PMID- 25550225
OWN - NLM
STAT- MEDLINE
DCOM- 20150623
LR  - 20220321
IS  - 1097-6817 (Electronic)
IS  - 0194-5998 (Linking)
VI  - 152
IP  - 3
DP  - 2015 Mar
TI  - TORP ossiculoplasty outcomes with and without a stapes footplate prosthesis.
PG  - 501-5
LID - 10.1177/0194599814564538 [doi]
AB  - OBJECTIVE: The titanium stapes footplate prosthesis (FPP) was designed to ensure 
      a stable connection of a total ossicular replacement prosthesis (TORP) to the 
      stapes footplate and maximize acoustic coupling by centering the footplate on the 
      oval window. Our goal was to assess the impact of the FPP on TORP ossiculoplasty 
      outcomes. STUDY DESIGN: Case series with chart review. SETTING: Tertiary care 
      center. SUBJECTS: Adult patients undergoing TORP ossiculoplasty with (n=53) or 
      without (n=108) a stapes FPP. METHODS: Rate of prosthesis displacement and 
      audiologic outcomes were tabulated for statistical analysis. RESULTS: A lower 
      rate of prosthesis displacement and statistically better audiologic outcomes were 
      seen in FPP patients. The pure-tone average air-bone gap (PTA-ABG) was closed to 
      <20 dB in 69.8% (37/53) of patients in the study arm and 44.4% (48/108) of 
      patients in the control arm (P=.003). The PTA-ABG was decreased by a mean+/-SD of 
      19.3+/-11.7 dB and 12.6+/-11.0 dB in the study and control groups, respectively 
      (P=.0012). CONCLUSIONS: Use of the titanium stapes FPP during TORP ossiculoplasty 
      provides a statistically significant advantage in short-term PTA-ABG closure and 
      a higher rate of successful rehabilitation of conductive hearing loss. Further 
      studies are necessary to assess any long-term advantages a FPP may offer.
CI  - (c) American Academy of Otolaryngology-Head and Neck Surgery Foundation 2014.
FAU - Cox, Matthew D
AU  - Cox MD
AD  - Department of Otolaryngology-Head & Neck Surgery, Division of Otology & 
      Neurotology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, 
      USA mdcox@uams.edu.
FAU - Russell, James S
AU  - Russell JS
AD  - Department of Otolaryngology-Head & Neck Surgery, Division of Otology & 
      Neurotology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, 
      USA.
FAU - Dornhoffer, John L
AU  - Dornhoffer JL
AD  - Department of Otolaryngology-Head & Neck Surgery, Division of Otology & 
      Neurotology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, 
      USA.
LA  - eng
PT  - Journal Article
DEP - 20141230
PL  - England
TA  - Otolaryngol Head Neck Surg
JT  - Otolaryngology--head and neck surgery : official journal of American Academy of 
      Otolaryngology-Head and Neck Surgery
JID - 8508176
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Audiometry
MH  - Female
MH  - Follow-Up Studies
MH  - Hearing/*physiology
MH  - Hearing Loss, Conductive/physiopathology/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Ossicular Prosthesis
MH  - Ossicular Replacement/*instrumentation
MH  - Prosthesis Design
MH  - Retrospective Studies
MH  - Stapes Surgery/*methods
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - TORP
OT  - ossiculoplasty
OT  - stapes footplate
OT  - total ossicular replacement prosthesis
EDAT- 2015/01/01 06:00
MHDA- 2015/06/24 06:00
CRDT- 2015/01/01 06:00
PHST- 2015/01/01 06:00 [entrez]
PHST- 2015/01/01 06:00 [pubmed]
PHST- 2015/06/24 06:00 [medline]
AID - 0194599814564538 [pii]
AID - 10.1177/0194599814564538 [doi]
PST - ppublish
SO  - Otolaryngol Head Neck Surg. 2015 Mar;152(3):501-5. doi: 10.1177/0194599814564538. 
      Epub 2014 Dec 30.