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Related Experiment Video

Updated: Jun 23, 2026

The Microscopic Transcanal Approach in Stapes Surgery Revisited
07:35

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Published on: February 16, 2022

[Stapes surgery : first experiences with the new Soft-CliP piston].

C Brase1, J Zenk, J Wurm

  • 1Hals-Nasen-Ohren-Klinik, Kopf- und Halschirurgie, Universitätsklinikum Erlangen, Waldstrasse 1, 91054, Erlangen, Deutschland. Christoph.Brase@uk-erlangen.de

HNO
|April 23, 2009
PubMed
Summary
This summary is machine-generated.

The novel Soft-CliP(R) piston stapes prosthesis shows promising initial hearing results in stapes surgery. This clip-function prosthesis simplifies incus fixation, with most patients achieving a reduced air-bone gap post-operation.

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Biomedical Engineering

Background:

  • Stapes surgery is a critical procedure in otology.
  • The fixation of stapes prostheses to the incus presents a surgical challenge.
  • A new stapes prosthesis, the Soft-CliP(R) piston, has been developed to address this.

Purpose of the Study:

  • To present the initial hearing outcomes of the Soft-CliP(R) piston prosthesis.
  • To evaluate the efficacy and ease of use of the new prosthesis in stapes surgery.

Main Methods:

  • The Soft-CliP(R) piston prosthesis (0.4 mm shaft diameter, 4.25-5.5 mm length) was used in 15 patients (mean age 45.2 years).
  • Patients underwent routine stapes surgery.
  • Postoperative audiological testing and air-bone gap (ABG) measurements were compared to preoperative values after an average of 47.3 days.

Main Results:

  • The median postoperative air-bone gap (ABG) was 8.33 dB +/-4.16 dB.
  • All patients achieved an ABG of less than 20 dB.
  • In 53.3% of cases, the ABG was less than 10 dB.

Conclusions:

  • The Soft-CliP(R) piston prosthesis design simplifies the challenging step of prosthesis fixation to the incus.
  • Initial postoperative hearing results are highly promising.
  • Long-term data from a larger patient cohort are needed for definitive conclusions.