Universität zu Köln

Gostian, Antoniu-Oreste, Kouame, Jean-Marc, Bremke, Martin, Ortmann, Magdalene, Huettenbrink, Karl Bernd and Beutner, Dirk (2016). Long term results of the titanium clip prosthesis. Eur. Arch. Oto-Rhino-Laryn., 273 (12). S. 4257 - 4267. NEW YORK: SPRINGER. ISSN 1434-4726

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Abstract

The objective of the study is to evaluate the long term results of ossiculoplasty using the clip titanium partial ossicular replacement prosthesis. This study retrospectively reviews the partial ossiculoplasty conducted using clip titanium partial ossicular replacement prosthesis at a tertiary referral center. Audiometric outcomes and intraoperative findings were postoperatively measured from revision surgery of 47 ears (20 women, 27 men, mean age 43 years) averaging 6.5 years. The overall air-bone gap decreased from 25.7 dB preoperatively to 16.8 dB 6.5 years postoperatively (p aecurrency sign 0.001, eta (p) (2) = 0.210). An air-bone gap of < 20 dB was present in 28 % of ears preoperatively and increased to 72 % postoperatively. In revision (n = 30) and primary tympanoplasties (n = 17), the preoperative air-bone gaps were reduced from 28.9 and 20.1 to 18.7 dB (p aecurrency sign 0.001, eta (p) (2) = 0.240) and 13.2 dB (p = 0.033, eta (p) (2) = 0.192), respectively. In canal wall down (n = 15) procedures and tympanoplasties with intact canal wall (n = 32), the mean air-bone gaps diminished from 28.9 to 18.1 dB (p = 0.02, eta (p) (2) = 0.245) and 24.2 to 16.1 dB (p aecurrency sign 0.001, eta (p) (2) = 0.221), respectively. In our own revision tympanoplasties (n = 8) and second look operations (n = 6), we found that the prostheses were safe to remove without any deleterious effects. Two prostheses were dislocated from the stapes' head due to recurrent cholesteatoma. Therefore, it can be concluded that ossiculoplasty using the clip partial ossicular replacement prosthesis allows for good and reliable long term hearing results. Also, the flexible strips reveal no adverse effects on the encompassed stapes' head and do not complicate revision surgery.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gostian, Antoniu-Oreste UNSPECIFIED UNSPECIFIED UNSPECIFIED Kouame, Jean-Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Bremke, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Ortmann, Magdalene UNSPECIFIED UNSPECIFIED UNSPECIFIED Huettenbrink, Karl Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED Beutner, Dirk UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-254552
DOI:	10.1007/s00405-016-4174-3
Journal or Publication Title:	Eur. Arch. Oto-Rhino-Laryn.
Volume:	273
Number:	12
Page Range:	S. 4257 - 4267
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-4726
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OSSICULAR RECONSTRUCTION; OSSICULOPLASTY; IMPLANTS; TYMPANOPLASTY; OPERATIONS; FAILURE; CHAIN; TORPS; PORPS Multiple languages Otorhinolaryngology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/25455