Reconstruction of the Ossicular Chain with Titanium Implants

Abstract

All implants used offer the proven benefits of titanium, namely high biocompatibility and high stability at a very low complication rate with excellent hearing results for the patients. Titanium implants can highly be recommended to reconstruct the ossicular chain of the middle ear.

Study of Osteointegration of a Titanium Prosthesis to the Stapes: Observations on an Accidentally Extracted Stapes

“…The material is biocompatible, delicate, and easy to handle (4). The literature has reported extrusions that occurred only in cases of middle ear atelectasis, with resorption of interposed cartilage in less than 1% of implanted cases (5,6). However, we observed extrusion through the covering cartilage in two cases.…”

Kurz titanium prostheses in paediatric ossiculoplasty—Short term results

“…This is a debatable option as many surgeons would recommend staging the operation to allow sufficient ventilation of the middle ear and eradication of disease [8,9]. Four cases (1, 8, 9 and 14) faired poorly with post-operative ABG's of 44, 34, 35 and 15 dB, respectively.…”

Ossiculoplasty

“…Cartilage must be placed between the tympanic membrane and the prosthesis head to prevent extrusion. Initial results indicate low extrusion rates with titanium prostheses, ranging from 1% to 2% with follow-up periods of 3 years or less [47][48][49]. Initial hearing results appear to be similar or slightly better than those obtained with hydroxylapatite [46][47][48][49].…”