TORP Ossiculoplasty Outcomes With and Without a Stapes Footplate Prosthesis

Cox, Matthew D.; Russell, James S.; Dornhoffer, John L.

doi:10.1017/s0022215116002735

Cited by 3 publications

(3 citation statements)

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“…This could be possibly due to displacement of prosthesis. 11 The hearing gain in CWUP was relatively better than CWDP though not statistically significant reinforcing the usefulness of retaining the posterior meatal wall without compromising disease clearance for better hearing outcomes ( Figure 2). This is similar to the results published by Faramarzi et al where the success rate in CWUP was more than CWDP patients but the difference was not significant.…”

Section: Discussionmentioning

confidence: 87%

Outcomes of type III tympanoplasty: our experience

Chandrashekhar

Bandadka

2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Type III tympanoplasty involves complete disease clearance from middle ear cleft and retaining or improving the serviceable hearing by ossiculoplasty. Various auto and allografts have been used with variable outcomes. The objective of the study was to evaluate hearing improvement and healing of cavity in patients who underwent type III tympanoplasty. Methods: A retrospective chart review of 21 patients who underwent type III tympanoplasty at Bowring and Lady Curzon Hospital from January 2018 to December 2018 was done. In 7 patients autologous incus, 6 tragal cartilage and 8 teflon prosthesis was used for ossiculoplasty. Intra and postoperative events were assessed. Pure tone audiograms done after 3 and 6 months were compared. Results: 15 patients who underwent canal wall down procedure (CWDP) had a mean hearing gain of 20.33 dB and 26.67 dB while in 5 patients of canal wall up procedure (CWUP) group mean hearing gain was 22.5 dB and 27.5 dB at 3 and 6 months after surgery respectively. Hearing gain was similar in both groups irrespective of the prosthesis used. Autologous materials were used in most of the CWUP with intact stapes and teflon prosthesis was used in majority of CWDP where only mobile stapes foot plate was present. Prosthesis extrusion was not encountered in any of our cases so far in this series. Conclusions: The post-operative hearing gain with autologous incus, tragal cartilage and teflon middle ear prosthesis are similar. Teflon prosthesis is an effective material for ossiculoplasty, especially useful when incus and stapes are absent while autologous incus or tragal cartilage are preferred in cases with intact stapes head.

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Section: Discussionmentioning

confidence: 87%

Outcomes of type III tympanoplasty: our experience

Chandrashekhar

Bandadka

2020

Int J Otorhinolaryngol Head Neck Surg

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“…1). The final 40 studies included a total of 3,116 participants with an average of 76.9 participants per study (Supplemental Table 2, http://links.lww.com/MAO/B542) (11–50). The average age was 36.4 years.…”

Section: Resultsmentioning

confidence: 99%

Ossicular Chain Reconstruction With Titanium Prostheses: A Systematic Review and Meta-Analysis

et al. 2022

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ObjectivesThis review sought to establish expectations for hearing improvement with specifically titanium partial (PORP) and total ossicular replacement prostheses (TORP) to give surgeons an acceptable goal for postoperative hearing results and to counsel patients on their expected results.Databases ReviewedMEDLINE/PubMed, EMBASE, and Cochrane Library.MethodsA systematic review of the literature was performed per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Three databases (MEDLINE/PubMed, EMBASE, Cochrane library) were searched using relevant key search terms to identify studies evaluating outcomes of titanium prostheses. A title/abstract and full article review was then done, and the results from the remaining studies were analyzed with Review Manager 5.4 Software to perform a meta-analysis using a random-effects model.ResultsForty articles were analyzed after full article review based on the inclusion and exclusion criteria. For PORPs, the average improvement in air-bone gap (ABG) and pure-tone average were 12.1 and 13.5 dB, respectively. For TORPs, the average improvements in ABG and pure-tone average were 16.7 and 17.0 dB, respectively. Preoperatively, the average ABG was 7.0 dB better for PORP than TORP patients, and postoperatively, the ABG improved an average of 4.9 dB more for the PORP cohort. Seventy percent of PORPs and 57% of TORPs subjects had a postoperative ABG less than 20 dB.ConclusionsOverall, reconstruction of the ossicular chain with titanium prostheses reliably improves patients' hearing outcomes, and this study gives relevant information for counseling patients preoperatively on realistic hearing outcomes.

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“…Finally, in the fifth highlights article, Cox and colleagues 5 examine the effects of a titanium stapes footplate prosthesis (FPP) in patients undergoing surgical treatment using a total ossicular replacement prosthesis (TORP). The authors retrospectively evaluated 53 patients undergoing TORP with an FPP and compared them with 108 patients who underwent TORP without an FPP, assessing the effects on air‐bone gap and improvement in pure‐tone average at follow‐up.…”

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confidence: 99%