Titanium ossicular chain replacement prostheses: Prognostic factors and preliminary functional results.
MARDASSI ; DEVEZE ; SANJUAN ; MANCINI ; PARIKH ; ELBEDEIWY ; MAGNAN ; LAVIEILLE
Type de document
ARTICLE A COMITE DE LECTURE NON REPERTORIE DANS BDI (ACLN)
Langue
anglais
Auteur
MARDASSI ; DEVEZE ; SANJUAN ; MANCINI ; PARIKH ; ELBEDEIWY ; MAGNAN ; LAVIEILLE
Résumé / Abstract
Objective: To assess the efficiency of ossiculoplasty procedures with the Kurz titanium ossicular prosthesis and evaluate prognostic factors for the functional results. Methods: Retrospective chart reviews were performed for ossiculoplasty involving Kurz titanium prostheses between 2006 and 2009 in the ENT Head and Neck Department of the hôpital Nord, Marseille, France. Results: The population studied was 70 patients, with 37 procedures using the partial (PORP) and 33 the total ossicular replacement prosthesis (TORP). Mean follow-up was 9 months. Pre- and postoperative audiological parameters on four frequency averages (0.5, 1, 2, and 3 kHz) were compared according to AAO-HNS guidelines. A postoperative air-bone gap (ABG)≤20 dB was obtained in 71.43% of the patients (86.49% for PORP, and 54.55% for TORP). The mean change in ABG was 12.45 dB in cholesteatomatous otitis versus 13.41 dB in non-cholesteatomatous otitis. Conclusion: Increasing the length of the ossicular prosthesis, especially TORP, may improve postoperative functional results.
Source
European Annals of Otorhinolaryngology, Head and Neck diseases, 53-58 p.
Editeur
Elsevier
