scholarly journals Titanium ossicular chain replacement prostheses: Prognostic factors and preliminary functional results

Author(s):  
A. Mardassi ◽  
A. Deveze ◽  
M. Sanjuan ◽  
J. Mancini ◽  
B. Parikh ◽  
...  
2020 ◽  
Vol 13 (4) ◽  
pp. 105-110
Author(s):  
S. G. Toropygin ◽  
S. V. Nazarova ◽  
H. Dawarah ◽  
A. N. Maslov

The second part of the review (for the first part, see ROJ 2020; 13 (2): 99–104), discusses the dynamics of cystoid macular edema (CME) resorption, macular profile changes after the removal of idiopathic epimacular membranes (EMM), the impact of CME and the macular profile on visual functions of eyes with EMM, and issues of CME management after EMM removal.


2015 ◽  
Vol 31 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Arndt Voigtsberger ◽  
Lucia Popovicova ◽  
Gunter Bauer ◽  
Knut Werner ◽  
Tina Weitschat-Benser ◽  
...  

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P56-P57
Author(s):  
Anthony Bared ◽  
Simon I Angeli

Objective Identify prognostic factors affecting outcome in ossicular chain reconstruction (OCR). Methods Retrospective case series of electronic database at an academic institution. We reviewed 209 cases of OCR performed from January 2000 through September 2007, and systematically collected demographic, clinical, audiologic, and outcome information. Univariate analyses of group differences in terms of postoperative air-bone gap (ABG) changes were evaluated by ANOVA. Multiple regression analyses were used to examine the relationship between postoperative air-bone gap (dependent variable) and the independent variables. Results There were 107 cases of OCR which met inclusion criteria (45 primary and 62 revision tympanoplasties) with an average follow-up of 19 months. There were 36 cases of chronic suppurative otitis media without cholesteatoma and 71 cases with cholesteatoma. The mean preoperative ABG was 32 ± 15 dB and the mean postoperative ABG was 23 ± 14 dB (P < 0.001). Of the independent variables analyzed, the type of procedure (i.e., tympanoplasty vs. canal-wall up vs. canal-wall down) and status of malleus handle were predictive of the success of OCR. Conclusions Favorable prognostic factors in OCR include smaller preoperative ABG and the presence of an intact malleus handle. Our findings support the practice of performing OCR at the time of the second-look procedure.


2009 ◽  
Vol 123 (10) ◽  
pp. 1082-1086 ◽  
Author(s):  
J A Roth ◽  
S R Pandit ◽  
M Soma ◽  
T R Kertesz

AbstractObjective:Ossicular chain damage from chronic ear disease is a significant problem in the Australian population. The ideal ossicular chain reconstruction prosthesis has yet to be defined. This paper examines, for the first time, the use of a titanium prosthesis for ossicular chain reconstruction in Australian patients.Study design:Retrospective chart review.Subjects and methods:All patients undergoing ossicular chain reconstruction with a titanium prosthesis between 1 February 2002 and 31 March 2007.Results:Results showed a low complication rate, with only one extrusion out of 55 cases (1.8 per cent). Successful rehabilitation of conductive hearing loss (i.e. to ≤20 dB air–bone gap) was obtained in 85 per cent of the partial ossicular chain reconstruction group and 77 per cent of the total ossicular chain reconstruction group. Pure tone thresholds improved by an average 18 dB in the partial reconstruction group and 25 dB in the total reconstruction group.Conclusion:Titanium is an ideal material for ossicular chain reconstruction due to its ease of insertion, low rate of extrusion and good functional results.


1996 ◽  
Vol 105 (11) ◽  
pp. 871-876 ◽  
Author(s):  
Evert P. P. M. Hamans ◽  
Thomas Somers ◽  
Paul J. Govaerts ◽  
F. Erwin Offeciers

Seventy allograft type 1 tympanoplasties in children under 16 years of age were studied retrospectively. Only patients with a tympanic membrane perforation without cholesteatoma and a normal ossicular chain were included. Short-term and long-term anatomic and functional results were analyzed after a mean follow-up of 40 months. The overall short-term take rate was 97% and the long-term take rate was 88%. A number of variables with alleged prognostic value for surgical outcome were analyzed, but none showed statistical correlation with either anatomic or functional results. A median hearing gain of 10 dB was achieved, which was stable over time. We conclude that allograft tympanoplasty type 1 in this group of children is anatomically and functionally successful regardless of age.


2018 ◽  
Vol 39 (6) ◽  
pp. 724-731 ◽  
Author(s):  
Thomas M. Kaffenberger ◽  
Nandini Govil ◽  
Amber D. Shaffer ◽  
David H. Chi

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