Ossicular chain reconstruction with titanium prostheses - Review of 35 cases
DOI:
https://doi.org/10.34631/sporl.999Keywords:
titanium prostheses, surgical reconstruction, middle earAbstract
Introduction: reconstructing the ossicular chain is a challenging act for the otologist. The material to be used must be biocompatible, easy to manipulate and have certain biomechanical properties. Titanium prostheses, with a low weight, high rigidity and good mechanical strength, allow for good acoustic transmission.
Objective: to discuss the benefits of using these prostheses in different surgical scenarios.
Material and methods: retrospective study of 35 cases operated by the same surgeon involving reconstruction of the middle ear with titanium prostheses.
Results: in 13 cases, PORP was used, achieving a postoperative air-bone gap of less than 20dB in 85% of patients. In the remaining 22, TORP was used, with a success rate of 68%.
Conclusion: titanium prostheses are an excellent option when it is necessary to reestablish the continuity of the ossicular chain. Their different shapes and sizes allow for its application in a wide variety of clinical situations.
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