Abstract
The purpose of this study was to compare the hearing results after total ossicular replacement with a titanium prosthesis or autologous incus in the absence of stapes suprastructure and presence of mobile footplate as a retrospective medical record review in a tertiary referral center setting. There were 49 patients who had total ossicular reconstruction (titanium prosthesis, 40 patients; autologous incus, 9 patients). Medical records were reviewed after total ossicular replacement. Air–bone gap at 1 and 2 years after surgery were determined with the 4-frequency average (0.5, 1, 2, and 4 kHz) and the American Academy of Otolaryngology—Head and Neck Surgery 4-frequency average (0.5, 1, 2, and 3 kHz). The number of patients who had air–bone gap <20 dB was determined. For comparisons that were based on American Academy of Otolaryngology—Head and Neck Surgery 4-frequency average, mean air–bone gap at 2 years after surgery was significantly smaller for the titanium prosthesis (21 dB) than autologous incus group (31 dB; P ≤ 0.03); the frequency of patients who had air–bone gap <20 dB at 1 or 2 years after surgery was significantly greater for the titanium prosthesis (1 year, 40 %; 2 years, 56 %) than autologous incus group [1 year, 0 % (P ≤ 0.03); 2 years, 0 % (P ≤ 0.04)]. Titanium prosthesis ossiculoplasty gave better results than autologous incus in the absence of the stapes suprastructure and presence of a mobile footplate.
Similar content being viewed by others
References
Fisch U, May JS, Linder T (2007) Tympanoplasty, mastoidectomy, and stapes surgery, 2nd edn. Thieme
Chole RA (1994) Ossiculoplasty with presculpted banked cartilage. Otolaryngol Clin N Am 27:717–726
Maassen MM, Löwenheim H, Pfister M et al (2005) Surgical-handling properties of the titanium prosthesis in ossiculoplasty. Ear Nose Throat J 84:142–149
Schwager K (1998) Titanium as an ossicular replacement material: results after 336 days of implantation in the rabbit. Am J Otol 19:569–573
Fong JC, Michael P, Raut V (2010) Titanium versus autograft ossiculoplasty. Acta Otolaryngol 130:554–558
Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss (1995) American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. Otolaryngol Head Neck Surg 113:186–187
Gurgel RK, Popelka GR, Oghalai JS, Blevins NH, Chang KW, Jackler RK (2012) Is it valid to calculate the 3-kilohertz threshold by averaging 2 and 4 kilohertz? Otolaryngol Head Neck Surg 147:102–104
Desaulty A, Shahsavari S, Pasquesoone X (2005) Ossicular reconstruction with autograft in type III (in French). Rev Laryngol Otol Rhinol (Bord) 126:19–23
Ho SY, Battista RA, Wiet RJ (2003) Early results with titanium ossicular implants. Otol Neurotol 24:149–152
Gardner EK, Jackson CG, Kaylie DM (2004) Results with titanium ossicular reconstruction prostheses. Laryngoscope 114:65–70
House JW, Teufert KB (2001) Extrusion rates and hearing results in ossicular reconstruction. Otolaryngol Head Neck Surg 125:135–141
Demir UL, Karaca S, Ozmen OA, Kasapoglu F, Coskun HH, Basut O (2012) Is it the middle ear disease or the reconstruction material that determines the functional outcome in ossicular chain reconstruction? Otol Neurotol 33:580–585
Iñiguez-Cuadra R, Alobid I, Borés-Domenech A, Menéndez-Colino LM, Caballero-Borrego M, Bernal-Sprekelsen M (2010) Type III tympanoplasty with titanium total ossicular replacement prosthesis: anatomic and functional results. Otol Neurotol 31:409–414
Yung M, Smith P (2010) Titanium versus nontitanium ossicular prostheses: a randomized controlled study of the medium-term outcome. Otol Neurotol 31:752–758
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zakzouk, A., Bonmardion, N., Bouchetemble, P. et al. Titanium prosthesis or autologous incus for total ossicular reconstruction in the absence of the stapes suprastructure and presence of mobile footplate. Eur Arch Otorhinolaryngol 272, 2653–2657 (2015). https://doi.org/10.1007/s00405-014-3212-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-014-3212-2