Source:http://linkedlifedata.com/resource/pubmed/id/16328409
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
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| pubmed:dateCreated |
2006-6-26
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| pubmed:abstractText |
The purpose was to study the hearing results in patients receiving a Kurz titanium Bell partial ossicular replacement prosthesis (PORP) or an Aerial total ossicular replacement prosthesis (TORP). The study was a retrospective chart review in a tertiary otologic referral center. A computerized otologic database was used to identify 111 patients implanted with either a PORP or TORP prosthesis. Audiograms were reviewed and air-bone gaps were calculated for each patient. The improvement of the average air-bone gap (ABG) was 10.2 and 12.7 dB at 3 and 20 months after ossiculoplasty, respectively. Sixty-six percent of patients (73/111) had a postoperative air-bone gap of 20 dB or less. The ABG for the titanium PORP prosthesis was 14.3+/-9.7 dB, compared with 25.2+/-13.7 dB for the TORP prosthesis (P <0.05). The ABG to within 20 dB or less was obtained in the PORP group in 77% of the cases, versus 52% of the cases in the TORP group (P <0.05). Two extrusions of the prostheses were observed at 17 and 20 months after surgery (1.8%). Revision procedures for functional failure were carried out in 20 patients (18%). The rate of sensorineural hearing loss was 3.6%. The major factors influencing good audiometric results were the surgical procedure preserving the external auditory canal and the presence of the stapes. The best hearing results were achieved when a PORP was used in an intact canal wall (ICW) procedure, and the worst hearing results were achieved when a TORP was used in a canal wall down (CWD) procedure. The titanium Kurz prosthesis has been an effective implant at our institution for ossicular reconstruction.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:chemical | |
| pubmed:status |
MEDLINE
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| pubmed:month |
Apr
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| pubmed:issn |
0937-4477
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
263
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
347-54
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| pubmed:meshHeading |
pubmed-meshheading:16328409-Adolescent,
pubmed-meshheading:16328409-Adult,
pubmed-meshheading:16328409-Aged,
pubmed-meshheading:16328409-Audiometry,
pubmed-meshheading:16328409-Child,
pubmed-meshheading:16328409-Cholesteatoma, Middle Ear,
pubmed-meshheading:16328409-Chronic Disease,
pubmed-meshheading:16328409-Female,
pubmed-meshheading:16328409-Hearing,
pubmed-meshheading:16328409-Hearing Loss, Sensorineural,
pubmed-meshheading:16328409-Humans,
pubmed-meshheading:16328409-Male,
pubmed-meshheading:16328409-Middle Aged,
pubmed-meshheading:16328409-Ossicular Prosthesis,
pubmed-meshheading:16328409-Ossicular Replacement,
pubmed-meshheading:16328409-Otitis,
pubmed-meshheading:16328409-Recovery of Function,
pubmed-meshheading:16328409-Reoperation,
pubmed-meshheading:16328409-Titanium,
pubmed-meshheading:16328409-Treatment Outcome
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| pubmed:year |
2006
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| pubmed:articleTitle |
Hearing results with the titanium ossicular replacement prostheses.
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| pubmed:affiliation |
Department of Otorhinolaryngology, University Hospital of Grenoble, 38043, Grenoble Cedex 9, France. SSchmerber@chu-grenoble.fr
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| pubmed:publicationType |
Journal Article
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