Pediatric ossiculoplasty with titanium total ossicular replacement prosthesis

Abstract

Titanium TORPs offer children an effective method of ossicular reconstruction, with infrequent extrusion at least in the short term. The hearing improvement achieved in the early postoperative period appears to be maintained over the first year but may not be sustained over longer time periods.

Long‐term Outcomes of Titanium Ossiculoplasty in Chronic Otitis Media

“…7,[13][14][15][16][17][18][19][20][21][22][23][24] Similarly, achievement of an ABG 20 dB in 67.1% of cases falls within the range of reported rates (45.8%-81.4%). 7,[17][18][19][20][21][23][24][25] Our group previously published a study regarding short-term hearing outcomes of titanium ossiculoplasty. This earlier study reported better hearing outcomes with a mean postoperative ABG of 15.4 dB and achievement of an ABG 20 dB in 77.1% of cases.…”

Titanium Ossicular Chain Reconstruction Revision Success and Preoperative Factors Predicting Success

“…[1][2][3][4][5][6] Despite the significant improvement that is often noted in postoperative hearing, the success of primary ossiculoplasty, defined as achievement of an air-bone gap (ABG) 20 dB, remains between 33% and 81% for all age groups and various prosthesis materials. 1,[6][7][8][9][10][11][12][13][14][15] When only titanium prostheses are analyzed, the success rate ranges between 46% and 81%. 1,[6][7][8][9][10][11][12][13][14] Furthermore, most studies report revision rates ranging between 10% and 20% for either functional failures or disease recurrence, highlighting the not uncommon need for a second surgery.…”

“…1,[6][7][8][9][10][11][12][13][14][15] When only titanium prostheses are analyzed, the success rate ranges between 46% and 81%. 1,[6][7][8][9][10][11][12][13][14] Furthermore, most studies report revision rates ranging between 10% and 20% for either functional failures or disease recurrence, highlighting the not uncommon need for a second surgery. 8,16 Outcomes after revision surgery are thought to be worse than with primary surgery, although current objective data regarding the success of revision ossiculoplasty are limited in terms of variable analyses and success rates.…”

Ossiculoplasties totales et partielles de l’enfant : résultats audiométriques et facteurs prédictifs d’efficacité

“…En l'absence de recommandation consensuelle, les résultats de l'ossiculoplastie sont rapportés sans uniformité. Les séries de Nevoux J. et al [15], Quesnel S. et al [18], Wolter N.E et al [19], Murphy T.P et al [8], Michael P. et al [9] illustrent cette diversité en otologie pédiatrique. Les révisions chirurgicales pour récidive ou résiduel de la maladie cholestéatomateuse sont parfois incluses dans le recueil, ce qui peut induire un biais.…”

“…Wolter N.E. et al [19] ont aussi observé cette dégradation à long terme dans une série de 71 cas: 40% avaient une CA≤30 dB à 32 mois alors que le taux était de 60% à 2 mois de l'intervention.…”