Is there a “best” stapes prosthesis?

Ruckenstein, Michael J.; Nicolli, Elizabeth A.

doi:10.1002/lary.23353

Cited by 6 publications

(9 citation statements)

References 7 publications

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“…However, there is no clear evidence that one prosthesis design achieves significantly better post-operative hearing outcomes than another. 13,16,17 In this study, fortunately, we were able to analyse different stapes piston variables using similar sample sizes. All patients were operated on with the same technique by the same surgeon.…”

Section: Discussionmentioning

confidence: 95%

“…Otherwise, an experienced surgeon should be able to achieve good hearing results with whichever prosthesis is used. 17,26 Good prosthesis fixation keeps the piston in place and secures long-time hearing improvement. Very loose or very tight crimping may cause incus erosion.…”

Section: Discussionmentioning

confidence: 99%

“…28 A self-crimping piston does not fully encircle or apply tight pressure on the incus, theoretically reducing the risk of strangulation. 17 Wegner et al 29 conducted a systematic review on the effect of different crimping techniques in stapes surgery. They found that seven studies comparing manual crimping with selfcrimping pistons showed no significant difference, or showed a difference in favour of manual crimping.…”

Section: Discussionmentioning

confidence: 99%

“…However, there is no clear evidence that one prosthesis design achieves significantly better post-operative hearing outcomes than another. 13,16,17…”

Section: Discussionmentioning

confidence: 99%

“…Otherwise, an experienced surgeon should be able to achieve good hearing results with whichever prosthesis is used. 17,26…”

Section: Discussionmentioning

confidence: 99%

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Hearing results after stapedotomy for otosclerosis: comparison of prosthesis variables

et al. 2021

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Objective To evaluate the influence of different piston variables on hearing following stapedotomy. Methods Data were analysed in groups according to: piston material (titanium vs fluoroplastic), shaft diameter (0.4 mm vs 0.5 mm) and crimping style (manual crimping vs self-crimping). Pre- and post-operative average air–bone gap, air–bone gap difference, success rate and operative time were evaluated. Results and conclusion Fifty-one patients (58 ears) were included. A post-operative air–bone gap of 10 dB or lower was achieved in 44 cases, with a success rate of 75.9 per cent; 52 cases (89.7 per cent) had an air–bone gap of 20 dB or lower. The success rate was higher, but not significantly, in fluoroplastic than in titanium pistons (85 per cent vs 70 per cent). Pistons with shaft diameters of 0.5 mm and 0.4 mm had success rates of 79 per cent and 72 per cent, respectively. No significant differences were found for any audiometric parameters. There were no significant differences between manual crimping and self-crimping pistons in terms of audiometric results or success rate.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…However, there is no clear evidence that one prosthesis design achieves significantly better post-operative hearing outcomes than another. 13,16,17…”

Section: Discussionmentioning

confidence: 99%

“…Otherwise, an experienced surgeon should be able to achieve good hearing results with whichever prosthesis is used. 17,26…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Hearing results after stapedotomy for otosclerosis: comparison of prosthesis variables

et al. 2021

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Endoscopic and Robotic Stapes Surgery: Review with Emphasis on Recent Surgical Refinements

Sheppard

Caversaccio

Anschuetz

2022

Curr Otorhinolaryngol Rep

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Purpose of Review Stapes surgery has been established as the gold standard for surgical treatment of conductive hearing loss in otosclerosis. Excellent outcomes with very low complication rate are reported for this surgery. Recent advances to improve surgical outcome have modified the surgical technique with endoscopes, and recent studies report development of robotical assistance. This article reviews the use of endoscopes and robotical assistance for stapes surgery. Recent Findings While different robotic models have been developed, 2 models for stapes surgery have been used in the clinical setting. These can be used concomitant to an endoscope or microscope. Endoscopes are used on a regular base regarding stapes surgery with similar outcomes as microscopes. Endoscopic stapes surgery shows similar audiological results to microscopic technique with an advantage of less postoperative dysgeusia and pain. Its utility in cases of revision surgery or malformation is emphasized. Summary Endoscopic stapes surgery is used on a regular basis with excellent outcomes similar to the microscopic approach, while reducing surgical morbidity. Robotic technology is increasingly being developed in the experimental setting, and first applications are reported in its clinical use.

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