Malleostapedotomy with the self-fixing and articulated titanium piston

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
J BurggraafCor Cremers

Abstract

To analyze the results of malleostapedotomy performed by applying the self-fixing and articulated titanium piston according to Häusler. Retrospective case review. Tertiary referral center. This study concerns a retrospective analysis of the results of malleostapedotomy with the use of a self-fixing articulated titanium piston in 16 ears of 16 consecutively treated patients between 2005 and 2009. The medical files were used for the acquisition of data on medical and surgical history and to obtain pre- and postoperative audiometry. Diagnosis and outcomes of mainly revision surgeries are presented and compared to the literature. Effect of (revision) malleostapedotomy by evaluating postoperative audiometry and air-bone gap closure. The postoperative air-bone gap closure was ≤ 10 dB in 9/16 (56%) ears and within ≤ 20 dB in 13/16 (81%) ears. The mean postoperative air-bone gap was 14.3 dB HL (0.5-2.0 kHz) and 17.3 dB HL (0.5-4.0 kHz). Postoperatively, there was no increase in bone conduction thresholds larger than 3 dB (0.5-2.0 kHz) and postoperative dizziness was absent or very limited and transient. The malleostapedotomy procedure has become surgically less demanding over time by the technical improvements present in the nowadays a...Continue Reading

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Jun 24, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Joshua Jervis-BardyJohn L Dornhoffer

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