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Ossicular chain reconstruction with a titanium prosthesis

Published online by Cambridge University Press:  06 July 2009

J A Roth ,
S R Pandit ,
M Soma  and
T R Kertesz
J A Roth*
Affiliation:
Prince of Wales Hospital and Sydney Children's Hospital, Randwick, NSW, Australia
S R Pandit
Affiliation:
Prince of Wales Hospital and Sydney Children's Hospital, Randwick, NSW, Australia
M Soma
Affiliation:
Prince of Wales Hospital and Sydney Children's Hospital, Randwick, NSW, Australia
T R Kertesz
Affiliation:
Prince of Wales Hospital and Sydney Children's Hospital, Randwick, NSW, Australia
*
Address for correspondence: Dr Jason A Roth, PO Box 39, Killara, NSW, Australia2071. Fax: +61 294981226 E-mail: [email protected]
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Abstract

Objective:

Ossicular chain damage from chronic ear disease is a significant problem in the Australian population. The ideal ossicular chain reconstruction prosthesis has yet to be defined. This paper examines, for the first time, the use of a titanium prosthesis for ossicular chain reconstruction in Australian patients.

Study design:

Retrospective chart review.

Subjects and methods:

All patients undergoing ossicular chain reconstruction with a titanium prosthesis between 1 February 2002 and 31 March 2007.

Results:

Results showed a low complication rate, with only one extrusion out of 55 cases (1.8 per cent). Successful rehabilitation of conductive hearing loss (i.e. to ≤20 dB air–bone gap) was obtained in 85 per cent of the partial ossicular chain reconstruction group and 77 per cent of the total ossicular chain reconstruction group. Pure tone thresholds improved by an average 18 dB in the partial reconstruction group and 25 dB in the total reconstruction group.

Conclusion:

Titanium is an ideal material for ossicular chain reconstruction due to its ease of insertion, low rate of extrusion and good functional results.

Keywords

TitaniumImplants And ProsthesesMiddle Ear OssiclesOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 10 , October 2009 , pp. 1082 - 1086
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Monsell, M, Balkany, TA, Gates, GA, Goldenberg, RA, Meyerhoff, WL, House, JW. Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg 1995;113:186–7Google Scholar
2Goode, RL, Nishihara, S. Experimental models of ossiculoplasty. Otolaryngol Clin North Am 1994;27:663–75CrossRefGoogle ScholarPubMed
3Schwager, K. Titanium as an ossicular replacement material: results after 336 days of implantation in the rabbit. Am J Otol 1998;19:569–73Google ScholarPubMed
4Zenner, HP, Stegmaier, A, Lehner, R, Baumann, I, Zimmerman, R. Open Tubingen titanium prostheses for ossiculoplasty: a prospective clinical trial. Otol Neurotol 2001;22:582–9CrossRefGoogle ScholarPubMed
5Dalchow, CV, Grun, D, Stupp, HF. Reconstruction of the ossicular chain with titanium implants. Otolaryngol Head Neck Surg 2001;125:628–30CrossRefGoogle ScholarPubMed
6Krueger, WW, Feghali, JG, Shelton, C, Green, JD, Beatty, CW, Wilson, DF et al. Preliminary ossiculoplasty results using the Kurz titanium prostheses. Otol Neutotol 2002;23:836–9CrossRefGoogle ScholarPubMed
7Ho, SY, Battista, RA, Wiet, RJ. Early results with titanium ossicular implants. Otol Neurotol 2003;24:149–52CrossRefGoogle ScholarPubMed
8Hillman, TA, Shelton, C. Ossicular chain reconstruction: titanium versus plastipore. Laryngoscope 2003;113:1731–5CrossRefGoogle ScholarPubMed
9Gardner, EK, Jackson, CG, Kaylie, DM. Results with titanium ossicular reconstruction prostheses. Laryngoscope 2004;114:65–70CrossRefGoogle ScholarPubMed
10Martin, AD, Harner, SG. Ossicular reconstruction with titanium prosthesis. Laryngoscope 2004;114:61–4CrossRefGoogle ScholarPubMed
11Nguyen, DQ, Morel, ND, Troussier, J, Lavieille, JP, Schmerber, S. Ossiculoplasty with KURZ titanium prosthesis. Ann Otolaryngol Chir Cervicofac 2005;122:187–93CrossRefGoogle ScholarPubMed
12House, JW, Teufert, KB. Extrusion rates and hearing results in ossicular reconstruction. Otolaryngol Head Neck Surg 2001;125:135–41CrossRefGoogle ScholarPubMed
13Macias, JD, Glassock, ME, Widick, MH, Schall, DG, Haynes, DS, Josey, AF. Ossiculoplasty using the black hydroxylapatite hybrid ossicular replacement prostheses. Am J Otol 1995;16:718–21Google ScholarPubMed
14Schmerber, S, Troussier, J, Dumas, G, Lavieille, JP, Nguyen, DQ. Hearing results with the titanium ossicular replacement prostheses. Eur Arch Otorhinolaryngol 2006;263:347–54CrossRefGoogle ScholarPubMed