Ossicular reconstruction: a comparison of reported results

The world literature was reviewed to determine which materials in ossicular reconstruction provided good long-term results. Several key publications were selected to illustrate particular points. Attention was paid to numbers of cases reported, reconstruction used, length of follow-up, and influence of middle ear disease. The review concentrated on three materials: bone, Plastipore, and bioglass. Results suggest that bone-to-bone ossicular reconstruction by experienced otologists can provide good long-term results even in high-risk ears. The review also suggests that other materials can provide similar long-term results in low-risk ears. Prospective studies with longer follow-up are needed to determine whether all materials provide comparable results in patients with comparable middle ear disease.