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Long-Term Results of TORP-Vibroplasty

Authors :
Dirk Beutner
Karl-Bernd Hüttenbrink
Jan-Christoffer Lüers
Antoniu-Oreste Gostian
Andreas Anagiotos
Source :
Otology & Neurotology. 36:1054-1060
Publication Year :
2015
Publisher :
Ovid Technologies (Wolters Kluwer Health), 2015.

Abstract

OBJECTIVE Assessing long-term results of patients treated with total ossicular replacement prosthesis (TORP)-vibroplasty. DESIGN Retrospective analysis. SETTING Tertiary referral center. PATIENTS A total of five patients (two women, three men; mean age, 66 yr) were eligible for evaluation after an average follow-up period of 5.1 years after TORP-vibroplasty. INTERVENTIONS Implantation of an active middle ear device in conjunction with a titanium coupler for oval window placement in patients with chronic middle ear disease with missing stapes suprastructure. MAIN OUTCOME MEASURES Audiometric outcomes and satisfaction of the patients. RESULTS The functional gain was 45.2 and 45.6 dB HL at 6 months and 5.1 years after implantation, respectively. The speech recognition using the Freiburg monosyllabic word test and speech intelligibility showed postoperatively a distinct improvement and revealed no statistically significant change across time for the entire follow-up period. According to the International Outcome Inventory for Hearing Aids questionnaire, the patients stated considerable subjective benefits and satisfaction with the device. CONCLUSION The good outcomes of TORP-vibroplasty in chronic disabled ears are stable. They provide long-term and long-lasting satisfying audiologic results combined with a high satisfaction of the patient. Prerequisite is the stable attachment to the cochlear windows.

Details

ISSN :
15317129
Volume :
36
Database :
OpenAIRE
Journal :
Otology & Neurotology
Accession number :
edsair.doi.dedup.....ae6c65c80c651169c42068bccfd40890
Full Text :
https://doi.org/10.1097/mao.0000000000000737