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Ossiculoplasty with the use of autografts and synthetic prosthetic materials: A comparison ofresults in 165 cases

Published online by Cambridge University Press:  29 June 2007

Angelos Nikolaou ,
Zeses Bourikas ,
Vasilios Maltas  and
Athanasios Aidonis
Angelos Nikolaou
Affiliation:
Thessaloniki, Greece
Zeses Bourikas
Affiliation:
Thessaloniki, Greece
Vasilios Maltas
Affiliation:
Thessaloniki, Greece
Athanasios Aidonis*
Affiliation:
Thessaloniki, Greece
*
Dr Angelos Nikolaou, M.D., No. I, Kimonos yoga Street, Thessaloniki 546 43, Greece.
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Abstract

One hundred and sixty-five cases of different kind of ossiculoplasty in patients suffering from chronic middle ear disease were performed at the ENT department of Papanikolaou Hospital in Thessaloniki, Greece, during the years 1988–1990. There were 40 cases of incus transposition, 47 cases in which polyethylene TORPs and PORPs were used and 77 cases of hydroxylapatite prostheses (41 TORPs and 37 double notch PORPs). Hearing success was defined as a post-operative air-bone gap of <20dB. According to this criterion 74 percent of the incus transposition cases were successful, 61 percent of the polyethylene TORPs, 65 percent of the hydroxylapatite TORPs, 40 percent of the polyethylene TORPs, and 89 percent of the double notch hydroxylpatite PORPs. It is obvious that ceramic PORPs produced the best results, while there was no statistical difference, regarding the hearing improvement, among the different kinds of TORPs which were used. Extrusion rate and other kinds of complications are also discussed, as well as a case of severely damaged ceramic TORP, within two years due to middle ear infection.

Keywords

Middle ear implantOssicular replacement prosthesis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 8 , August 1992 , pp. 692 - 694
Copyright
Copyright © JLO (1984) Limited 1992

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