The TORP-PORP: A Tympanoplasty Technique for Isolated Defects of the Stapes Suprastructure.

Otol Neurotol

Medical Faculty, Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Germany.

Published: March 2024

AI Article Synopsis

  • The study aimed to evaluate the effectiveness of a surgical technique using a modified total ossicular replacement prosthesis (TORP) to treat specific ear defects.
  • Eleven patients, mostly middle-aged, underwent this procedure between 2007 and 2022, focusing on improving hearing quality.
  • Results showed significant improvements in air conduction post-surgery without complications or the need for follow-up revisions, confirming the procedure's safety and effectiveness.

Article Abstract

Objective: Investigating the outcomes of a surgical approach to treat isolated defects of the stapes suprastructure, using a modified total ossicular replacement prosthesis (TORP) prosthesis as a PORP between the footplate and the incus, effectively creating a TORP-PORP configuration.

Patients: Eleven patients (mean age, 37.2 years; 36% male and 64% female) between the years 2007 and 2022.

Interventions: Therapeutic (ossiculoplasty).

Main Outcome Measures: Hearing gain (in dB) in air conduction thresholds at 0.5, 1, 2, 3, and 4 kHz, stability of bone conduction, revision rate.

Results: Significant improvement in air conduction between the preoperative and the postoperative cohorts (p = 0.002) with a mean postoperative hearing level of 30.00 ± 5.25 dB. The bone conduction remained stable. We encountered no perioperative complications, and there were no revisions surgery.

Conclusions: The described ossiculoplasty procedure is a safe and effective approach to treat isolated defects of the stapes suprastructure.

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Source
http://dx.doi.org/10.1097/MAO.0000000000004124DOI Listing

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