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The missing stapes and the Tabor prosthesis.

J Sade, E Yaniv, S Gestner

The Journal of Otolaryngology

|December 1, 1982

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A novel stapes replacement prosthesis (SRP), the "Tabor," demonstrates high success rates in restoring hearing. This innovative prosthesis significantly improves air conduction and reduces the air-bone gap, offering a promising solution for hearing loss.

Area of Science:

Otolaryngology
Biomaterials Engineering
Neurosurgery

Background:

Stapes replacement prostheses (SRPs) are crucial for treating hearing loss caused by otosclerosis.
Existing prostheses face challenges with stability and extrusion.
A need exists for improved stapes prostheses offering better biocompatibility and surgical outcomes.

Purpose of the Study:

To describe a new stapes replacement prosthesis, the "Tabor."
To evaluate the efficacy and safety of the Tabor prosthesis in patients undergoing stapes surgery.
To assess the audiological outcomes, including air conduction, bone conduction, and air-bone gap.

Main Methods:

The Tabor prosthesis features a two-part design: a biocompatible Teflon base for stability and an autograft/homograft bone (malleus head) for secure placement.

Related Experiment Videos

Surgical implantation of the Tabor prosthesis was performed on 12 ears.

Postoperative audiological assessments were conducted to measure hearing improvements.

Main Results:

The Tabor prosthesis achieved an 11 out of 12 success rate in the operated ears.
Average postoperative air conduction improved by 33 dB (range: 15-50 dB).
The average air-bone gap was reduced to 18 dB (range: 5-30 dB), and bone conduction improved from 21 dB to 14 dB.

Conclusions:

The Tabor stapes replacement prosthesis is a safe and effective option for hearing restoration.
Its innovative design ensures stability and reduces extrusion risk.
The prosthesis leads to significant audiological improvements in patients with hearing loss.