Skip to main content
Log in

Comparison of superelastic nitinol stapes prostheses and platin teflon stapes prostheses

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Introduction

Stapes plasty is an established procedure to improve hearing in case of otosclerosis. By reinforcing the prostheses, an optimization of the prosthesis could be achieved. The aim of the study was to evaluate the audiological results of the Nitinol Superelastic stapes prosthesis compared with a Platin–Teflon prosthesis.

Material and methods

In a retrospecitve setting, the audiological results of nine patients who have been implanted with a Nitinol Alloy Superelastic stapes prothesis were compared with the results of ten patients, which have been implanted with a Platinum–Teflon piston prostesis. All operations were performed by the same experienced ear surgeon.

Results

The Nitinol-group presented an average of postoperative air–bone-gap over all frequencies (0.5–6 kHz) of all patients of 15.1 dB. In the Platin–Teflon group, the average of postoperative air–bone-gap was 14.9 dB. Moreover, the post surgery delta–bone-conduction pre- to post surgery showed no differences (0.5–6 kHz). There were no surgical complications in both groups.

Conclusion

Based on the patient collective, stapes plasty using a Nitinol Superelastic stapes prosthesis is a sufficient method for improving the hearing conduction.

Design

Retrospective case series.

Setting

University Department.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Huettenbrink KB, Beutner D (2005) A new crimping device for stapedectomy prostheses. Laryngoscope 115:2065–2067

    Article  PubMed  Google Scholar 

  2. Bast F, Schrom T (2009) First experiences with the new soft-clip piston as an alloplastic prosthesis during stapedotomy. Laryngorhinootologie 88:304–308

    Article  CAS  PubMed  Google Scholar 

  3. Wengen DFA (2007) A new self-retaining titanium clip stapes prosthesis. Adv Otorhinolaryngol 65:184–189

    PubMed  Google Scholar 

  4. Hornung JA, Brase C, Zenk J, Iro H (2011) Results obtained with a new superelastic nitinol stapes prosthesis in stapes surgery. Otol Neurotol 32(9):1415–1421. https://doi.org/10.1097/MAO.0b013e3182355886

    Article  PubMed  Google Scholar 

  5. Reineke U, Ebmeyer J, Plett D, Winkler H, Sudhoff H (2010) Superelastic nitinol stapes prostheses. Laryngorhinootologie 89:271–275

    Article  CAS  PubMed  Google Scholar 

  6. Knox GW, Reitan H (2005) Shape-memory stapes prosthesis for otosclerosis surgery. Laryngoscope 115:1340–1346

    Article  PubMed  Google Scholar 

  7. Huber AM, Veraguth D, Schmid S, Roth T, Eiber A (2008) Tight stapes prosthesis fixation leads to better functional results in otosclerosis surgery. Otol Neurotol 29:893–899

    Article  PubMed  Google Scholar 

  8. Plontke SK, Metasch ML, Zirkler J, Zahnert T (2018) Diagnostics and surgical therapy of otosclerosis—Part 2: indication, surgical procedure and postoperative treatment. Laryngorhinootologie 97(10):717–734

    Article  PubMed  Google Scholar 

  9. Sim JH, Chatzimichalis M, Huber AM (2010) The influence of postoperative tissue formation on sound transmission after stapes surgery. Hear Res 263:38–42

    Article  PubMed  Google Scholar 

  10. Huber AM, Ma FR, Felix H, Linder T (2003) Stapes prosthesis attachment: the effect of crimping on sound transfer in otosclerosis surgery. Laryngoscope 113:853–858

    Article  PubMed  Google Scholar 

  11. Shabalovskaya SA (2002) Surface, corrosion and biocompatibility aspects of Nitinol as an implant material. Bio-Med Mater Eng 12:69–109

    CAS  Google Scholar 

  12. Zirkler J, Rahne T, Plontke SK (2016) Stapes surgery for otosclerosis using a new titanium prosthesis with a superelastic nitinol clip: first experiences. HNO 64(2):111–116. https://doi.org/10.1007/s00106-015-0100-z

    Article  CAS  PubMed  Google Scholar 

  13. Zahnert T (2007) Nitinol as a memory-metal for the coupling of stapes prostheses. HNO 55:158–163

    Article  CAS  PubMed  Google Scholar 

  14. Huber AM, Schrepfer T, Eiber A (2012) Clinical evaluation of the NiTiBOND stapes prosthesis, an optimized shape memory alloy design. Otol Neurotol 33:132–136

    Article  PubMed  Google Scholar 

  15. Brown KD, Gantz B (2007) Hearing results after stapedotomy with a nitinol piston prosthesis. Arch Otolaryngol Head Neck Surg 133:758–762

    Article  PubMed  Google Scholar 

  16. Ying YLM, Hillman TA, Chen DA (2011) Patterns of failure in heat-activated crimping prosthesis in stapedotomy. Otol Neurotol 32:21–28

    Article  PubMed  Google Scholar 

  17. Van Rompaey V, Claes G, Potvin J, Wouters K, Van de Heyning PH (2011) Systematic review of the literature on nitinol prostheses in surgery for otosclerosis: assessment of the adequacy of statistical power. Otol Neurotol 32:357–366

    Article  PubMed  Google Scholar 

  18. Roosli C, Schmid P, Huber AM (2011) Biocompatibility of nitinol stapes prosthesis. Otol Neurotol 32:265–270

    Article  PubMed  Google Scholar 

  19. Es-Souni M, Es-Souni M, Fischer-Brandies H (2005) Assessing the biocompatibility of NiTi shape memory alloys used for medical applications. Anal Bioanal Chem 381:557–567

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Magnus Teschner.

Ethics declarations

Conflict of interest

MT received travel support to conferences by “Spiggle und Theis Company”.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Teschner, M., Lilli, G. & Lenarz, T. Comparison of superelastic nitinol stapes prostheses and platin teflon stapes prostheses. Eur Arch Otorhinolaryngol 276, 2405–2409 (2019). https://doi.org/10.1007/s00405-019-05476-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-019-05476-8

Keywords

Navigation