Universität zu Köln

Stuermer, Konrad Johannes, Huettenbrink, Karl-Bernd and Luers, Jan Christoffer (2020). The Titanium Angular Clip Prosthesis for Ossicular Chain Reconstruction: Long-Term Results. Otol. Neurotol., 41 (6). S. 806 - 810. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1537-4505

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Abstract

Objectives:To describe the long-term results of the titanium angular clip prosthesis 10 years after its initial description.Study Design:Clinical retrospective study.Setting:Tertiary referral center.Patients:Sixty three patients with isolated defects of the long process of the incus where the ossicular chain was reconstructed by a titanium angular clip prosthesis.Interventions:Therapeutic.Main Outcome Measures:The mean air-bone gap was calculated over the frequencies of 0.5, 1, 2, 3, and 4kHz.Results:The placement of the prosthesis was straightforward in all patients, without any complication. During the first follow-up visit after 3 weeks (n=61) the mean air-bone gap (ABG) was reduced by 10dB HL, and from 24dB HL preoperatively to 14dB HL. At the long-term follow-up appointment-4 years after implantation (n=29)-the mean ABG was still reduced by 8dB HL, from a mean of 26dB HL preoperatively to 18dB HL.Conclusion:The use of the titanium angular clip prosthesis is a safe and reliable way to bridge an isolated erosion of the long process of the incus, leading to significant and long-lasting improvement of the ABG both in the short and long-term follow-up. A similarly large improvement of the sound transmission can be achieved both in patients with a Type A and a Type B/C tympanogram.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stuermer, Konrad Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Huettenbrink, Karl-Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED Luers, Jan Christoffer UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-328053
DOI:	10.1097/MAO.0000000000002654
Journal or Publication Title:	Otol. Neurotol.
Volume:	41
Number:	6
Page Range:	S. 806 - 810
Date:	2020
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1537-4505
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MIDDLE-EAR; OSSICULOPLASTY; TYMPANOPLASTY Multiple languages Clinical Neurology; Otorhinolaryngology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32805