41 year old male who underwent stapedotomy with Causse piston 8 years back in our institution complained of decreased hearing. He had good hearing for 1 year after the surgery. Exploratory tympanotomy showed displaced piston and necrosis of incus long process.
In previous case which was discussed, incus necrosis happened before surgery and that may be the reason they used a bucket handle prosthesis. In the present case incus necrosis happened after surgery and was managed.