State of the Art: Reconstruction with Synthetic PORP and TORP
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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.
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.
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.
KeywordsOssicular reconstruction Ossiculoplasty Middle ear Ossicular prosthesis PORP TORP
Compliance With Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
- 1.Dornhoffer JL. Ossiculoplasty with synthetic PORPS and TORPS. In: Dornhoffer, Gluth, editors. The chronic ear. Stuttgart: Thieme Publishing; 2016.Google Scholar
- 3.Vincent R, Lopez A, Sperling NM. Malleus ankylosis: a clinical, audiometric, histologic, and surgical study of 123 cases. Am J Otolaryngol. 1999;20(6):717–25.Google Scholar
- 7.Huttenbrink K. Middle ear mechanics in research and otosurgery. Dresden, Germany: Department of Oto-Rhino-Laryngology, University Hospital Carl Gustav Carus; 1997.Google Scholar
- 8.Goode R, Nishihara S. Experimental models of Ossiculoplasty. Otolaryngol Clin N Am. 1994;27(14):663–75.Google Scholar