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Title
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Total ossicular chain reconstruction using a titanium prosthesis : functional results
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Author
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Abstract
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| Purpose To evaluate the efficacy and safety of a titanium total prosthesis (TORP) in ossicular chain reconstruction. Methods Retrospective analysis of 113 cases of total ossicular chain reconstruction performed by a single surgeon between 2006 and 2018. Follow-up lasted until January 2020. Participants were patients with chronic otitis media, cholesteatoma, or ossicular chain disruption. Results Mean preoperative air-bone gap (+/- standard deviation) was 32.74 dB (+/- 11.62). Mean postoperative air-bone gap was 21.68 (+/- 11.29). Mean air-bone gap improvement was 11.06 dB (+/- 14.99) (p < 0.001). 57 cases had a post-operative air-bone gap smaller than or equal to 20 dB (50.44%). In four cases, prosthesis dislocation was observed (12.39%). Mean prosthesis length in this group was 5.29 mm (+/- 0.86) versus 4.36 mm (+/- 1.02) in cases without prosthesis dislocation (p = 0.002). Conclusions Total ossicular reconstruction using a titanium prosthesis yields favorable functional results, also during prolonged follow-up. Prosthesis length was significantly longer in cases with prosthesis dislocation. |
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Language
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English
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Source (journal)
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European archives of oto-rhino-laryngology / European Federation of Oto-Rhino-Laryngological Societies; European Laryngological Society. - Berlin, 1990, currens
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Publication
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New york
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Springer
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2022
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ISSN
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0937-4477
[print]
1434-4726
[online]
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DOI
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10.1007/S00405-022-07415-6
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Volume/pages
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279
:12
(2022)
, p. 5615-5621
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ISI
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000789729900001
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Pubmed ID
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35499623
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Full text (Publisher's DOI)
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Full text (open access)
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Full text (publisher's version - intranet only)
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