(1) Let us pay the greatest respect to the malleus and make use of the tympano-mallear complex during ossicular reconstruction.
(2) Compared to acoustically unspecialized mammals (soricids and murids), the middle ear of subterranean insectivores and rodents (twelve species of six families examined) was clearly distinguished and characterized by many common features: rather round and relatively larger eardrum without a pars flaccida; reduced gonial; loose or no connection between the malleus and the tympanic bone; reduced and straightened transversal part of the malleus; enlarged incus; increased and rather flat incudo-mallear joint; rather parallel position of the mallear manubrium and incudal crus longum in some species (and their fusion in bathyergids); reduced or even missing middle ear muscles.
(3) The mallear artery apparently is the major blood supply to the posterior half of the tympanic membrane, which is consistently better perfused than the anterior half.
(4) Measured were also the length of the plicae malleares and the height of the recessus membrane tympani anterior, posterior et superior with (2.5, 3.0 and 1.5 mm).
(5) 2) Comparative examination of the vibration amplitude at the mallear tip revealed that for a small perforation, no change in resonance frequency was noted regardless of the location of perforation and an increase in vibration amplitude was noted near the resonance frequency.
(6) In about 74%, the chorda tympani was imbedded in different zones of the plicae malleares.
(7) The placement of the prosthesis along the mallear handle did not affect sound transmission, as long as the connection between malleus and prosthesis was made inflexible.
(8) The amplitude of the anterior peak was larger than that of the mallear tip, but smaller than that of the posterior.
(9) The stapedius reflex caused: an attenuation of the mallear vibrations below 1 kHz, a slight enhancement of the vibrations between 300 Hz and 1,500 Hz.
(10) The ear drum was made to vibrate using frequency-modulated sound pulses of 40 ms duration, and the vibration velocity of the tip of the mallear handle (umbo) was measured with laser vibrometry before and during stapedius muscle contractions (elicited by sound of 100 dB HL in the contralateral ear).
(11) These effects of the stapedius reflex appear to be caused by an increased stiffness in the structures affecting the mallear vibrations.
(12) With the amplitude of the mallear tip, the same tendency was observed.
(13) The tensor tympanic fold is fused with the superior mallear fold in type C, the best-developed type (18%), with the recess being contiguous with the eustachian tube.
Malleus
Definition:
(n.) The outermost of the three small auditory bones, ossicles; the hammer. It is attached to the tympanic membrane by a long process, the handle or manubrium. See Illust. of Far.
(n.) One of the hard lateral pieces of the mastax of Rotifera. See Mastax.
(n.) A genus of bivalve shells; the hammer shell.
Example Sentences:
(1) Unfortunately, both the malleus and the stapes have to be in good position to use this type of reconstruction making it much less common than other forms of ossiculoplasty.
(2) These complications are of much higher frequency than after tympanoplasty with autograft, and indications for tympano-ossicular homografts are now limited to total tympanic destruction with absence of handle of malleus.
(3) In our series of 31 patients, it was found that severe conductive hearing loss, abundant pale granulations, and denuded malleus handle are constant findings and, in our opinion, are significant clinical features of the pathology.
(4) The observed pattern of development in nonirradiated specimens was the following: hypertrophy of the rostral process and endochondral-type ossification, fibrous atrophy in the midsection, and mineralization of the malleus and incus.
(5) The position, displacement and phase angle of the rotation axis of the ossicles was calculated based on the displacement and phase angle of the umbo, malleus head and lenticular process.
(6) The reshaped incus is repositioned between the malleus handle and oval window when the stapes is fixed and there also exists a lateral ossicular chain defect.
(7) The malleus exhibits a handle separated from its head and keeping a persistant relationship with the tubotympanic recess.
(8) The position of the normal-shaped mobile stapes was just medial, and not posteromedial, to the malleus.
(9) This paper presents the authors' experiences with one method of reconstruction of the tympanic membrane when it is totally absent or when there is a fixed, retracted, defective, or absent malleus.
(10) pseudomallei only, and with it, it is possible to resolve the immunological problem of distinguishing diagnosis between Malleus and Melioidosis.
(11) At high levels, the attachment is less intimate, most of the fibers appearing to pass lateral to the malleus handle.
(12) Temporal fascia placed medially to the tympanic remnants with the malleus handle exteriorized has been used successfully in over 1,200 tympanoplasties with adequate conization of the drumhead produced in most cases.
(13) All points on the tympanic membrane vibrate in phase with the malleus up to a frequency of 1 kHz.
(14) A review of 62 cases of blockage of head of malleus showed that apart from secondary lesions (post-traumatic, postoperative, postinfectious), primary blockades were a definite entity.
(15) Measurements of tympanic membrane surface area; depth of the tympanic membrane cone; the lengths of the malleus and incus long processes; and stapes footplate, annular space, and oval window areas were obtained using video micrographs and computer digitization techniques.
(16) These procedures, short and long "L-shaped" assemblies, used for patients without a malleus, resulted in a mean 27 dB bone-air gap postoperatively.
(17) Thus, disarticulation of ossicles can be localized precisely, and fixation of the head of the malleus can be differentiated from stapes fixation.
(18) However, conventional atticotomy was not able to achieve improvement in the mobility of the ossicles because the mobility is usually severely restricted at the malleus.
(19) We report on a 5-year experience with 44 patients (1980-1985) with incus interposition using a modelled or sculptured incus, either autograft or homograft, to correct ossicular discontinuity when a functional malleus and stapes are present.
(20) Meckel's cartilage appeared as a single, continuous fibrous structure lying between the mandibular lingula and the malleus of the middle ear in fetuses of 210 mm crown-rump length (22 weeks of age) and over.