“…The literature indicates that autologous cartilage, bone, vinylacryl, polyethylene, gold, plastipore, hydroxyapatite, bioglass, and titanium may be used to restore the continuity of sound transmission in the middle ear (6). Prosthetic materials used in otologic surgeries are expected to have biocompatibility, durability, good sound transmittance, accessibility and to be easy to use (6,11). Today, although titanium and synthetic polycel prostheses are mostly used this issue remains controversial and indeed, none of them are considered perfect materials (12).…”