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Nitinol

L Roque Reis1, M Donato1, G Almeida1

  • 1Department of Otolaryngology of Egas Moniz Hospital, West Lisbon Hospital Centre (CHLO), NOVA Medical School, Faculdade de Ciências Médicas, Lisbon, Portugall.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|September 11, 2018
PubMed
Summary
This summary is machine-generated.

Nitinol prostheses demonstrated superior effectiveness in stapes surgery compared to non-Nitinol options, significantly improving hearing outcomes. This systematic review highlights Nitinol

Keywords:
OtosclerosisProsthesesStapedectomyStapedotomyStapes surgery

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Area of Science:

  • Otolaryngology
  • Medical Engineering
  • Audiology

Background:

  • Stapes surgery is a common procedure for otosclerosis to restore hearing.
  • The choice of prosthesis, such as Nitinol or other materials, may influence surgical outcomes.
  • Objective comparison of hearing results between different stapes prostheses is crucial for clinical decision-making.

Purpose of the Study:

  • To systematically review and meta-analyze observational studies on hearing outcomes after primary stapes surgery.
  • To compare the effectiveness of stapes surgery using nickel titanium (Nitinol) versus other prostheses.
  • To evaluate the success rate based on postoperative air-bone gap (ABG) measurements.

Main Methods:

  • Systematic literature search of Embase, Medline, and Cochrane Library databases up to January 2017.
  • Inclusion of studies on otosclerosis patients undergoing primary stapes surgery comparing Nitinol and non-Nitinol prostheses.
  • Meta-analysis using audiometry guidelines, with effectiveness defined as a postoperative air-bone gap (ABG) ≤ 10 dB.

Main Results:

  • Seven eligible studies with 1385 subjects (637 Nitinol, 748 non-Nitinol) were included.
  • Stapes surgery with Nitinol prostheses showed statistically significant higher effectiveness (OR = 2.56, p = 0.003).
  • No significant difference in mean pre-operative age between groups (p = 0.931).

Conclusions:

  • Nitinol prostheses are associated with superior effectiveness in primary stapes surgery compared to non-Nitinol alternatives.
  • A higher proportion of patients achieved successful hearing outcomes (ABG ≤ 10 dB) with Nitinol prostheses.
  • Nitinol heat-crimping prostheses represent an effective option for stapes surgery in otosclerosis management.