First experiences with a new adjustable length titanium ossicular prosthesis (ALTO)

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 pati...

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Hauptverfasser: Praetorius, Mark (VerfasserIn) , Kirchenbauer, Sabrina S. (VerfasserIn) , Buß, Stefanie (VerfasserIn) , Klingmann, Christoph (VerfasserIn) , Plinkert, Peter K. (VerfasserIn) , Baumann, Ingo (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 30 Jun 2010
In: Acta oto-laryngologica
Year: 2010, Jahrgang: 130, Heft: 11, Pages: 1237-1241
ISSN:1651-2251
DOI:10.3109/00016489.2010.490238
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3109/00016489.2010.490238
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Verfasserangaben:Mark Praetorius, Sabrina S. Kirchenbauer, Stefanie Buss, Christoph Klingmann, Peter K. Plinkert, Ingo Baumann

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520 |a 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. 
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