A comparison of PORP, TORP, and incus homograft for ossicular reconstruction in chronic ear surgery

The Laryngoscope
H SilversteinR Lichtenstein

Abstract

This report presents the results of 210 cases over a 10-year period using PORPs, TORPs, and notched incus homografts (NIH), for ossicular reconstruction in chronic ear surgery. There were 192 adults and 18 children. The surgical technique utilized temporalis fascia in an underlay technique with canal skin covering the outer surface of the fascia. Intact canal wall mastoid-tympanoplasty, as a one-stage procedure, was used for most cases. Homograft nasal cartilage was placed between the Plasti-Pore prosthesis and the graft. Notched incus homografts were prepared prior to surgery and stored in 4% formalin. There were 149 mastoid-tympanoplasties and 61 tympanoplasties performed. Revision of our cases was performed in 16.6%. Within 3 months of surgery, 86% of adults, and 44% (8/18) of children had dry, healed ears free of disease. The graft take rate was 96%. In adults, a total of 99 NIH, 50 TORPs, and 43 PORPs were implanted. In adults, the closure of the air-bone gap to 20 dB or less occurred in 58% using TORPs, 67% using PORPs, 76% using NIH-Partial replacement, and 20% using NIH-Total replacement. Excluding the cases that failed for reasons other than conductive hearing loss, the results improved to 69% for TORPs, 77% for PORPs,...Continue Reading

Citations

Sep 25, 2014·The Journal of Laryngology and Otology·Z YuD Han
Apr 18, 1998·The Laryngoscope·J L Dornhoffer
Jun 16, 1999·The Laryngoscope·S A Harvey, S Y Lin
Oct 16, 1999·The Laryngoscope·E L Schwetschenau, G Isaacson
Nov 18, 1998·The Laryngoscope·R L DanielsW L Lippy
Feb 13, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Huiqian YuHuawei Li
Nov 1, 1992·The Journal of Laryngology and Otology·G Babighian
Aug 1, 1992·The Journal of Laryngology and Otology·T R Kapur, S Jayaramchandran
Jan 20, 2010·The Journal of Laryngology and Otology·M Malhotra
Jul 10, 2003·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Bruce Black
Jan 1, 2010·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Rodrigo Iñiguez-CuadraManuel Bernal-Sprekelsen
May 27, 2010·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Matthew Yung, Philip Smith
May 4, 2013·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Jae Hoon SimChristof Röösli
Jan 16, 2014·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·R S MudholV S Shruthi
Dec 18, 2009·American Journal of Otolaryngology·Sevim Aslan FelekErdal Samim
Dec 17, 2008·Auris, Nasus, Larynx·Owen WoodsIssam Saliba
Jul 7, 1999·Otolaryngologic Clinics of North America·R A Chole, D J Skarada
Jul 7, 1999·Otolaryngologic Clinics of North America·D A Preciado, S C Levine
Jun 1, 1989·The Annals of Otology, Rhinology, and Laryngology·I W MairE Laukli
Feb 8, 2003·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·M PinillaJ Vergara
Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sharon L Cushing, Blake C Papsin
Oct 12, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ji Hyung LimShi Nae Park
Mar 9, 2005·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Joel A RomualdezMichel A Hotz
Feb 17, 2006·The Laryngoscope·Harold H KimRichard J Wiet
May 18, 2019·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·R PareschiR Nucci
Oct 22, 2019·Current Opinion in Otolaryngology & Head and Neck Surgery·Thomas M KaffenbergerDavid H Chi
Mar 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·A KesslerR R Marsh
Jun 12, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Thomas M KaffenbergerDavid H Chi
Feb 1, 1991·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B Black

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