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Updated: May 17, 2026

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Long-term hearing result using Kurz titanium ossicular implants.

Jeanette Hess-Erga1, Per Møller, Flemming Slinning Vassbotn

  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Haukeland University Hospital, 5021 Bergen, Norway. jeanette.hess-erga@helse-bergen.no

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|October 20, 2012
PubMed
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Titanium middle ear implants provide stable, long-term hearing improvements for chronic ear disease patients. This study confirms their effectiveness in ossicular reconstruction, showing excellent audiological outcomes with a low extrusion rate.

Area of Science:

  • Otolaryngology
  • Biomaterials Science
  • Surgical Innovation

Background:

  • Titanium implants are increasingly used in middle ear surgery for ossicular reconstruction.
  • Long-term patient outcome data for these implants remain limited, particularly in diverse patient cohorts.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of titanium middle ear implants in ossicular reconstruction for chronic ear disease.
  • To analyze audiological outcomes, complications, and extrusion rates in a cohort of patients.

Main Methods:

  • Retrospective chart review of 76 patients who received Kurz Vario titanium implants between 2000 and 2007.
  • Assessment of audiological parameters (4 frequencies) pre- and post-operatively, with a mean follow-up of 5.2 years.
  • Analysis of surgical procedures, complications, revisions, and implant extrusion rates.

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Main Results:

  • A postoperative air-bone gap of ≤ 20 dB was achieved in 74% of patients (82% for partial ossicular replacement prostheses, 63% for total ossicular replacement prostheses).
  • The overall extrusion rate was 5%.
  • No patient dropouts occurred during the study period.

Conclusions:

  • Titanium ossicular implants demonstrate stable and excellent long-term hearing results in patients with chronic ear disease.
  • The Kurz Vario titanium implant is a reliable option for ossicular reconstruction, offering significant audiological benefits.
  • The low extrusion rate further supports the use of titanium implants in otological surgery.