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Updated: Jan 14, 2026
Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
Endoscopic partial and total ossicular chain reconstruction in children: A multicentric study
Giulia Molinari1, Raffael Fink2, Nicola Bisi3
1Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - Università di Bologna, Italy; Department of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Endoscopic ossiculoplasty (OPL) effectively improves hearing in pediatric patients with middle ear disease. Titanium prostheses offer superior outcomes for total ossicular replacement, while disease recurrence negatively impacts results.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Audiology
Background:
- Middle ear disease in children can lead to conductive or mixed hearing loss.
- Ossiculoplasty aims to restore hearing by reconstructing or replacing ossicles.
- Endoscopic techniques offer minimally invasive surgical options.
Purpose of the Study:
- To evaluate surgical techniques and audiological outcomes of pediatric endoscopic ossiculoplasty.
- To compare outcomes based on prosthesis type and material.
- To assess the impact of disease recurrence on hearing results.
Main Methods:
- Retrospective, multicentric study of pediatric patients undergoing endoscopic ossiculoplasty.
- Comparison of pre- and post-operative audiological assessments.
- Analysis of outcomes based on prosthesis type (PORP/TORP) and material.
Main Results:
- Significant improvement in air-bone gap (ABG) post-ossiculoplasty (29.5 dB to 18.5 dB).
- Titanium TORP showed superior ABG improvement compared to other materials.
- Healthy neotympanum associated with better hearing outcomes than disease recurrence.
Conclusions:
- Endoscopic ossiculoplasty is a safe and effective technique for pediatric hearing loss.
- Autologous materials are preferred for partial ossicular reconstruction.
- Titanium TORP provides the best hearing improvement; disease recurrence is a challenge.
