Universität zu Köln

Lueers, Jan Christoffer, Schwarz, David ORCID: 0000-0002-4580-8383, Anagiotos, Andreas, Gostian, Antoniu-Oreste, Beutner, Dirk and Huettenbrink, Karl Bernd (2016). Long-term Follow-up Study of the Sandwich Cartilage Shoe Technique in Cases of Insecure Stapes Footplate. Otol. Neurotol., 37 (7). S. E197 - 6. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1537-4505

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Abstract

Objective: Analysis of the audiometric results after repair of a defective footplate with the sandwich cartilage shoe technique in a follow-up study. Study Design: Retrospective analysis of audiometric data. Setting: Hospital. Patients: The cohort consisted of 12 patients, who underwent ossicular reconstruction after sandwich cartilage shoe technique in a case of insecure stapes footplate. The mean age was 42.7 years with an equal sex distribution. In every patient, cholesteatoma was the reason for surgery with 75% being revision cases. Intervention: Sandwich cartilage shoe technique in case of insecure stapes footplate at the department of otorhinolaryngology, head and neck surgery at the University of Cologne over an 8-year period (2007-2015). Main Outcome Measure: The use of the sandwich cartilage shoe technique in case of a broken or unstable footplate allows a safe occlusion of the open vestibule. Results: The statistical analysis revealed a significant improvement of the pure-tone average (p = 0.011) and air-bone gap (ABG) (p = 0.016) after total ossicular replacement prosthesis (TORP) implantation. The hearing was stable at 9 months of follow up. Conclusion: The sandwich cartilage shoe technique offers a safe and effective option as a two-stage procedure in treating patients with fractures of the stapes footplate in case of chronic otitis media. In view of the possible risk of deafness going along with a destruction of an inner ear window, our results can be considered substantial as all our patients will at least be able to regain social hearing as they all either achieved a hearing threshold is less than 30 dB or can be sufficiently supplied with a conventional hearing aid.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lueers, Jan Christoffer UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwarz, David UNSPECIFIED orcid.org/0000-0002-4580-8383 UNSPECIFIED Anagiotos, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Gostian, Antoniu-Oreste UNSPECIFIED UNSPECIFIED UNSPECIFIED Beutner, Dirk UNSPECIFIED UNSPECIFIED UNSPECIFIED Huettenbrink, Karl Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-268408
DOI:	10.1097/MAO.0000000000001093
Journal or Publication Title:	Otol. Neurotol.
Volume:	37
Number:	7
Page Range:	S. E197 - 6
Date:	2016
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1537-4505
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OSSICULAR REPLACEMENT PROSTHESIS; OSSICULOPLASTY Multiple languages Clinical Neurology; Otorhinolaryngology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/26840