First experiences with a new adjustable length titanium ossicular prosthesis (ALTO).
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| Title: | First experiences with a new adjustable length titanium ossicular prosthesis (ALTO). |
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| Authors: | Praetorius, Mark (AUTHOR), Kirchenbauer, Sabrina S. (AUTHOR), Buss, Stefanie (AUTHOR), Klingmann, Christoph (AUTHOR), Plinkert, Peter K. (AUTHOR), Baumann, Ingo (AUTHOR) |
| Source: | Acta Oto-Laryngologica. Nov2010, Vol. 130 Issue 11, p1237-1241. 5p. 2 Black and White Photographs, 2 Graphs. |
| Subjects: | Ear ossicle surgery, Audiometry, Titanium, Pilot projects, Retrospective studies |
| Abstract: | Conclusions: The new length-adjustable titanium prosthesis can give good results in terms of hearing results in ossiculoplasty. The possibility to readjust the length intraoperatively was seen as a good feature. Objective: Hearing results of ossiculoplasty with a newly designed prosthesis in 14 patients were evaluated. The prosthesis is designed to allow adjustment of length in situ. Methods: A retrospective pilot study was carried out, comparing the preoperative and postoperative audiological and clinical results with an age- and pathology-matched group. The setting was the Department of Otolaryngology at the University of Heidelberg Medical Center, a tertiary referral center. In all, 14 patients underwent tympano-ossiculoplasty in which autologous reconstruction was not an option. The ossiculoplasty was performed as a therapeutic measure with the new titanium prosthesis. We evaluated the air-bone gap closure as established from preoperative and postoperative audiograms. We also looked at the clinical aspect of the tympanic membrane. Results: The average air-bone gap came to a closure within 15 dB in 43% of the cases (6 of 14 patients). No re-perforations or extrusions of the prostheses were observed. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Conclusions: The new length-adjustable titanium prosthesis can give good results in terms of hearing results in ossiculoplasty. The possibility to readjust the length intraoperatively was seen as a good feature. Objective: Hearing results of ossiculoplasty with a newly designed prosthesis in 14 patients were evaluated. The prosthesis is designed to allow adjustment of length in situ. Methods: A retrospective pilot study was carried out, comparing the preoperative and postoperative audiological and clinical results with an age- and pathology-matched group. The setting was the Department of Otolaryngology at the University of Heidelberg Medical Center, a tertiary referral center. In all, 14 patients underwent tympano-ossiculoplasty in which autologous reconstruction was not an option. The ossiculoplasty was performed as a therapeutic measure with the new titanium prosthesis. We evaluated the air-bone gap closure as established from preoperative and postoperative audiograms. We also looked at the clinical aspect of the tympanic membrane. Results: The average air-bone gap came to a closure within 15 dB in 43% of the cases (6 of 14 patients). No re-perforations or extrusions of the prostheses were observed. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00016489 |
| DOI: | 10.3109/00016489.2010.490238 |