Question: A 40 year old woman undergoes stapedotomy for otosclerosis. During curetting, the curet inadvertently strikes the incus. While the stapes remains in its normal position, the IS joint is separated and the incus is dislocated. Repositioning it reveals that it is no longer attached to the malleus well. What is the next most appropriate step?

a) Reposition the incus and proceed with division of the posterior crus

b) Place a TORP to the footplate

c) Mobilize the stapes and reposition the incus to create a mobile chain

d) Malleovestibulopexy

[Answer will be posted with next week's new question]

Answer to last week's question, “Get It Just Right” (August 17, 2020)

B - Overcorrection of the middle third (telephone ear deformity).