Abstract
Purpose of Review
The purpose of this review article is to present salient pearls of successful ossiculoplasty, with particular attention paid to reconstructive strategies with synthetic partial ossicular prostheses and total ossicular prostheses.
Recent Findings
A refined level of dexterity and an appropriate attention to detail are needed to optimize audiometric outcomes in ossiculoplasty, as is a fundamental understanding of middle ear mechanics and the consistent anatomical relationships that exist in the middle ear, but perhaps the most important determinant of long-term hearing outcomes in ossiculoplasty is the middle ear environment.
Summary
Successful ossiculoplasty requires a prudent and thoughtful approach to all phases of the patient’s care, and the final audiometric result is a synergistic product requiring both careful preoperative assessment, thoughtful prosthesis selection, and proficient technical execution.
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This article is part of the Topical Collection on Ossicular Chain Reconstruction
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Dornhoffer, J., Walker, D.D. State of the Art: Reconstruction with Synthetic PORP and TORP. Curr Otorhinolaryngol Rep 7, 248–253 (2019). https://doi.org/10.1007/s40136-019-00255-9
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DOI: https://doi.org/10.1007/s40136-019-00255-9