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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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References

Austin, D. F, Shea, J. J. Jr. (1961) A new system of tympanoplasty using vein graft. Laiyngoscope, 71: 596–611.CrossRefGoogle ScholarPubMed
Austin, D. F (1985) Columellar tympanoplasty. American Journal of Otology, 6: 464–467.Google ScholarPubMed
Brackmann, D. E., Sheehy, J. L., Luxford, W. M. (1984) TORPs and PORPs in tympanoplasty: a review of 1042 operations. Otolaryngology—Head and Neck Surgery, 92: 32–37.CrossRefGoogle ScholarPubMed
Gersdorff, M., Maisin, J., Munting, E. (1986) Comparative studies of the clinical results obtained by means of Plastipore and ceramic ossicular prostheses and bone allografts. American Journal of Otology, 7: 294–296.Google ScholarPubMed
Glasscock, M. E. (1976) Ossicular chain reconstruction. Laryngoscope, 86: 211–221.CrossRefGoogle ScholarPubMed
Goldenberg, R. A. (1990) Hydroxylapatite ossicular replacement prostheses: Preliminary results. Laiyngoscope. 100: 693–700.CrossRefGoogle ScholarPubMed
Grote, J. J. (1984) Tympanoplasty with calcium phosphate. Archives of Otolaryngology, 110: 197–199.CrossRefGoogle ScholarPubMed
Grote, J. J. (1987) Reconstruction of the middle ear with hydroxylapatite implants: Long term results. American Journal of Otology, 8: 396–401.Google Scholar
Lenis, A. (1990) Middle ear reconstruction with modified hydroxylapatite prosthesis. Laiyngoscope, 100: 1020–1021.CrossRefGoogle ScholarPubMed
Niparko, J. K., Kemink, J. L., Graham, M. D., Kartush, J. M. (1988) Bioactive glass ceramic in ossicular reconstruction: A preliminary report. Laryngoscope, 98: 822–825.CrossRefGoogle ScholarPubMed
Portmann, M., Bebear, J., Bagot, D. M. (1984) Comparative study of different ossicular prostheses in tympanoplasty. In: Biotnaterials in Otology (Groty, J., ed.). Martinus Nyhoff Publishers, Boston, p. 112–134.Google Scholar
Shoring, A. G., Lippy, W. H. (1983) Solving ossicular problems in tympanoplasty. Laryngoscope, 93: 1151–1154.CrossRefGoogle Scholar
Vlaming, M. S. M. G., Feenstra, L. (1986) Studies on the mechanics of the reconstructed human middle ear. Clinical Otolarvngology, 11: 411–422.CrossRefGoogle ScholarPubMed
Wehrs, R. E. (1982) The homograft tympanic membrane after 12 years. Annals of Otology, Rhinology and Laryngology, 91: 533–537.CrossRefGoogle Scholar
Wehrs, R. E. (1989) Incus replacement prosthesis of hydroxylapatite in middle ear reconstruction. American Journal of Otology, 10: 181–182.Google ScholarPubMed