Effectiveness of Ossiculoplasty with Adjustable Classical Titanium Prostheses and Titanium Prostheses with Porous Hydroxyapatite in Patients with Chronic Otitis Media
DOI:
https://doi.org/10.12970/2311-1917.2019.07.02Keywords:
Ossiculoplasty, ossicular prostheses, tympanoplasty,biocompatible materials.Abstract
The aim of this investigation is the comparison of anatomical and functional results in case of reconstruction of middle ear bones’ chain using classical titanium prosthesis and titanium prosthesis with hydroxyapatite layer. Retrospective analysis was performed.
In modern otosurgery performing the main stage of surgery (scar resection, elimination of retraction pockets, elimination of tympanic membrane defects, sanitation) and reconstruction of middle ear bony chain during one procedure is an actual standard. In this case effectiveness of middle ear sound conducting system’s reconstruction is quite unpredictable. Different factors can influence the results of surgery: etiology of pathological process, intraoperative findings and peculiarities of surgical technique, design and mechanical properties of prosthesis, ways of ventilation in tympanic cavity or artificially created small tympanic cavity, intensity of scar processing in early and late post-operative period etc.
References
Lahlou G, Sonji G, De Seta D, Mosnier I, Russo FY, Sterkers O, Bernardeschi D. Anatomical and functional results of ossiculoplasty using titanium prosthesis. AP-HP, PitieSalpetriere Hospital, Otology, Auditory Implants and Skull Base Surgery Department, Paris, France.
Rondini-Gilli E, Grayeli AB, Borges Crosara RFT, et al. Ossiculoplasty with total hydroxylapatite prostheses anatomical and functional outcomes. Otol Neurotol 2003; 24: 543-7. https://doi.org/10.1097/00129492-200307000-00003
Sitnikov VP, et al. Using of auto-transplantants and implants in ossiculoplasty. Annals of otorhinolaryngology 2006; 2: 24- 27.
Anikin A, Diab HM, Astashchenko SV, Karapetyan RV, Mustiviy IF. Reconstructive hearing-improved surgery with different variants of ossiculoplasty in patients after conservative radical middle ear surgeries.
Diab HM, Daikhes NA, Kondratchikov DS, Korvyakov VS, Pashchinina OA, Umarov PU, Mikhalevich AE. Peculiarities of surgical treatment for patients with invasive cholesteatoma. From book: Materials of V St-Peterburg forum of Russian otorhinolaryngologists and IV all-russian congress in hearing implantation with international participation 2016; pp. 113-114.
Tavartkiladze GA, Gvelesiani TG. Сlinical audiology. Moscow 2003.
Dvoryanchikov VV, et al. Сomplex approach to the treatment of patients with chronical otitis media (Message I) Russian Otorhinolaryngology 2004; 6: 10-14.
Mileshina NA, Kurbatova EV, Lyahova ES. Peculiarities of cholesteatoma damage of outer and middle ear in pediatric age. Questions of Diagnostics in Pediatrics 2011; B3.4: 46.
Daikhes NA, Diab HM, Varosyan EG, Pashchinina OA, Kondratchikov DS, Mikhalevich AE, Choice of surgical treatment tactics in case of aggressive cholesteatoma. Annals of Clinical Hospital 2017; 51: B5, S1. 16-17.
Sultan S, Evik E, Duygu E, Aykut ED, Murat D, Sultan B. The effects of surgery type and different ossiculoplasty materials on the hearing results in cholesteatoma surgery. Eur Arch Otorhinolaryngol 2016; 11.
Lee J-I, Yoo S-H, Lee CW, Song CIl, Hoon YM, Park HJ. Short-term hearing results using ossicular replacement prostheses of hydroxyapatite versus titanium. Eur Arch Otorhinolaryngol 2014; 09. https://doi.org/10.1007/s00405-014-3274-1
Vincent R, Rovers M, Mistry N, Oates J, Sperling N, Grolman W. Ossiculoplasty in Intact Stapes and Malleus Patients: A Comparison of PORPs Versus TORPs With Malleus Relocation and Silastic Banding Techniques. Otology & Neurotology 2011; 32: 616Y625. https://doi.org/10.1097/MAO.0b013e318216777f
