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Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
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Long-term outcomes of ossiculoplasty techniques
Tankut Uzun1, Hamdi Çaklı2, Ercan Kaya2
1Department of Otorhinolaryngology, Izmir Bakircay University Cigli Training and Research Hospital, Izmir, Turkey.
Acta Oto-Laryngologica
|June 26, 2025
Summary
Bone cement provides an effective and economical solution for ossiculoplasty, especially for incudostapedial repairs. Total ossicular replacement prostheses (TORP) may offer better outcomes than cortical bone in certain cases.
Area of Science:
- Otolaryngology
- Biomaterials Science
- Audiology
Background:
- The ideal ossiculoplasty technique requires effective sound transmission, surgical feasibility, biocompatibility, and stability, with no current material meeting all criteria cost-effectively.
- Various materials like cortical bone, bone cement, and titanium prostheses are used for ossiculoplasty, each with potential advantages and limitations.
Purpose of the Study:
- To compare the long-term audiological outcomes of different ossiculoplasty techniques.
- To evaluate the effectiveness of bone cement and titanium prostheses in restoring hearing.
Main Methods:
- A retrospective study analyzed 116 patients undergoing ossiculoplasty with cortical bone, bone cement, or titanium prostheses.
- Audiological outcomes, including air-bone gap (ABG) and hearing gain, were assessed 2 years post-surgery.
Main Results:
- Significant ABG improvement was noted with incus-stapes bone cement, total ossicular replacement prostheses (TORP), and partial ossicular replacement prostheses (PORP).
- While hearing gain was observed with malleus-stapes bone cement and cortical bone, it was not statistically significant.
- Over 76% of incus-stapes bone cement procedures and 53% of TORP procedures achieved a hearing gain greater than 10 dB.
Conclusions:
- Bone cement is an effective and economical choice for ossiculoplasty, particularly for incudostapedial repairs.
- TORP prostheses may be superior to cortical bone in patients with non-functional ossicular chains, despite lacking statistically significant differences in this study.
