Ossicular chain reconstruction: a combined prosthesis with organic and synthetic material.

The surgical techniques to restore the sound pressure transfer mechanism in surgery of chronic otitis media are still in an evolutionary stage. Ossicular interposition is effective and certainly is not controversial. The use of various organic prostheses has been criticized. The prosthesis with a shaft of Teflon and a homograft bone flange is an alternative method which has been successful in our hands.