Incus Replacement Malleostapedotomy in Quiescent Chronic Otitis Media With a Mobile Stapes Footplate: An Alternative to TORP in Select Cases

M.B. Gluth, S. Motakef, Peter Friedland, M.D. Atlas

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    Objective: To review the results of malleostapedotomy for incus replacement in the setting of quiescent chronic otitis media and a mobile stapes footplate and to discuss the potential application for this technique in select cases.Patients: Seven individuals having undergone malleostapedotomy in the setting of quiescent chronic otitis media and a mobile stapes footplate between 2004 and 2009. Intervention: Review of surgical results and hearing outcomes as measured by preoperative and postoperative pure-tone audiometry.Main Outcome Measures: Closure of preoperative air-bone gap and change in preoperative versus postoperative pure-tone bone conduction thresholds.Results: Improvement in air-bone gap was noted in 6 of 7 subjects with an average closure of 17 dB. In 5 of 7 subjects, the air-bone gap was closed to 20 dB or less, and in 3 of 7 subjects, the air-bone gap was closed to 10 dB or less. No significant changes in postoperative bone conduction pure-tone average thresholds were noted. No immediate or delayed complications were encountered over an average follow-up time of 23.6 months ( range, 5-42 mo).Conclusion: Although the data are limited by the small sample size, malleostapedotomy seems to be a potentially safe and effective alternative to placement of a total ossicular replacement prosthesis in properly selected specialized instances of quiescent chronic otitis media. Further study is recommended to more definitively establish the safety and efficacy of this technique.
    Original languageEnglish
    Pages (from-to)242-245
    JournalOtology & Neurotology
    Volume32
    DOIs
    Publication statusPublished - 2011

    Fingerprint

    Ossicular Prosthesis
    Incus
    Stapes
    Otitis Media
    Air
    Bone Conduction
    Bone and Bones
    Pure-Tone Audiometry
    Sample Size
    Hearing
    Outcome Assessment (Health Care)
    Safety

    Cite this

    @article{479023c397d149d39db9342196d69dfa,
    title = "Incus Replacement Malleostapedotomy in Quiescent Chronic Otitis Media With a Mobile Stapes Footplate: An Alternative to TORP in Select Cases",
    abstract = "Objective: To review the results of malleostapedotomy for incus replacement in the setting of quiescent chronic otitis media and a mobile stapes footplate and to discuss the potential application for this technique in select cases.Patients: Seven individuals having undergone malleostapedotomy in the setting of quiescent chronic otitis media and a mobile stapes footplate between 2004 and 2009. Intervention: Review of surgical results and hearing outcomes as measured by preoperative and postoperative pure-tone audiometry.Main Outcome Measures: Closure of preoperative air-bone gap and change in preoperative versus postoperative pure-tone bone conduction thresholds.Results: Improvement in air-bone gap was noted in 6 of 7 subjects with an average closure of 17 dB. In 5 of 7 subjects, the air-bone gap was closed to 20 dB or less, and in 3 of 7 subjects, the air-bone gap was closed to 10 dB or less. No significant changes in postoperative bone conduction pure-tone average thresholds were noted. No immediate or delayed complications were encountered over an average follow-up time of 23.6 months ( range, 5-42 mo).Conclusion: Although the data are limited by the small sample size, malleostapedotomy seems to be a potentially safe and effective alternative to placement of a total ossicular replacement prosthesis in properly selected specialized instances of quiescent chronic otitis media. Further study is recommended to more definitively establish the safety and efficacy of this technique.",
    author = "M.B. Gluth and S. Motakef and Peter Friedland and M.D. Atlas",
    year = "2011",
    doi = "10.1097/MAO.0b013e3182015f44",
    language = "English",
    volume = "32",
    pages = "242--245",
    journal = "Otology & Neurotology",
    issn = "0192-9763",
    publisher = "Lippincott Williams & Wilkins",

    }

    Incus Replacement Malleostapedotomy in Quiescent Chronic Otitis Media With a Mobile Stapes Footplate: An Alternative to TORP in Select Cases. / Gluth, M.B.; Motakef, S.; Friedland, Peter; Atlas, M.D.

    In: Otology & Neurotology, Vol. 32, 2011, p. 242-245.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Incus Replacement Malleostapedotomy in Quiescent Chronic Otitis Media With a Mobile Stapes Footplate: An Alternative to TORP in Select Cases

    AU - Gluth, M.B.

    AU - Motakef, S.

    AU - Friedland, Peter

    AU - Atlas, M.D.

    PY - 2011

    Y1 - 2011

    N2 - Objective: To review the results of malleostapedotomy for incus replacement in the setting of quiescent chronic otitis media and a mobile stapes footplate and to discuss the potential application for this technique in select cases.Patients: Seven individuals having undergone malleostapedotomy in the setting of quiescent chronic otitis media and a mobile stapes footplate between 2004 and 2009. Intervention: Review of surgical results and hearing outcomes as measured by preoperative and postoperative pure-tone audiometry.Main Outcome Measures: Closure of preoperative air-bone gap and change in preoperative versus postoperative pure-tone bone conduction thresholds.Results: Improvement in air-bone gap was noted in 6 of 7 subjects with an average closure of 17 dB. In 5 of 7 subjects, the air-bone gap was closed to 20 dB or less, and in 3 of 7 subjects, the air-bone gap was closed to 10 dB or less. No significant changes in postoperative bone conduction pure-tone average thresholds were noted. No immediate or delayed complications were encountered over an average follow-up time of 23.6 months ( range, 5-42 mo).Conclusion: Although the data are limited by the small sample size, malleostapedotomy seems to be a potentially safe and effective alternative to placement of a total ossicular replacement prosthesis in properly selected specialized instances of quiescent chronic otitis media. Further study is recommended to more definitively establish the safety and efficacy of this technique.

    AB - Objective: To review the results of malleostapedotomy for incus replacement in the setting of quiescent chronic otitis media and a mobile stapes footplate and to discuss the potential application for this technique in select cases.Patients: Seven individuals having undergone malleostapedotomy in the setting of quiescent chronic otitis media and a mobile stapes footplate between 2004 and 2009. Intervention: Review of surgical results and hearing outcomes as measured by preoperative and postoperative pure-tone audiometry.Main Outcome Measures: Closure of preoperative air-bone gap and change in preoperative versus postoperative pure-tone bone conduction thresholds.Results: Improvement in air-bone gap was noted in 6 of 7 subjects with an average closure of 17 dB. In 5 of 7 subjects, the air-bone gap was closed to 20 dB or less, and in 3 of 7 subjects, the air-bone gap was closed to 10 dB or less. No significant changes in postoperative bone conduction pure-tone average thresholds were noted. No immediate or delayed complications were encountered over an average follow-up time of 23.6 months ( range, 5-42 mo).Conclusion: Although the data are limited by the small sample size, malleostapedotomy seems to be a potentially safe and effective alternative to placement of a total ossicular replacement prosthesis in properly selected specialized instances of quiescent chronic otitis media. Further study is recommended to more definitively establish the safety and efficacy of this technique.

    U2 - 10.1097/MAO.0b013e3182015f44

    DO - 10.1097/MAO.0b013e3182015f44

    M3 - Article

    VL - 32

    SP - 242

    EP - 245

    JO - Otology & Neurotology

    JF - Otology & Neurotology

    SN - 0192-9763

    ER -