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Titanium prosthesis or autologous incus for total ossicular reconstruction in the absence of the stapes suprastructure and presence of mobile footplate

  • Otology
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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.

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Correspondence to Abdulmajeed Zakzouk.

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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

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  • DOI: https://doi.org/10.1007/s00405-014-3212-2

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