Long-term Follow-up Study of the Sandwich Cartilage Shoe Technique in Cases of Insecure Stapes Footplate

Lüers, Jan Christoffer; Schwarz, David; Anagiotos, Andreas; Gostian, Antoniu‐Oreste; Beutner, Dirk; Hüttenbrink, K.-B.

doi:10.1097/mao.0000000000001093

Cited by 3 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…above findings emphasize the crucial role of proper diagnosis and thorough eligibility assessment before performing elective surgery [5][6][7][8][9]. At the same time, they indicate that with less advanced ossicular pathology, the air-bone gap is not always an accurate predictor of expected postoperative hearing improvement, which is a novel finding.…”

Section: Discussionmentioning

confidence: 91%

The effect of preserved stapedial superstructure on hearing improvement

et al. 2019

View full text Add to dashboard Cite

Introduction: Ossiculoplasty can be carried out in a number of ways, depending on the anatomical and functional conditions encountered during otosurgery and the experience of a given centre. The extent of damage to the ossicular chain determines the reconstruction method. Aim: The objective of the study was to analyse treatment effects in terms of postoperative hearing improvement in patients with chronic otitis media, with a particular emphasis on stapedial superstructure preservation. Material and method: The records of 294 consecutive patients undergoing their first ENT surgery due to chronic otitis media at the Department of Otolaryngology of Collegium Medicum, Jagiellonian University of Kraków in 2009–2013 were analysed. In order to assess the role of preserved stapedial superstructure, 96 patients were eligible for further analysis. Results: The analysis points to a significant hearing improvement after ossiculoplasty with the preserved stapedial superstructure as compared with the patients after footplate mobilisation. On the other hand, the research results point to significantly smaller hearing improvement in those patients, in whom only stapes was preserved, as compared with those, in whom a more extensive reconstruction of the ossicular chain was possible. Conclusions: The air-bone gap measured before otosurgery often fails to reflect the extent of abnormalities and cannot, therefore, be considered as the only prognostic factor for postoperative hearing improvement. Stapes preservation is crucial for hearing improvement after middle ear surgery.

show abstract

Section: Discussionmentioning

confidence: 91%

The effect of preserved stapedial superstructure on hearing improvement

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Medial TORP displacement is likely a rare occurrence in the setting of an intact stapes footplate since it is common practice to (1) use cartilage or titanium shoes to disperse pressure across the footplate 4 and (2) minimize pressure on the footplate by measuring for appropriate prosthesis length prior to placement. Considering the typical horizontal reach from the footplate to the malleus is between 4 and 5 mm, 5 the use of a 7‐mm calvarial bone strut was likely in part responsible for the footplate penetration seen in this case.…”

Section: Discussionmentioning

confidence: 99%