Ossiculoplasty with J.B. Causse composite prostheses: our experience with 500 cases

In ossicular pathology, many options are available when the restoration of the columellar effect is required. Autoplasty, heteroplasty and homoplasty have advantages and disadvantages, but considerable recent progress in development of the prosthesis has changed the state of the situation. 500 partial and total prostheses (Porp and Torp) of composite material (Flex HA and Teflon HA) designed by Jean-Bernard Causse and developed by Microtek, were used from January 1992 until December 1993. The authors present results at short and middle term involving all aspects of otologic surgery, as well as surgical techniques that were used.