Ossiculoplastie par prothèse en titane KURZ

Nguyen, D.-Q.; Morel, Nicolas; Dumas, Georges; Troussier, J.; Lavieille, Jean‐Pierre; Schmerber, S.

doi:10.1016/s0003-438x(05)82347-3

Cited by 11 publications

(1 citation statement)

References 16 publications

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“…Titanium reconstruction prostheses have been used in Germany since 1993, 1 and this has proven to be an excellent material for ossicular reconstruction due to its high biocompatibility, high biostability, low weight, and high rigidity, which are important characteristics for sound transmission. [2][3][4] Typically, a total ossicular replacement prosthesis (TORP) is used when the incus and stapes superstructures are absent. This has been reported to be a safe and effective method of hearing reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Hearing Results of Malleovestibulopexy and Total Ossicular Replacement Prosthesis for Chronic Otitis Media Patients With a Mobile Stapes Footplate

Chen

Sun

Zhou

et al. 2014

Ann Otol Rhinol Laryngol

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Section: Introductionmentioning

confidence: 99%

Comparison of Hearing Results of Malleovestibulopexy and Total Ossicular Replacement Prosthesis for Chronic Otitis Media Patients With a Mobile Stapes Footplate

Chen

Sun

Zhou

et al. 2014

Ann Otol Rhinol Laryngol

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The benefit of trans‐attic endoscopic control of ossicular prosthesis after cholesteatoma surgery

et al. 2019

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Objective To show the efficiency of using transmastoid atticotomy (TMA) endoscopy on the outcome of ossiculoplasty in patients with cholesteatoma. TMA is often performed as part of the surgical management of patients with middle ear cholesteatoma extending to the epitympanum. TMA can also be used as an access for endoscopic view to confirm the right alignment and stability of the ossicular prosthesis because the reconstruction of the tympanic membrane will obscure the visualization of the prosthesis. Methods A retrospective study was done at a tertiary referral institute, including 133 ears with cholesteatoma that underwent canal wall‐up tympanomastoidectomy (CWU) with ossicular reconstruction using titanium prosthesis between August 2013 and August 2015. Post packing of the ear canal and position, stability, and axis of the prosthesis were checked using endoscope positioned in the attic through TMA. A postoperative pure‐tone average air–bone gap (ABG) of 20 dB or less was considered as a successful hearing result. Results are compared with historical control groups. Results Of the 133 ears, 88 patients underwent reconstruction with partial ossicular replacement prosthesis (PORP), whereas the rest (45 patients) had total ossicular replacement prosthesis (TORP). A postoperative ABG ≤ 20 dB was obtained in 77.4% of all the patients (79.5% for PORP; 73.3% for TORP). Conclusion Endoscopic assessment of the ossicular prosthesis via the attic, after repositioning of the tympanomeatal flap and packing the ear canal, decreases the risk of immediate ossiculoplasty failure and improves the functional outcome after ossicular chain reconstruction in cholesteatoma surgery. Level of Evidence 4 Laryngoscope, 129:2754–2759, 2019

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PORP vs. TORP: a meta-analysis

et al. 2013

Eur Arch Otorhinolaryngol

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After the surgical procedure of ossicular chain reconstruction, the effectiveness and/or stability of partial ossicular replacement prosthesis (PORP) or total ossicular replacement prosthesis (TORP) were systematically compared and evaluated using meta-analysis. A total of 40 eligible investigations with 4,311 subjects were included in our study. There was a significant difference in the effectiveness of the reconstruction of the ossicular chain between PORP and TORP; the data showed a combined risk ratio (RR) of 1.28 (95 % CI 1.17-1.41, p < 0.00001), but no notable difference was obtained in staged procedures subgroup and cholesteatoma subgroup, with a combined RR of 1.13 (95 % CI 0.60-2.11, p = 0.70) in staged procedures subgroup and RR of 2.60 (95 % CI 0.20-36.21, p = 0.59 in cholesteatoma subgroup). There was a statistically significant difference in the stability of the prostheses in long-term follow-up, with a combined RR of 0.37 (95 % CI 0.16-0.85, p = 0.02), but no significant difference was observed in the total sample, with a combined RR of 0.64 (95 % CI 0.40-1.03, p = 0.06). Our overall results suggest that the effectiveness of PORP was higher than TORP, except within staged procedures subgroup and cholesteatoma subgroup. In addition, the stability of PORP was significantly superior to TORP in long-term follow-ups, but no significant effect was detected in the general study.

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Ossiculoplastie par prothèse en titane KURZ

Cited by 11 publications

References 16 publications

Comparison of Hearing Results of Malleovestibulopexy and Total Ossicular Replacement Prosthesis for Chronic Otitis Media Patients With a Mobile Stapes Footplate

Comparison of Hearing Results of Malleovestibulopexy and Total Ossicular Replacement Prosthesis for Chronic Otitis Media Patients With a Mobile Stapes Footplate

The benefit of trans‐attic endoscopic control of ossicular prosthesis after cholesteatoma surgery

PORP vs. TORP: a meta-analysis

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