Ossicular reconstruction: a comparison of reported results.
The world literature was reviewed to determine which materials in ossicular reconstruction provided good long-term results. Several key publications were selected to illustrate particular points. Attention was paid to numbers of cases reported, reconstruction used, length of follow-up, and influence of middle ear disease. The review concentrated on three materials: bone, Plastipore, and bioglass. Results suggest that bone-to-bone ossicular reconstruction by experienced otologists can provide good long-term results even in high-risk ears. The review also suggests that other materials can provide similar long-term results in low-risk ears. Prospective studies with longer follow-up are needed to determine whether all materials provide comparable results in patients with comparable middle ear disease.
Hughes
G B
GB
Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, OH 44106.
D016025:Bone Transplantation; D002516:Ceramics; D005898:Glass; D006801:Humans; D007188:Incus / Q000601:surgery; D009998:Ossicular Prosthesis; D011095:Polyethylenes; D011126:Polypropylenes; D012189:Retrospective Studies
C016674:Plastipore; D011095:Polyethylenes; D011126:Polypropylenes