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Updated: Jul 3, 2025
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
The TORP-PORP: A Tympanoplasty Technique for Isolated Defects of the Stapes Suprastructure
Julia Esser1, Jens Peter Klussmann, Karl Bernd Hüttenbrink
1Medical Faculty, Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Germany.
Objective:
Investigating the outcomes of a surgical approach to treat isolated defects of the stapes suprastructure, using a modified total ossicular replacement prosthesis (TORP) prosthesis as a PORP between the footplate and the incus, effectively creating a TORP-PORP configuration.
Patients:
Eleven patients (mean age, 37.2 years; 36% male and 64% female) between the years 2007 and 2022.
Interventions:
Therapeutic (ossiculoplasty).
Main Outcome Measures:
Hearing gain (in dB) in air conduction thresholds at 0.5, 1, 2, 3, and 4 kHz, stability of bone conduction, revision rate.
Results:
Significant improvement in air conduction between the preoperative and the postoperative cohorts (p = 0.002) with a mean postoperative hearing level of 30.00 ± 5.25 dB. The bone conduction remained stable. We encountered no perioperative complications, and there were no revisions surgery.
Conclusions:
The described ossiculoplasty procedure is a safe and effective approach to treat isolated defects of the stapes suprastructure.
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