ABSTRACT
Following a few European and American authors, we have undertaken tympano-ossicular homografts at the Hotel-Dieu de Quebec. The organization of the bank was achieved with many difficulties. We undertook our first surgical homografts in 1974, and 27 cases have since been performed. Our statistics are based on 19 cases. We obtained a perfect tympanic membrane in 17 cases, and 60 per cent of these have shown good improvement in hearing. This percentage is remarkable when one considers that we limited this procedure to cases for which all other techniques were bound to fail.
Subject(s)
Ear Ossicles/transplantation , Tympanic Membrane/transplantation , Audiometry , Graft Rejection , Humans , Methods , Tissue Banks , Tissue Preservation , Transplantation, HomologousABSTRACT
Malignant external otitis in which the prognosis is very severe has been recently described, as related to diabetes in old age. We present a case with malignant external otitis which occurred in a 10 year old girl, with a very peculiar development. Indeed, the external otitis which appeared at first on the left side was accompanied on this side by a facial paralysis, and six months later in the right, a malignant external otitis was also found without facial palsy. Furthermore, this young girl has been affected by an insipid diabetes, for which no hypophysial or renal pathology has been found. After reviewing the literature on that subject, the authors discuss the clinical aspect of that case and its treatment.