total ossiculoplasty advantages of two-point stabilization technique总ossiculoplasty两点稳定技术的优势.pdfVIP

Hindawi Publishing Corporation International Journal of Otolaryngology Volume 2012, Article ID 346260, 9 pages doi:10.1155/2012/346260 Clinical Study Total Ossiculoplasty: Advantages of Two-Point Stabilization Technique Leonard Berenholz, John Burkey, and William Lippy The Lippy Group, 3893 E. Market Street, Warren, OH 44484, USA Correspondence should be addressed to Leonard Berenholz, lenb344@ Received 19 October 2011; Accepted 24 January 2012 Academic Editor: Bruce Black Copyright © 2012 Leonard Berenholz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective. Evaluate a porous polyethylene prosthesis with two-point stabilization in total ossiculoplasty. This approach utilizes a lateral as well as a medial graft to stabilize a total ossicular prosthesis (TOP). Study Design. Retrospective cohort review of total ossiculoplasty. Methods. All patients who underwent total ossiculoplasty during the years 2004–2007 were included in the study group. Only five patients (10%) had primary surgery whereas 45 (90%) underwent revision surgery. Cartilage grafts covering the prosthesis (Sheehy, Xomed) laterally were used in all patients with areolar tissue being used for medial stabilization at the stapes footplate. Follow-up examination and audiometrics were performed a mean of 8.1 months following surgery. Results. The percentage of patients closing their ABG to within 10 dB was 44% with 66% closing their ABG to within 20 dB. The mean four- frequency hearing gain was 15.7 dB. The mean postoperative ABG was 15.7 dB. Conclusion. Audiometric results following total ossiculoplasty surgery using two-poin