Titanium ossicular chain replacement prostheses: Prognostic factors and preliminary functional results

Mardassi, Ali; Devèze, Arnaud; Sanjuan, M.; Mancini, Julien; Parikh, Biren; Elbedeiwy, A.; Magnan, J.; Lavieille, Jean‐Pierre

doi:10.1016/j.anorl.2010.11.005

Cited by 46 publications

(55 citation statements)

References 20 publications

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“…Based on the MERI, Demir et al (10) have shown that the success rate is highly correlated with the pathophysiologic status of the middle ear independently from the type of replacement material. Indeed, different types of prosthesis for ossiculoplasty were compared, and no obvious differences were found by most studies (11)(12)(13)(14). Based on the OOPS, De Vos et al (15) found that the availability of the malleus handle, the status of the middle ear mucosa, and the status of the stapes footplate are significant predictors for hearing results.…”

Section: Discussionmentioning

confidence: 99%

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Does Checking the Placement of Ossicular Prostheses via the Posterior Tympanotomy Improve Hearing Results After Cholesteatoma Surgery?

Roux

Bakhos

Villeneuve

et al. 2015

Otology &Amp; Neurotology

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Section: Discussionmentioning

confidence: 99%

“…The prostheses used in this study were Kürz titanium prostheses because of their biocompatibility and wellknown efficiency (11)(12)(13)(14). These prostheses have an open work head plate, which allows for good viewing when the TORP or PORP is placed.…”

Section: Discussionmentioning

confidence: 99%

Does Checking the Placement of Ossicular Prostheses via the Posterior Tympanotomy Improve Hearing Results After Cholesteatoma Surgery?

Roux

Bakhos

Villeneuve

et al. 2015

Otology &Amp; Neurotology

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“…Titanium implants are also MRI compatible. The cost of implant, however, becomes an important issue in the developing nations, especially when the cost of the second [1][2][3][12][13][14][15][16][17][18][19] The current study reports mean postoperative ABG of 13.8 ± 4 dB and closure of ABG to 20 dB or less in 95% of the patients.…”

Section: Discussionmentioning

confidence: 92%

Cortical bone total ossicular replacement prosthesis

2014

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“…Titanium is favored because of its rigidity, light weight, low impedance, and biocompatibilityand due to the open design of the prosthesis, which allow good viewing when the TORP or PORP is placed. [10][11][12][13][14][15] Coffey et al report that titanium ossicular prostheses provide superior hearing outcomes when compared to nontitanium prostheses. 10 In our study, we have only used the Kruz titanium prosthesis.…”

Section: Discussionmentioning

confidence: 99%

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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Titanium ossicular chain replacement prostheses: Prognostic factors and preliminary functional results

Abstract: Increasing the length of the ossicular prosthesis, especially TORP, may improve postoperative functional results.

Cited by 46 publications

References 20 publications

Does Checking the Placement of Ossicular Prostheses via the Posterior Tympanotomy Improve Hearing Results After Cholesteatoma Surgery?

Does Checking the Placement of Ossicular Prostheses via the Posterior Tympanotomy Improve Hearing Results After Cholesteatoma Surgery?

Cortical bone total ossicular replacement prosthesis

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

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