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Updated: Mar 7, 2026
The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
Comparison of Fluoroplastic Causse Loop Piston and Titanium Soft-Clip in Stapedotomy
Mohammad Faramarzi1, Nafiseh Gilanifar1, Sareh Roosta1
1Otolaryngology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Introduction:
Different types of prosthesis are available for stapes replacement. Because there has been no published report on the efficacy of the titanium soft-clip vs the fluoroplastic Causse loop Teflon piston, we compared short-term hearing results of both types of prosthesis in patients who underwent stapedotomy due to otosclerosis.
Materials And Methods:
A total of 57 ears were included in the soft-clip group and 63 ears were included in the Teflon-piston group. Pre-operative and post-operative air conduction, bone conduction, air-bone gaps, speech discrimination score, and speech reception thresholds were analyzed.
Results:
Post-operative speech reception threshold gains did not differ significantly between the two groups (P=0.919). However, better post-operative air-bone gap improvement at low frequencies was observed in the Teflon-piston group over the short-term follow-up (at frequencies of 0.25 and 0.50 kHz; P=0.007 and P=0.001, respectively).
Conclusion:
Similar post-operative hearing results were observed in the two groups in the short-term.
