Ossicular chain reconstruction with a titanium prosthesis

Abstract

Titanium is an ideal material for ossicular chain reconstruction due to its ease of insertion, low rate of extrusion and good functional results.

Relevance of Pure Tone Average (PTA) as a Predictor for Incus Erosion

“…In surgery for chronic otitis media, the reconstruction of the ossicular chain and successful physiological and functional results with long term stability are still a challenge even for experienced otologists [1,5]. Usually the incus is removed and interposed after it has been sculpted to a suitable size and shape.…”

“…Between 40 and 90% of tympanoplasty require middle ear ossicular chain reconstruction [1]. Ossicular reconstruction was first performed in the 1950's.…”

A Comparative Clinical Study of Different Prostheses Used in Ossiculoplasty

“…It is an effective and easy material in handling which led to the development of new and versatile designs. 11,17,18 Badr Eldin Mostafa quoted as hearing results reaching as high as 81% in their study. 16 Similar results were reported with titanium implants.…”

“…The results of Ossiculoplasty are to be interpreted in the light of anatomical, pathophysiologic and technical factors which can affect the functional outcome. [17][18][19] These include revisions versus one stage surgeries. 12,18,20 The presence or absence of cholesteatoma was considered to contribute to the results of Ossiculoplasty.…”

“…[17][18][19] These include revisions versus one stage surgeries. 12,18,20 The presence or absence of cholesteatoma was considered to contribute to the results of Ossiculoplasty. In the present study, the CSOM patients with Cholesteatoma were 45 (62.5%) and all these surgeries were done as a single stage operation.…”