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J Laryngol Otol 2018 Dec 19:1-10. Epub 2018 Dec 19.

ENT Department,Brighton and Sussex University Hospitals NHS Trust,UK.

Background: Surgery for chronic suppurative otitis media performed in low- and middle-income countries creates specific challenges. This paper describes the equipment and a variety of techniques that we find best suited to these conditions. These have been used over many years in remote areas of Nepal. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Dec;32(24):1912-1916

The aim of this study is to review the application, techniques and procedures of cartilage in the middle ear surgery. Cartilage offers the advantage of higher mechanical stability in tympanoplasty, which is the most common procedure in the middle ear surgery, thus apply to much complicated situation especially for tubal dysfunction and adhesive processes. There are many variations on the shape, size, thickness and technical matters of the cartilage grafts. Read More

Braz J Otorhinolaryngol 2018 Oct 18. Epub 2018 Oct 18.

Hospital Governador Celso Ramos, Departamento de Otorrinolaringologia, Florianópolis, SC, Brazil.

Introduction: The goal of ossiculoplasty is to improve hearing and the success of this procedure depends on several factors.

Objective: Analyze the hearing results in patients with chronic otitis media undergoing ossicular chain reconstruction, as well as predictive factors for successful surgery.

Methods: Charts of patients undergoing ossiculoplasty between 2006 and 2016 were reviewed. Read More

Otol Neurotol 2018 Dec;39(10):e907-e920

Carl Gustav Carus Faculty of Medicine, Clinic and Policlinic for Otorhinolaryngology, Head and Neck Surgery, Technische Universität Dresden, Dresden, Germany.

Objective: To evaluate electromechanical excitation as an alternative excitation mode for middle ear transfer function (METF) measurements as well as real-time feedback in prosthetic ossicular reconstruction.

Method: In eight human cadaveric temporal bones, the ossicular chain was excited using acoustic and mechanical (floating mass transducer, FMT) stimulation to determine the METF. After disconnecting the ossicular chain and reconstruction with partial or total prosthesis the METFs were measured again. Read More

Auris Nasus Larynx 2018 Nov 8. Epub 2018 Nov 8.

Department of Otolaryngology, Jikei University School of Medicine, Tokyo, Japan.

Objective: This study was undertaken to determine the characteristics of congenital cholesteatoma (CC) in Japan, via a nationwide survey using staging and classification criteria for middle ear cholesteatoma, as proposed by the Japan Otological Society (JOS).

Methods: A nationwide survey regarding middle ear cholesteatoma treated in 2015 was performed. There were 1787 registrations from 74 facilities, among which, CC accounted for 12. Read More

Otol Neurotol 2018 Dec;39(10):1271-1276

Department of Otolaryngology-Head & Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Objective: To compare hearing results of single stage ossiculoplasty with second stage ossiculoplasty, and to provide a proper indication of operation options (single stage or second stage ossiculoplasty) according to patients' clinical conditions.

Study Design: Retrospective case review study.

Setting: Tertiary referral center. Read More

Eur Arch Otorhinolaryngol 2018 Oct 24;275(10):2467-2472. Epub 2018 Aug 24.

Department of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital, Beijing, 100853, People's Republic of China.

Objective: To describe the operative findings and surgical results of unilateral congenital middle ear malformations with intact external ear.

Methods: A retrospective review was performed on 64 patients with unilateral congenital middle ear malformations and intact external ear who underwent exploratory tympanotomy from 2011 to 2016. Demographic data, clinical data, high-resolution computed tomography findings, audiometric data and intraoperative findings were collected. Read More

Ear Nose Throat J 2018 Jun;97(6):E18-E23

Department of Otolaryngology-Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Section 2, Cheng-Kung Rd., Taipei 114, Taiwan, Republic of China.

In a retrospective chart review, we evaluated the surgical and hearing results of a single-stage procedure consisting of a canal-wall-up attico-mastoidectomy, mastoid cavity obliteration, scutum plasty, and ossiculoplasty. A total of 77 patients treated between March 2003 and January 2011 with postoperative follow-up of at least 60 months were enrolled. Preoperative and postoperative pure-tone average (PTA) and air-bone gap (ABG) were assessed and compared 1 and 5 years after surgery. Read More

Otol Neurotol 2018 Jul;39(6):e453-e460

Department of Otolaryngology-Head and Neck Surgery, The Bill Wilkerson Center for Otolaryngology & Communication Sciences, Vanderbilt University, Nashville, Tennessee.

Objective: To report short (∼4 mo) and long-term (>12 mo) audiometric outcomes following ossiculoplasty using a titanium clip partial ossicular reconstruction prosthesis.

Methods: Case series at a single tertiary referral center reviewing 130 pediatric and adult patients with conductive hearing loss (CHL) secondary to chronic otitis media (n = 121, 93%) or traumatic ossicular disruption (n = 9, 7%) who underwent partial ossiculoplasty from January 2005 to December 2015 with the CliP prosthesis.

Results: At both short and long-term follow-up, postoperative air-bone gap (ABG) was significantly improved (18 dB HL, IQ range 13-26, p < 0. Read More

Acta Otolaryngol 2018 Aug 8;138(8):695-700. Epub 2018 Mar 8.

b Department of Otolaryngology Head and Neck Surgery , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences , Okayama City , Okayama , Japan.

Objectives: We reviewed surgical results of canal wall-down tympanoplasty (CWDT) with soft posterior meatal wall reconstruction (SWR) for acquired cholesteatoma (AC), and identified factors associated with surgical outcomes.

Methods: Results from 119 ears with AC (pars flaccida, n = 99; pars tensa, n = 20) that underwent CWDT with SWR were retrospectively reviewed. We defined postoperative balloon-like retraction (PBR) with web formation, which needed reoperation to clean accumulated cerumen, as postoperative deep retraction pocket (PDRP). Read More

Ann Otol Rhinol Laryngol 2018 May 5;127(5):306-311. Epub 2018 Mar 5.

1 University of Illinois Hospital and Health Sciences System, Chicago, Illinois, USA.

Objectives: In Ethiopia, 2-stage operations with middle ear prostheses are economically unfavorable. We hypothesized that single-stage autologous ossiculoplasty results in acceptable tympanic membrane (TM) and hearing improvements in a setting of limited resources.

Methods: One hundred eighty-eight patients (197 ears) who underwent 1-stage autologous ossiculoplasty for ossicular dysfunction are presented. Read More

Indian J Otolaryngol Head Neck Surg 2018 Mar 11;70(1):33-37. Epub 2017 Sep 11.

Department of ENT, MRMC, Gulbarga, Karnataka India.

To study functional outcome of the endoscopic management of limited attico-antral cholesteatoma in terms of visualization of sac, cholesteatoma disease clearance, ABG closure improvement, preservation of residual anatomy and recurrence of disease. It is a prospective study done during Feb 2016 to March 2017 done on 20 pts with limited attico-antral cholesteatoma with CT confirmation. Endoscopic management of limited attico-antral cholesteatoma with complete removal of sac, infected discharge and granulations along with creation of MRMC Neo surgical ventilating port (joining Anterior & posterior isthmuses) done in cases where residual attic anatomy was present to establish physiological attic ventilation and drainage. Read More

Indian J Otolaryngol Head Neck Surg 2018 Mar 7;70(1):15-21. Epub 2017 Sep 7.

Department of Otorhinolaryngology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan India.

Chronic suppurative otitis media, with and without cholesteatoma, frequently results in disruption of the ossicular chain. The present study was designed to compare the outcome using autologous ossicle and titanium prosthesis in two groups of suitable patients presenting with chronic suppurative otitis media for middle ear reconstructive surgeries. A prospective study done from July 2012 to December 2013, at Mahatma Gandhi Medical College and Hospital, Sitapura, Jaipur (Rajasthan). Read More

Int J Pediatr Otorhinolaryngol 2018 Mar 2;106:80-84. Epub 2018 Feb 2.

Ann & Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Otolaryngology-Head and Neck Surgery, Chicago, IL, United States; Northwestern University Feinberg School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Chicago, IL, United States. Electronic address:

Introduction: The high incidence of chronic otitis media with effusion and Eustachian tube dysfunction in children with Down syndrome (DS) may predispose them to cholesteatoma formation. Establishing the diagnosis, choosing the appropriate operative intervention, and post-operative care can be challenging.

Objective: To describe management strategies for cholesteatoma diagnosis, surgical treatment, and post-operative management in children with Down syndrome. Read More

Acta Otolaryngol 2018 Jul 21;138(7):617-620. Epub 2018 Jan 21.

a ORL-HNS Department , Hospital Universitari de Bellvitge , Barcelona , Spain.

Objective: The objective of this study is to compare hearing improvements in the air-bone gap (ABG) after type III tympanoplasties, comparing between incus transposition (IT) and partial ossicular replacement prosthesis (PORP).

Materials And Methods: Publications in English were searched in PUBMED database and were systematically reviewed. A total of 14 articles were included, obtaining 1055 patients, 614 for the IT group and 441 for the PORP group. Read More

GMS Curr Top Otorhinolaryngol Head Neck Surg 2017 18;16:Doc07. Epub 2017 Dec 18.

Technical University of Dresden, Germany.

Techniques and biomaterials for reconstructive middle ear surgery are continuously and steadily developing. At the same time, clinical post-surgery results are evaluated to determine success or failure of the therapy. Routine quality assessment and assurance is of growing importance in the medical field, and therefore also in middle ear surgery. Read More

Ann Otol Rhinol Laryngol 2018 Jan 24;127(1):33-38. Epub 2017 Nov 24.

1 Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown, West Virginia, USA.

Objective: Determine the effect of complete malleus removal during canal wall up tympanomastoidectomy for cholesteatoma on ossiculoplasty success and rate of residual cholesteatoma.

Methods: We reviewed the operative, audiogram, and clinical reports of patients who underwent canal wall up tympanomastoidectomy for cholesteatoma between 2009 and 2016 at a tertiary academic medical center with at least 8 months of follow-up after surgery. To control for extent of disease, we independently catalogued the subsites of the middle ear and mastoid that cholesteatoma involved from each operation. Read More

Vestn Otorinolaringol 2017;82(5):22-25

Kuban State Medical University, Ministry of Health of the Russian Federation, Krasnodar, Russia, 350063.

The objective of the present study was to evaluate the possibility of the application of the cyanoacrylate-based glue for the strengthening of the reconstructed elements of the middle ear and its influence on the regeneration of the cartilaginous tissue. We used the cartilaginous tissue from the auricles of the male California rabbits as a model. The cartilage was destroyed in a standard press. Read More

Laryngorhinootologie 2017 Oct 10;96(10):698-703. Epub 2017 Oct 10.

HNO, Klinikum der Stadt Ludwigshafen gGmbH, Ludwigshafen.

Aim of the present study is to evaluate the long term results of ossiculoplasty using titanium clip prosthesis. A retrospective analysis with prospective follow-up has been done including for all patients who had a Clip-PORP implanted between the years 2002-2013. Following this, audiometric hearing results were measured with clinical examination including otoscopy and quality of life evaluation using Glasgow benefit inventory. Read More

Otol Neurotol 2017 12;38(10):1450-1455

*Division of Otology and Neurotology, Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas †Southend University Hospital, Southend-on-Sea, UK.

Objective: To study long-term complications after ossiculoplasty.

Study Design: Case series with chart review.

Setting: Tertiary care referral center otology practice. Read More

Clin Otolaryngol 2018 04 12;43(2):434-439. Epub 2017 Oct 12.

Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Objective: Ossiculoplasty is a surgical procedure that recreates sound transmission of the middle ear in conductive hearing loss. Various materials have been used for ossicular reconstruction, but the most ideal material for ossiculoplasty remains controversial. The purpose of this study was to introduce a novel method of autologous ossiculoplasty, bone-cartilage composite graft (BCCG) and to compare its surgical results with different types of ossiculoplastic prostheses. Read More

J Int Adv Otol 2017 Aug;13(2):171-175

Department of Otolaryngology Head and Neck Surgery, Fondation A. de Rothschild, Paris, France.

Objective: To report hearing results of cartilage interposition ossiculoplasty in one-stage intact canal wall (ICW) tympanoplasty for cholesteatoma with intact stapes.

Materials And Methods: A retrospective study of pre and postoperative hearing status was conducted at a tertiary referral otologic center in a series of 61 patients having undergone one-stage ICW tympanoplasty for cholesteatoma with intact stapes and cartilage ossiculoplasty during the same procedure.

Results: In the preoperative period, the mean air conduction thresholds (AC), air-bone gap (ABG), and speech reception thresholds (SRT) were 35. Read More

Otol Neurotol 2017 10;38(9):1296-1300

*Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, Tennessee †Department of Otolaryngology-Head and Neck Surgery, UT Southwestern, Dallas, Texas.

Objective: To evaluate the audiometric outcomes following endoscopic ossicular chain reconstruction (OCR).

Study Design: Retrospective case series.

Setting: Two tertiary referral centers. Read More

Cochlear Implants Int 2017 11 8;18(6):314-323. Epub 2017 Aug 8.

b Department of Otorhinolaryngology, Antwerp University Hospital , University of Antwerp , Antwerp , Belgium.

Objective: To present a historical overview of the Vibrant Soundbridge (VSB) middle ear implant (MEI), since its beginning in the 1990s to date and to describe its course and contemplate what it might become in the future.

History: MEIs started to take form in researchers' mind in the 1930s with the first experiment of Wilska. In the 1970s, several devices, such as the Goode and Perkins', the Maniglia's, or the Hough and Dormer's were created but remained prototypes. Read More

Ear Hear 2018 Jan/Feb;39(1):131-138

Department of Oto-Rhino-Laryngology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.

Objectives: One reason for insufficient hearing improvement with a distinct air-bone gap after ossiculoplasty with implantation of partial or total ossicular replacement prostheses can be the dislocation or minimal shifting of the prosthesis. The aim of this study was the simulation of common clinical borderline situations with minimal shifting of the prosthesis in temporal bone specimens after ossiculoplasty. It was furthermore the goal to identify these specific situations through imaging by cone beam computed tomography (cbCT) and direct visual inspection using the operation microscope. Read More

Eur Arch Otorhinolaryngol 2017 Sep 10;274(9):3303-3310. Epub 2017 Jun 10.

Department of Otorhinolaryngology Head and Neck Surgery, Luzerner Kantonsspital, Spitalstrasse, 6000, Lucerne, Switzerland.

This study aimed to evaluate the benefit but also the extrusions, dislocations, and failures of a titanium incus prosthesis along with the long-term audiological outcomes. We prospectively collected data from 139 patients undergoing ossiculoplasty using the Fisch titanium incus prosthesis between 2001 and 2016. Overall, 126 patients with at least 6 months of follow-up (mean 4. Read More

Otolaryngol Head Neck Surg 2017 08 16;157(2):281-288. Epub 2017 May 16.

1 Department of Otorhinolaryngology-Head and Neck Surgery, Technische Universität Dresden, Dresden, Germany.

Objective The objective of our study was to check the documentation of hearing outcome parameters and influencing factors (surgical, pathological, and methodological) in published literature evaluating hearing outcome after tympanoplasty. We aimed to assess how effectively the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) 1995 guidelines were applied. Study Design Retrospective noncontrolled study. Read More

Laryngorhinootologie 2017 May 12. Epub 2017 May 12.

HNO, Klinikum der Stadt Ludwigshafen gGmbH, Ludwigshafen.

Aim of the present study is to evaluate the long term results of ossiculoplasty using titanium clip prosthesis. A retrospective analysis with prospective follow-up has been done including for all patients who had a Clip-PORP implanted between the years 2002-2013. Following this, audiometric hearing results were measured with clinical examination including otoscopy and quality of life evaluation using Glasgow benefit inventory. Read More

Laryngorhinootologie 2017 Apr 12;96(S 01):S66-S83. Epub 2017 May 12.

Technische Universität Dresden.

Techniques and biomaterials for reconstructive middle ear surgery are under steady, ongoing development. At the same time, clinical post-surgery results are evaluated to determine success or failure of the therapy. Routine quality assessment and assurance is of growing importance in the medical field, and therefore also in middle ear surgery. Read More

Otolaryngol Head Neck Surg 2017 08 2;157(2):190-200. Epub 2017 May 2.

1 Department of Otolaryngology-Head and Neck Surgery, Temple University School of Medicine, Philadelphia, Pennsylvania, USA.

Objective To systematically review the anatomy of the ossicular chain. Data Sources Google Scholar, PubMed, and otologic textbooks. Review Methods A systematic literature search was performed on January 26, 2015. Read More

Eur Arch Otorhinolaryngol 2017 Jul 24;274(7):2727-2732. Epub 2017 Apr 24.

Otolaryngology Department, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wen Chang Road, Shih Lin District, Taipei, Taiwan.

Tympanoplasty was conventionally performed using a microscope for decades. However, since the endoscope began to be used in middle ear surgery in the 1970s, endoscopic tympanoplasty has gained increasing attention. The main objective of this study was to compare endoscopic and microscopic tympanoplasty with and without ossiculoplasty, demonstrating the potential advantages, disadvantages, and outcomes of each. Read More

Int J Pediatr Otorhinolaryngol 2017 May 28;96:21-24. Epub 2017 Feb 28.

Anne & Robert H. Lurie Children's Hospital of Chicago, 225 Chicago Ave, Chicago, IL, 60611, United States; McGaw Medical Center of Northwestern University, 240 East Huron Street, Chicago, IL, 60611, United States. Electronic address:

Objective: To describe our indications, findings, and outcomes for transcanal endoscopic middle ear exploration in pediatric patients with conductive hearing loss of unknown etiology, without effusions.

Methods: Prospective case series for all pediatric patients undergoing totally endoscopic transcanal middle ear exploration between April 2012 and October 2015 at a pediatric tertiary care referral hospital. Demographic data, operative findings, and hearing results were reviewed. Read More

J Clin Diagn Res 2017 Jan 1;11(1):AC01-AC04. Epub 2017 Jan 1.

Professor and Head, Department of Anatomy, Calcutta National Medical College , Kolkata, West Bengal, India .

Introduction: The middle ear ossicles form a semi rigid chain in the middle of the ear for conduction and amplification of sound waves from the tympanic membrane to the inner ear. Although, our knowledge of the ear ossicles dates back to the 15 century, and various studies have been carried out on their morphometry, morphology, anomalies, embryology, function and structure throughout the world, information about the morphology of middle ear ossicles is meagre in Indian subjects.

Aim: To find out the morphological variations of middle ear ossicles of right and left sides. Read More

J Laryngol Otol 2017 May 21;131(5):391-398. Epub 2017 Feb 21.

Department of Otorhinolaryngology,Jawaharlal Nehru Medical College,Belagavi,India.

Objective: This study aimed to compare the functional and anatomical outcomes of ossiculoplasty using an autograft incus or a titanium partial ossicular replacement prosthesis for reconstructing Austin type A ossicular defects.

Methods: Patients with Austin A ossicular defects were randomly divided into two groups: one group underwent ossiculoplasty with an autologous incus (the autologous incus group) and the other underwent ossiculoplasty with a titanium partial ossicular replacement prosthesis (the titanium prosthesis group). Otoscopic examination and audiological assessment was done pre-operatively and at 3, 6 and 12 months post-operatively. Read More

Acta Otolaryngol 2017 Jul 26;137(7):679-685. Epub 2017 Jan 26.

c Department of Clinical Science, Intervention and Technology , Karolinska Institutet , Stockholm , Sweden.

Conclusion: A tentative conclusion was made that the finite element method can be used to investigate the fatigue life of the tympanic membrane after ossiculoplasty; the main reason of the extrusion of the tympanic membrane may not be blamed to the fatigue mechanism under normal sound pressure.

Objective: This study was to investigate the extrusion of the prosthesis from the tympanic membrane at post-ossiculoplasty by finite element method.

Methods: A finite element model of the human middle ear has been constructed and used as the model of the constructed middle ear at post-ossiculoplasty. Read More

Otol Neurotol 2017 04;38(4):510-515

Department of Otolaryngology-Head & Neck Surgery, Division of Otology & Neurotology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Objectives: To determine if the OOPS index is predictive of long-term hearing results after ossiculoplasty.

Study Design: Case series with retrospective chart review.

Setting: Tertiary care otology practice. Read More

JAMA Otolaryngol Head Neck Surg 2017 03;143(3):247-252

Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Modena, Modena, Italy.

Importance: With the international spread of exclusive transcanal endoscopic ear surgery, the need for a suitable and affordable surgical training model has grown during the past years.

Objective: To develop and validate an ex vivo animal model for exclusive endoscopic ear surgery.

Design, Setting, And Animal Models: In an experimental study, we compared ovine and human middle ear anatomy in 4 specimens and assessed the lamb as a model for endoscopic ear surgery. Read More

J Int Adv Otol 2016 Dec 23;12(3):247-251. Epub 2016 Nov 23.

Department of Otolaryngology and Head-Neck Surgery, Gachon University, Gil Medical Center, Incheon, Republic of Korea.

Objective: This study was designed to investigate the long-term results using the technique of canal wall up mastoidectomy and reconstruction of the posterior canal wall using bone pâté and auricular cartilage in the treatment of chronic otitis media with cholesteatoma.

Materials And Methods: A retrospective review was performed on 42 patients who underwent canal wall up mastoidectomy and posterior canal wall reconstruction at a single institution between November 2005 and November 2012.

Results: Of the 42 patients, postoperative tympanic membranes were normal in 38 (90. Read More

Vestn Otorinolaringol 2016;81(5):57-58

Kubansky State Medical University, Russian Ministry of Health, Krasnodar, Russia, 3500063.

The objective of the study was to improve the functional outcomes of the treatment in the patients presenting with chronic otitis media by means of the combined application of platelet-enriched plasma and the biologically compatible cyanacrylate-based glue for the fixation of the reconstructed auditory ossicular chain. The functional results of the surgery were evaluated within 1, 3, and12 months after the intervention making use of tonal threshold audiometry. It was shown that the use of the platelet-enriched plasma with its subsequent fixation by the biologically compatible cyanacrylate-based glue enhances stability of the implanted prosthetic elements, reduces the risk of their displacement during the postoperative period due to the formation of the cicatrical tissue between the structural components of the middle ear. Read More

Eur Arch Otorhinolaryngol 2017 Feb 11;274(2):773-780. Epub 2016 Nov 11.

Otorhinolaryngology Department, Zonguldak Bülent Ecevit University Faculty of Medicine, Zonguldak, Turkey.

To investigate the effects of surgery type [intact canal wall (ICW) or canal wall down (CWD) mastoidectomy] and different ossiculoplasty materials on hearing outcome in single-staged cholesteatoma surgery. A retrospective case-control study. A total of 116 cases (97 adults, 29 children) underwent surgery, including ossiculoplasty, between 2012 and 2015 for cholesteatoma. Read More

J Laryngol Otol 2016 12 4;130(12):1110-1114. Epub 2016 Nov 4.

ENT - Head and Neck Surgery Department,Gui de Chauliac University Hospital, University of Montpellier.

Background: Bone cement is used for ossicular chain repair and revision stapes surgery. Its efficient use requires cautious removal of mucosa from the ossicles. This paper reports a technique for easy, fast and safe removal of this mucosa prior to cement application. Read More

Laryngoscope 2016 11 12;126(11):2559-2564. Epub 2016 Mar 12.

Department of Mechanical Engineering, Stanford University, Stanford, California, U.S.A..

Objectives/hypothesis: The performance of an ossicular replacement prosthesis (ORP) is influenced by its alignment and appropriate tension between the tympanic membrane and the stapes footplate. A novel ORP with a flexible element that potentially allows for length adjustment in situ is presented and tested for acoustic performance.

Study Design: Laser Doppler vibrometry in fresh human cadaveric temporal bones was used to test the acoustic performance of the adjustable ORP relative to standard prostheses used for ossiculoplasty. Read More

Laryngoscope 2016 11 17;126(11):2552-2558. Epub 2016 Jan 17.

Department of Otorhinolaryngology-Head and Neck Surgery University Medical Center Utrecht, Utrecht, the Netherlands.

Objectives/hypothesis: To prospectively evaluate surgical findings and hearing results in children undergoing surgery for congenital oval or round window malformations (class IV malformations).

Study Design: A nonrandomized, nonblinded, case series of prospectively collected data.

Methods: Fourteen consecutive pediatric patients who underwent 17 surgical procedures for congenital oval or round window malformations in a tertiary referral center were included. Read More

Otol Neurotol 2016 12;37(10):1601-1607

Department of Otorhinolaryngology, Head and Neck surgery, Technische Universitaet Dresden, Carl Gustav Carus Faculty of Medicine, Dresden, Germany.

Hypothesis: Electromagnetical excitation of ossicular vibration is suitable for middle ear transmission measurements in the experimental and clinical setting. Thereby, it can be used as a real-time monitoring system for quality control in ossiculoplasty.

Background: Positioning and coupling of middle ear prosthesis are a precondition for good postoperative hearing results, but at the same time completely dependent upon the surgeon's subjective judgment during surgery. Read More

J Int Adv Otol 2016 Aug;12(2):147-151

Department of Otorhinolaryngology Head and Neck Surgery, Alexandria School of Medicine, University of Alexandria, Alexandria, Egypt.

Objective: To assess the effectiveness of glass ionomer bone cement (GIBC) in lateral attic wall reconstruction after primary acquired attic cholesteatoma surgery.

Materials And Methods: This prospective study was conducted on twenty children collected from the ENT outpatient clinics of a secondary and tertiary hospital. All patients presented with chronic suppurative otitis media with cholesteatoma of the primary acquired attic type. Read More

Acta Otorrinolaringol Esp 2017 May - Jun;68(3):131-137. Epub 2016 Sep 20.

Head and Neck Surgery Department of Guimarães Hospital, Alto Ave Hospital Center, Guimarães, Portugal.

Background And Objectives: The goal of ossiculoplasty is to improve hearing. Successful ossiculoplasty depends on several factors. This retrospective study was carried out to analyze hearing results of ossiculoplasty in ears with chronic otitis media (COM) and evaluate clinical outcomes and factors predictive of hearing improvement. Read More

J Biomed Mater Res B Appl Biomater 2017 Nov 23;105(8):2495-2506. Epub 2016 Sep 23.

Operative Unit of Otorhinolaryngology, Audiology and Phoniatrics, Azienda Ospedaliero-Universitaria Pisana (AOUP), 56124, Pisa, Italy.

This study shows the fabrication of innovative ossicular replacement prostheses (ORPs) based on banked cortical bone using computer numerically controlled ultraprecision micromilling, as a substantial improvement of "second generation" ORPs. Our aim is to combine optimal middle ear compatibility and surgical manageability in a single device, by releasing off-the-shelf homograft ORPs provided with the appealing features of synthetic ORPs, such as lightness, safety, measurement accuracy, surface decoration, and geometric plasticity. The new total ORP prototype was 13. Read More

Laryngoscope 2017 06 25;127(6):1435-1441. Epub 2016 Aug 25.

Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Republic of Korea.

Objectives/hypothesis: We compared the audiologic benefits of active middle ear implants with those of passive middle ear implants with hearing aids in mixed hearing loss, and also compared the outcomes of stapes vibroplasty with those of round window vibroplasty.

Study Design: Retrospective chart review.

Methods: Thirty-four patients with mixed hearing loss due to chronic otitis media were treated with a middle ear implant. Read More

Otol Neurotol 2016 09;37(8):1071-6

Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

Objectives: 1) To describe the technique for transcanal endoscopic management of congenital ossicular chain fixation. 2) To highlight the utility and outcomes of the endoscopic approach for management of congenital ossicular fixation.

Study Design: Retrospective patient series. Read More

Auris Nasus Larynx 2017 Jun 28;44(3):266-271. Epub 2016 Jul 28.

Department of Otorhinolaryngology, Seoul National University Boramae Medical Center, Seoul, Republic of Korea. Electronic address:

Objective: This study aimed to determine the radiation dose of temporal bone computed tomography (TBCT) to detect pediatric congenital cholesteatoma (CC), and suggests strategy for lowering perioperative radiation dose.

Methods: Fifty-three CC patients followed up for more than 12 months after surgery. Perioperative clinical findings and the effective radiation dose (ERD) of TBCT were investigated. Read More