 2002;23:643-6 pubmed
    ..This study reports the authors' technique and hearing results with bone cement reconstruction of the incudostapedial chain. The technique is called incudostapedial rebridging ossiculoplasty...
  42. De Leenheer E, Oudesluijs G, Kuijpers Jagtman A, Rappold G, Sengers R, Cremers C. Congenital conductive hearing loss in dyschondrosteosis. Ann Otol Rhinol Laryngol. 2003;112:153-8 pubmed
    ..In our patient, exploratory tympanotomy revealed ankylosis of the stapes and a malformed incus. A substantial gain in hearing threshold was obtained by a stapedectomy in combination with a malleovestibulopexy.
  43. Funnell W, Heng Siah T, McKee M, Daniel S, Decraemer W. On the coupling between the incus and the stapes in the cat. J Assoc Res Otolaryngol. 2005;6:9-18 pubmed
    The connection between the long process and the lenticular process of the incus is extremely fine, so much so that some authors have treated the lenticular process as a separate bone...
  44. Tysome J, Harcourt J. How we do it: ionomeric cement to attach the stapes prosthesis to the long process of the incus. Clin Otolaryngol. 2005;30:458-60 pubmed
    ..in primary stapes surgery for attachment of the wire loop of the stapes prosthesis to the long process of the incus is reported...
  45. Elsheikh M, Elsherief H, Elsherief S. Physiologic reestablishment of ossicular continuity during excision of retraction pockets: use of hydroxyapatite bone cement for rebridging the incus. Arch Otolaryngol Head Neck Surg. 2006;132:196-9 pubmed
    To analyze the results obtained from hydroxyapatite bone cement repair of ossicular discontinuity between the incus and stapes during surgery of retraction pockets.
  46. Kubilay U, Sezen O, Ozkiriş M, Haytoglu S, Unver S. Incudostapedial rebridging ossiculoplasty with glass ionomer cement: a case report. Kulak Burun Bogaz Ihtis Derg. 2007;17:183-6 pubmed
    ..At surgery, the ossicular chain was intact except for discontinuity by a 2-mm gap between the long process of the incus and the head of the stapes. The gap was reconstructed with the use of a fluoroplastic prosthesis...
  47. Huttenbrink K. The mechanics of the middle-ear at static air pressures: the role of the ossicular joints, the function of the middle-ear muscles and the behaviour of stapedial prostheses. Acta Otolaryngol Suppl. 1988;451:1-35 pubmed
    ..In that case, the predominant direction of movement at the incus and stapes is inward and outward, too...
  48. Huttenbrink K, Luers J, Beutner D. Titanium angular clip: a new prosthesis for reconstruction of the long process of the incus. Otol Neurotol. 2009;30:1186-90 pubmed publisher
    To describe a new titanium angular clip prosthesis for bridging the incudostapedial joint in the event of an isolated lesion of the distal end of the long process of the incus.
  49. Sim R, Chang P. Incudostapedial ankylosis from temporomandibular joint disruption. Otolaryngol Head Neck Surg. 2008;139:166-7 pubmed publisher
  50. Sencimen M, Yalcin B, Dogan N, Varol A, Okcu K, Ozan H, et al. Anatomical and functional aspects of ligaments between the malleus and the temporomandibular joint. Int J Oral Maxillofac Surg. 2008;37:943-7 pubmed publisher
    ..The malleus, incus, petrotympanic fissure (PTF), chorda tympani, anterior malleolar ligament (AML), discomallear ligament (DML), ..
  51. Rotteveel L, Siekman U, Linder T. Incus necrosis after irradiation. Otol Neurotol. 2013;34:1699-702 pubmed publisher
    ..However, the presented case report disputes this...
  52. Rath G, Bauer M, Pytel J, Vóna I, Szanyi I, Lujber L, et al. Ionomer cement for reconstruction of the long process of the incus: the Pécs experience. Clin Otolaryngol. 2008;33:116-20 pubmed publisher
    Experience gained with the repair of the defects of the long process of the incus with ionomer cement in 35 patients is reported...
  53. Takanashi Y, Shibata S, Katori Y, Murakami G, Abe S, Rodríguez Vázquez J, et al. Fetal development of the elastic-fiber-mediated enthesis in the human middle ear. Ann Anat. 2013;195:441-8 pubmed publisher
    ..However, hyaluronan expression was not as strong as in adults. Colocalization between elastic fibers and hyaluronan appeared to be a result of postnatal maturation of the entheses. ..
  54. Mishiro Y, Sakagami M, Kitahara T, Kondoh K, Kubo T. Long-term hearing outcomes after ossiculoplasty in comparison to short-term outcomes. Otol Neurotol. 2008;29:326-9 pubmed
    ..To investigate long-term hearing outcomes after ossiculoplasty...
  55. Kawano H, Ohhashi M, Nakajima M, Tsuboi Y, Komune S. [Surgery for tympanosclerotic stapes fixation accompanied by malleus fixation at the anterior malleus: report of 2 cases]. Nihon Jibiinkoka Gakkai Kaiho. 2004;107:1011-4 pubmed
    Most tympanosclerotic stapes fixation involves fixation or erosion of the malleus and/or incus. This status of the ossicular chain is one reason that ossiculoplasty for tympanosclerotic stapes fixation is more difficult than that for ..
  56. Imauchi Y, Karino S, Yamasoba T. Acquired atrophy of the long process of the incus. Otolaryngol Head Neck Surg. 2005;132:156-8 pubmed
    ..who presented with a conductive hearing loss in both ears, in which small pieces of the long process of the incus were absent and had been replaced with fibrous tissues in both ears...
  57. Nagamine H, Arai M, Manabe M, Kodera K. [Stapes surgery performed for congenital stapes foot plate fixation--comparison of prosthesis fixation to the malleus vs. the incus]. Nihon Jibiinkoka Gakkai Kaiho. 2007;110:470-6 pubmed
    ..prosthesis performed on 30 ears with fixation of the stapes footplate and absence of the long process of the incus. The prosthesis was reformed to avoid dislocation and fixed to the handle of the malleus...
  58. Sutor A, Hornung J, Gossler J, Doellinger M, Lerch R. A method for characterizing stapes prostheses by their mechanical transfer function. Med Eng Phys. 2012;34:659-63 pubmed publisher
    ..After such preparation, the prosthesis piston movement compared to the incus movement is measured with laser vibrometry...
  59. Gołabek W, Szymanski M, Siwiec H, Kłos A. [Complications of three methods of stapedectomy]. Otolaryngol Pol. 2001;55:593-7 pubmed
    ..removal of stapes superstructure, 2. making a hole in the footplate, 3. placing the prosthesis on the incus. In group II of 167 ears the hole in the footplate was made before removal of stapes arch...
  60. Serin G, Cam B, Derinsu U, Sari M, lar Batman Ç. Incus augmentation with glass ionomer cement in primary and revision stapes surgery. Ear Nose Throat J. 2010;89:589-93 pubmed
    In stapedotomy, augmentation of the long process of the incus is necessary when the structure is too short or thin or when the bone has been eroded to the point that it is not possible to satisfactorily attach a piston prosthesis to it...
  61. Palomar Asenjo V, Palomar García V, Fortuny Llanses J, Ruiz Giner A. [Malleostapedotomy in the pathology of the incudomalleolar complex combined with fixation of the stapes]. Acta Otorrinolaringol Esp. 2006;57:161-4 pubmed
    ..This circumstance can turn up in several pathologies and also in revision surgery for otosclerosis...
  62. Chapla M, Nowacek D, Rommel S, Sadler V. CT scans and 3D reconstructions of Florida manatee (Trichechus manatus latirostris) heads and ear bones. Hear Res. 2007;228:123-35 pubmed
    ..05). Measurements of the ear bones (tympanic, periotic, malleus, incus, and stapes) collected during dissection revealed that the ossicular chain was overly massive for the mass of the ..