Failure rate and revision surgery in ossiculoplasty with Kurz titanium prosthesis
UNLABELLED: Despite its excellent biocompatibility, failures and in particular extrusion of the prosthesis have been described in ossiculoplasty with titanium prosthesis.
OBJECTIVE: Report our experience with revision ossicular recontruction in ossiculoplasty with Kurz prosthesis. Identify causes of failure in ossiculoplasty using the titanium prosthesis.
MATERIAL AND METHODS: Retrospective chart reviews were performed for 110 patients who had undergone titanium ossicular implants between November 1998 and 2002. All patients had undergone ossiculoplasty using titanium middle ear implants. Patients were divided into 2 groups: in group 1 patients underwent revision ossiculoplasty; in group 2 patients had a successful surgery at first stage. Anatomic and functional results have been studied in these two groups. Causes of failures were analysed.
RESULTS: The overall failure rate was 20% (22/110). Twenty patients underwent revision ossiculoplasty. Nine primary failures were attributable to a short implant. Two extrusions were observed. At long term billow-up, the functional gain between the primary and revision ossiculoplasty was comparable.
CONCLUSION: Revision ossiculoplasty is worthwhile for those patients who have failure of the titanium prosthesis in ossiculoplasty. A large cartilage graft interposition is necessary to prevent extrusion. The overall luxation rate observed in our series was mainly due to a too short prosthesis and we recommend now a reconstruction with longer prosthesis.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2004 |
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| Erschienen: |
2004 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:125 |
|---|---|
| Enthalten in: |
Revue de laryngologie - otologie - rhinologie - 125(2004), 3 vom: 02., Seite 157-62 |
| Sprache: |
Französisch |
|---|
| Weiterer Titel: |
Echecs et reprises chirurgicales après ossiculoplastie par prothèse en titane Kurz |
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| Beteiligte Personen: |
Nguyen, D Q [VerfasserIn] |
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| Themen: |
Biocompatible Materials |
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| Anmerkungen: |
Date Completed 08.02.2005 Date Revised 21.11.2013 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM152662030 |
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| 100 | 1 | |a Nguyen, D Q |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Failure rate and revision surgery in ossiculoplasty with Kurz titanium prosthesis |
| 246 | 3 | 3 | |a Echecs et reprises chirurgicales après ossiculoplastie par prothèse en titane Kurz |
| 264 | 1 | |c 2004 | |
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| 500 | |a Date Completed 08.02.2005 | ||
| 500 | |a Date Revised 21.11.2013 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a UNLABELLED: Despite its excellent biocompatibility, failures and in particular extrusion of the prosthesis have been described in ossiculoplasty with titanium prosthesis | ||
| 520 | |a OBJECTIVE: Report our experience with revision ossicular recontruction in ossiculoplasty with Kurz prosthesis. Identify causes of failure in ossiculoplasty using the titanium prosthesis | ||
| 520 | |a MATERIAL AND METHODS: Retrospective chart reviews were performed for 110 patients who had undergone titanium ossicular implants between November 1998 and 2002. All patients had undergone ossiculoplasty using titanium middle ear implants. Patients were divided into 2 groups: in group 1 patients underwent revision ossiculoplasty; in group 2 patients had a successful surgery at first stage. Anatomic and functional results have been studied in these two groups. Causes of failures were analysed | ||
| 520 | |a RESULTS: The overall failure rate was 20% (22/110). Twenty patients underwent revision ossiculoplasty. Nine primary failures were attributable to a short implant. Two extrusions were observed. At long term billow-up, the functional gain between the primary and revision ossiculoplasty was comparable | ||
| 520 | |a CONCLUSION: Revision ossiculoplasty is worthwhile for those patients who have failure of the titanium prosthesis in ossiculoplasty. A large cartilage graft interposition is necessary to prevent extrusion. The overall luxation rate observed in our series was mainly due to a too short prosthesis and we recommend now a reconstruction with longer prosthesis | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 7 | |a Biocompatible Materials |2 NLM | |
| 650 | 7 | |a Titanium |2 NLM | |
| 650 | 7 | |a D1JT611TNE |2 NLM | |
| 700 | 1 | |a Lavieille, J P |e verfasserin |4 aut | |
| 700 | 1 | |a Schmerber, S |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Revue de laryngologie - otologie - rhinologie |d 1947 |g 125(2004), 3 vom: 02., Seite 157-62 |w (DE-627)NLM000336807 |x 0035-1334 |7 nnns |
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