Functional results of plastipore prostheses for middle ear ossicular chain reconstruction

Objective: Assessment of plastipore prostheses for middle ear ossicular chain reconstruction. Hearing results with total and partial Plastipore ossicular replacement prostheses (TORP and PORP) were evaluated in open‐ and closed‐cavity operations. Study Design: A retrospective review of 237 patients...

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Veröffentlicht in:The Laryngoscope 1999-05, Vol.109 (5), p.709-711
Hauptverfasser: Bayazit, Yildirim, Göksu, Nebil, Beder, Levent
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creator Bayazit, Yildirim
Göksu, Nebil
Beder, Levent
description Objective: Assessment of plastipore prostheses for middle ear ossicular chain reconstruction. Hearing results with total and partial Plastipore ossicular replacement prostheses (TORP and PORP) were evaluated in open‐ and closed‐cavity operations. Study Design: A retrospective review of 237 patients who underwent operation for chronic ear disease as well as ossiculoplasty with plastipore prostheses. In order to assess the functional results, only 156 of 237 patients were included in the study. Follow‐up ranged from 6 to 46 months. Methods: Canal wall up and canal wall down operations were performed. Either TORP or PORP ossiculoplasty was performed in each operation. An air‐bone gap closure to within 20 dB was considered successful. Results: With TORPs, the air‐bone gap closure to within 20 dB was achieved in 43.1%, and similar results were obtained with PORPs in 63.3%. In canal wall down and canal wall up operations, the success rates were 55.8% and 55.7%, respectively. The best results were obtained with PORPs in canal wall down operations, with a success rate of 82%. The extrusion rate of the prostheses was 4.2%. Conclusion: Hearing results of PORPs are better than TORPs. In canal wall up and canal wall down operations similar hearing results are obtained. PORP ossiculoplasty in a canal wall down operation yields the most favorable hearing result.
doi_str_mv 10.1097/00005537-199905000-00006
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Hearing results with total and partial Plastipore ossicular replacement prostheses (TORP and PORP) were evaluated in open‐ and closed‐cavity operations. Study Design: A retrospective review of 237 patients who underwent operation for chronic ear disease as well as ossiculoplasty with plastipore prostheses. In order to assess the functional results, only 156 of 237 patients were included in the study. Follow‐up ranged from 6 to 46 months. Methods: Canal wall up and canal wall down operations were performed. Either TORP or PORP ossiculoplasty was performed in each operation. An air‐bone gap closure to within 20 dB was considered successful. Results: With TORPs, the air‐bone gap closure to within 20 dB was achieved in 43.1%, and similar results were obtained with PORPs in 63.3%. In canal wall down and canal wall up operations, the success rates were 55.8% and 55.7%, respectively. The best results were obtained with PORPs in canal wall down operations, with a success rate of 82%. The extrusion rate of the prostheses was 4.2%. Conclusion: Hearing results of PORPs are better than TORPs. In canal wall up and canal wall down operations similar hearing results are obtained. PORP ossiculoplasty in a canal wall down operation yields the most favorable hearing result.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1097/00005537-199905000-00006</identifier><identifier>PMID: 10334218</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley &amp; Sons, Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Child ; Cholesteatoma, Middle Ear - surgery ; Diseases of the ear ; Ent and stomatology ; Female ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Male ; Medical sciences ; Middle Aged ; middle ear ; Ossicular Prosthesis ; Ossicular Replacement ; Ossiculoplasty ; Polyethylenes - therapeutic use ; Polypropylenes - therapeutic use ; prosthesis ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Hearing results with total and partial Plastipore ossicular replacement prostheses (TORP and PORP) were evaluated in open‐ and closed‐cavity operations. Study Design: A retrospective review of 237 patients who underwent operation for chronic ear disease as well as ossiculoplasty with plastipore prostheses. In order to assess the functional results, only 156 of 237 patients were included in the study. Follow‐up ranged from 6 to 46 months. Methods: Canal wall up and canal wall down operations were performed. Either TORP or PORP ossiculoplasty was performed in each operation. An air‐bone gap closure to within 20 dB was considered successful. Results: With TORPs, the air‐bone gap closure to within 20 dB was achieved in 43.1%, and similar results were obtained with PORPs in 63.3%. In canal wall down and canal wall up operations, the success rates were 55.8% and 55.7%, respectively. The best results were obtained with PORPs in canal wall down operations, with a success rate of 82%. The extrusion rate of the prostheses was 4.2%. Conclusion: Hearing results of PORPs are better than TORPs. In canal wall up and canal wall down operations similar hearing results are obtained. PORP ossiculoplasty in a canal wall down operation yields the most favorable hearing result.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Cholesteatoma, Middle Ear - surgery</subject><subject>Diseases of the ear</subject><subject>Ent and stomatology</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>middle ear</subject><subject>Ossicular Prosthesis</subject><subject>Ossicular Replacement</subject><subject>Ossiculoplasty</subject><subject>Polyethylenes - therapeutic use</subject><subject>Polypropylenes - therapeutic use</subject><subject>prosthesis</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>middle ear</topic><topic>Ossicular Prosthesis</topic><topic>Ossicular Replacement</topic><topic>Ossiculoplasty</topic><topic>Polyethylenes - therapeutic use</topic><topic>Polypropylenes - therapeutic use</topic><topic>prosthesis</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the ear, the auditive nerve and the facial nerve</topic><topic>Surgical Mesh</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bayazit, Yildirim</creatorcontrib><creatorcontrib>Göksu, Nebil</creatorcontrib><creatorcontrib>Beder, Levent</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bayazit, Yildirim</au><au>Göksu, Nebil</au><au>Beder, Levent</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional results of plastipore prostheses for middle ear ossicular chain reconstruction</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1999-05</date><risdate>1999</risdate><volume>109</volume><issue>5</issue><spage>709</spage><epage>711</epage><pages>709-711</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objective: Assessment of plastipore prostheses for middle ear ossicular chain reconstruction. Hearing results with total and partial Plastipore ossicular replacement prostheses (TORP and PORP) were evaluated in open‐ and closed‐cavity operations. Study Design: A retrospective review of 237 patients who underwent operation for chronic ear disease as well as ossiculoplasty with plastipore prostheses. In order to assess the functional results, only 156 of 237 patients were included in the study. Follow‐up ranged from 6 to 46 months. Methods: Canal wall up and canal wall down operations were performed. Either TORP or PORP ossiculoplasty was performed in each operation. An air‐bone gap closure to within 20 dB was considered successful. Results: With TORPs, the air‐bone gap closure to within 20 dB was achieved in 43.1%, and similar results were obtained with PORPs in 63.3%. In canal wall down and canal wall up operations, the success rates were 55.8% and 55.7%, respectively. The best results were obtained with PORPs in canal wall down operations, with a success rate of 82%. The extrusion rate of the prostheses was 4.2%. Conclusion: Hearing results of PORPs are better than TORPs. In canal wall up and canal wall down operations similar hearing results are obtained. PORP ossiculoplasty in a canal wall down operation yields the most favorable hearing result.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>10334218</pmid><doi>10.1097/00005537-199905000-00006</doi><tpages>3</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Journals@Ovid Complete
subjects Adolescent
Adult
Biological and medical sciences
Child
Cholesteatoma, Middle Ear - surgery
Diseases of the ear
Ent and stomatology
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Male
Medical sciences
Middle Aged
middle ear
Ossicular Prosthesis
Ossicular Replacement
Ossiculoplasty
Polyethylenes - therapeutic use
Polypropylenes - therapeutic use
prosthesis
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the ear, the auditive nerve and the facial nerve
Surgical Mesh
Treatment Outcome
title Functional results of plastipore prostheses for middle ear ossicular chain reconstruction
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