Abstract
Otosclerosis is the most common cause of bilateral gradually progressive conductive hearing loss with normal tympanic membrane and Eustachian tube. Otosclerosis surgical treatment is one of the most gratifying operations in Otorhinolaryngology. It is not only the surgical techniques but also the prosthesis which are evolving in the attempt of providing best hearing results. Teflon piston is the most commonly employed prosthesis in stapes surgery. Titanium pistons are relatively the new development in the evolution of stapes prosthesis. The aim of this review article is to know and compare the surgical technicalities and postoperative outcomes including hearing improvement after the use of Teflon and titanium stapes piston. The adverse reactions occurred during follow-up were taken into consideration. The data in this article are supported by a Medline search. The use of both the prosthesis gave good results in cases of otosclerosis. The placement of titanium soft clip design was found easier than the earlier àWengen design of clip piston.
Similar content being viewed by others
References
Topdağ DO, Topdağ M, Aydın O et al (2014) Evaluation of efficacy of otosclerosis surgery on hearing outcomes. Kulak Burun Bogaz Ihtis Derg. 24(3):137–147
Casale M, De Franco A, Salvinelli F et al (2003) Hearing results in stapes surgery using two different prosthesis. Rev Laryngol Otol Rhinol (Bord). 124(4):255–258
Causse J, Causse JB (1980) Eighteen year report on stapedectomy. Problems of stapedial fixation. Clin Otolaryngol 5:49–59
Gjuric M (1990) Microdrill versus perforator for stapedotomy. Clin Otolaryngol Allied Sci 15:411–413
Shea J Jr (1958) Fenestration of the oval window. Ann Otol Rhinol Laryngol 67:932–936
Tange RA, Grolman W (2008) An analysis of the air–bone gap closure obtained by a crimping and a non-crimping titanium stapes prosthesis in otosclerosis. Auris Nasus Larynx 35(2):181–184
Cavaliere M, Ricciardiello F, Mesolella M et al (2012) Stapedotomy: functional results with different diameter prostheses. ORL J Otorhinolaryngol Relat Spec 74(2):93–96
Teig E, Lindeman H (1999) Stapedotomy piston diameter: Is bigger better? Otolaryngol Nova 9:252–256
Durko M, Pajor A, Jankowski A et al (2008) Does the material of stapes prosthesis influence hearing improvement in stapes surgery–retrospective analysis of 350 cases]. Otolaryngol Pol 62(4):480–482
de Bruijn AJ, Tange RA, Dreschler WA (1999) Comparison of stapes prostheses: a retrospective analysis of individual audiometric results obtained after stapedotomy by implantation of a gold and Teflon piston. Am J Otol 20:573–580
Harris JP, Gong S (2007) Comparison of hearing results of nitinol SMART stapes piston prosthesis with conventional piston prostheses: postoperative results of nitinol stapes prosthesis. Otol Neurotol 28(5):692–695
Mangham CA Jr (2008) Titanium CliP piston versus platinum-ribbon Teflon piston: piston and fenestra size affect air–bone gap. Otol Neurotol 29(1):8–12
Brar T, Passey JC, Agarwal AK (2012) Comparison of hearing outcome using a Nitinol versus Teflon prosthesis in stapedotomy. Acta Otolaryngol 132(11):1151–1154
Rajan GP, Diaz J, Blackham R et al (2007) Eliminating the limitations of manual crimping in stapes surgery: mid-term results of 90 patients in the Nitinol stapes piston multicenter trial. Laryngoscope 117(7):1236–1239
Reineke U, Ebmeyer J, Plett D et al (2010) Superelastic nitinol stapes prostheses. Laryngorhinootologie 89(5):271–275
Bast F, Schrom T (2009) First experiences with the new soft-clip piston as an alloplastic prosthesis during stapedotomy. Laryngorhinootologie 88(5):304–308
Somers T, Marquet T, Goverts P et al (1994) Statistical analysis of otosclerosis surgery performed by Jean Marquet. Ann Otol Rhinol Laryngol 103:945–951
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Author declares that he has no conflict of interest.
Ethical Approval
This article does not contain any studies with human participants or animals performed by any of the authors.
Rights and permissions
About this article
Cite this article
Bansal, M. Teflon Implants Versus Titanium Implants in Stapes Surgery. Indian J Otolaryngol Head Neck Surg 68, 16–19 (2016). https://doi.org/10.1007/s12070-015-0938-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-015-0938-0