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Related Concept Videos

The Auditory Ossicles01:11

The Auditory Ossicles

3.7K
The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...
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Related Experiment Video

Updated: Mar 27, 2026

The Microscopic Transcanal Approach in Stapes Surgery Revisited
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Audiological comparison between two different clips prostheses in stapes surgery.

M Potena, D Portmann, S Guindi

    Revue De Laryngologie - Otologie - Rhinologie
    |January 12, 2016
    PubMed
    Summary
    This summary is machine-generated.

    The Soft Clip Piston (SCP) and Portmann Clip Piston (PCP) showed similar audiometric results and complication rates in stapes surgery. Both prostheses significantly improved hearing, making SCP a viable alternative to PCP.

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    Area of Science:

    • Otolaryngology
    • Neurosurgery
    • Biomedical Engineering

    Background:

    • Stapes surgery is a common procedure for hearing restoration in otosclerosis.
    • Piston prostheses are crucial for reconstructing the ossicular chain.
    • Comparing different piston types is essential for optimizing surgical outcomes.

    Purpose of the Study:

    • To compare the audiometric results and complication rates of stapes surgery using the Portmann Clip Piston (PCP) and the Soft Clip Piston (SCP).

    Main Methods:

    • A matched-pair study of 64 patients undergoing primary stapedotomy (32 with PCP, 32 with SCP).
    • Patients were matched for demographics, otosclerosis characteristics, and surgical details.
    • Audiometric evaluation (air, bone conduction, air-bone gap) and complication monitoring were performed pre- and post-operatively.

    Main Results:

    • No statistically significant differences in hearing levels or air-bone gap closure between PCP and SCP groups.
    • Both prostheses demonstrated significant post-operative hearing improvement.
    • No significant difference in complication rates (tinnitus, vertigo, taste alteration) between the two groups.

    Conclusions:

    • The Soft Clip Piston (SCP) is a comparable alternative to the Portmann Clip Piston (PCP) for stapes surgery.
    • While both yield similar functional outcomes, surgical fixation techniques differ between the two piston types.