title: Total and partial ossicular replacement prostheses in children.
abstract: Although ossicular reconstruction in children may carry a risk of failure because of recurrent middle ear disease, the procedure offers the potential for restoring binaural hearing during the school years when it is so critical. Of a series of 45 reconstructions with total and partial ossicular replacement prostheses, 6 were extruded for a surgical success rate of 87%. Of the successful cases, 74% had air-bone gaps of 30 dB or better, and 74% had speech reception thresholds of 30 dB or better on initial postoperative audiogram. Outcomes for these children were comparable with those reported for adults, supporting the value of early reconstruction.
authors.affiliation: Department of Otolaryngology: Head and Neck Surgery, Children's Hospital of Philadelphia, PA.
authors.forename: A
authors.initials: A
authors.lastname: Kessler
authors.forename: W P
authors.initials: WP
authors.lastname: Potsic
authors.forename: R R
authors.initials: RR
authors.lastname: Marsh
mesh_terms: D002648:Child; D002675:Child, Preschool; D002781:Cholesteatoma / Q000601:surgery; D004427:Ear Diseases / Q000601:surgery; D004432:Ear, Middle / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006309:Hearing / Q000502:physiology; D006801:Humans; D008297:Male; D009998:Ossicular Prosthesis; D011475:Prosthesis Failure; D013067:Speech Perception / Q000502:physiology; D016896:Treatment Outcome