Total Ossiculoplasty

Abstract

Ossicular reconstruction still presents challenges. A titanium prosthesis with a "shoe" for stabilization may offer advantages. Results in this study consistently favored the TORP + shoe group,although not all differences achieved statistical significance. A larger study might better define possible advantages of the shoe prosthesis for specific subgroups of patients.

Audiological Results of Total Ossicular Replacement Prosthesis with Cartilage Shoe Technique

“…At the end of the 1 st year, in patients who had CWDT performed with titanium TORP with the cartilage shoe method, AC thresholds were determined to be improved and ABG was determined to be improved significantly compared with preoperative values (Figure 4, 5). In a study conducted by Fayad et al (25) with the usage of a titanium shoe, ABG was reported to be better in patients who had canal wall down surgery with the shoe than in those operated without the shoe, similar to our results. However, there was no statistically significant difference between the patients.…”

Risultati uditivi e fattori prognostici nell’ossiculoplastica con cartilagine in pazienti affetti da otite cronica colesteatomatosa

“…Several authors have reported better hearing results in ICWT than in CWDT 11 - 13 , while others have reported similar results in both techniques when the ossicular chain was reconstructed 14 - 16 . Recently, Fayad et al 17 showed that in the absence of the stapes superstructure the presence of a "cavity" was associated with poorer hearing results. In the present series, although most of the patients submitted to CWDT were affected by recurrent cholesteatoma, statistical analysis showed that the average hearing results in primary and revision surgery were not significantly different, and therefore the surgical technique was the only prognostic factor.…”

“…In the present series, although most of the patients submitted to CWDT were affected by recurrent cholesteatoma, statistical analysis showed that the average hearing results in primary and revision surgery were not significantly different, and therefore the surgical technique was the only prognostic factor. The difference between ICWT and CWDT has been often ascribed to poorer eustachian tube function and greater severity of disease in cases requiring a CWD procedures 17 . We think that considering these reasons, the anatomy of a small middle ear cleft renders the prosthesis less effective, especially when the stapes superstructure is absent.…”

Long-term Results of the Cartilage Shoe Technique to Anchor a Titanium Total Ossicular Replacement Prosthesis on the Stapes Footplate After Type III Tympanoplasty

“…[24][25][26] In addition, in our department, we routinely perform ossicular reconstruction simultaneously in one step with eradication of the disease. In contrast, 43.2% of the cases in the study by Fayad et al 9 were planned second-stage procedures, which can be expected to yield better functional results due to a stable middle ear and intact tympanic membrane at the time of ossicular reconstruction.…”