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Updated: Jun 18, 2026

Techniques of Endoscopic Ossiculoplasty
09:07

Techniques of Endoscopic Ossiculoplasty

Published on: January 26, 2024

Titanium versus autograft ossiculoplasty.

Jim C W Fong1, Philip Michael, Vivek Raut

  • 1New Cross Hospital, Wolverhampton, UK. FongJC@bham.ac.uk

Acta Oto-Laryngologica
|December 5, 2009
PubMed
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Titanium ossiculoplasty shows superior hearing results compared to autografts, especially without a stapes superstructure. Titanium also outperformed autografts for air-bone gaps under 10 dB when a stapes superstructure was present.

Area of Science:

  • Otolaryngology
  • Biomaterials in reconstructive surgery

Background:

  • Chronic suppurative otitis media (CSOM) often requires ossiculoplasty to restore hearing.
  • Autografts and titanium prostheses are common materials for ossiculoplasty.

Purpose of the Study:

  • To compare hearing outcomes between autograft and titanium ossiculoplasty at one year post-surgery.

Main Methods:

  • A comparative study included 52 patients with autograft ossiculoplasty and 51 with titanium ossiculoplasty.
  • Hearing results were assessed using the four-frequency average (FFA) and AAO-HNS criteria at 1 year.
  • Statistical analysis was performed to compare outcomes between the two groups.

Main Results:

  • Titanium total ossicular replacement prostheses (TORPs) significantly improved air-bone gap closure (< 20 dB) compared to autografts.

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  • Titanium partial ossicular replacement prostheses (PORPs) showed statistically significant improvement in air-bone gap closure (< 10 dB) versus autografts.

    • Conclusions:

    • Titanium ossiculoplasty yields superior hearing results compared to autografts, particularly when the stapes superstructure is absent.
    • In cases with a stapes superstructure, titanium demonstrates better outcomes than autografts for achieving an air-bone gap of less than 10 dB.