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A comparison of the user-friendliness of hydroxyapatite and titanium ossicular prostheses

Published online by Cambridge University Press:  08 March 2006

M. W. Yung  and
C. Brewis
M. W. Yung
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, The Ipswich Hospital NHS Trust, Ipswich, UK.
C. Brewis
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, The Ipswich Hospital NHS Trust, Ipswich, UK.
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Abstract

Both hydroxyapatite (Ha) and titanium (Ti) are well-accepted alloplastic materials for ossicular prostheses. Many different designs of Ha and Ti prostheses are presently available. Fourteen surgeons of different seniority and surgical experience were asked to ‘test-drive’ four different types of ossicular prostheses in cadaveric temporal bones to investigate the user-friendliness of these protheses. The Goldenberg design Ha incus prosthesis and the Dusseldorf design Bell Ti prosthesis were used as partial ossicular replacement prostheses (PORP). The Richards design Ha incus-stapes prosthesis and the Dusseldorf design Aerial Ti prosthesis were used as a total ossicular replacement prostheses (TORP). Nine out of 14 surgeons found the Ha PORP to be more user-friendly because of the notch design in the head. The Ti prosthesis was found to be more difficult to manipulate because it was too light. Half of the surgeons preferred the Ti TORP because of the open design of the top-plate. The Ha TORP was thought to be too top-heavy and to have a tendency to fall over.

Keywords

Ossicular ReplacementTitaniumHydroxyapatiteSurgical Procedures, Operative
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 116 , Issue 2 , February 2002 , pp. 97 - 102
Copyright
© Royal Society of Medicine Press Limited 2002

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