Document Detail

Long term results of ossiculoplasties with partial and total titanium Vario Kurz prostheses in children.
MedLine Citation:
PMID:  20800298     Owner:  NLM     Status:  In-Process    
OBJECTIVE: To assess and compare the efficacy of the Kurz titanium prostheses for total or partial ossicular reconstruction in children.
PATIENTS AND METHODS: Retrospective chart review was performed for 71 consecutive children who underwent 74 ossicular reconstructions with Kurz prostheses between December 1999 and October 2007 (27 PORP and 47 TORP). Audiological parameters using four-frequency averages (0.5, 1, 2 and 4 kHz) were assessed pre- and postoperatively. Clinical and audiometric follow-up times were respectively 33±18.6 and 30±17.7 months (mean±SD).
RESULTS: Fifty-two percent of all patients achieved an air bone gap (ABG) ≤20 dB, 53.8% in the PORP group and 51.1% in the TORP group. The improvement of the mean ABG was 13.3 dB, 9.4 dB for PORP and 14.6 dB for TORP. Overall mean pure tone averages improved 13.2±1.8 dB (mean±SEM) with 10±2.7 dB for PORP and 15±2.4 dB for TORP. The sensory neural hearing loss rate was 1.4% (one TORP) and the extrusion rate was 2.7% (n=2/74).
CONCLUSION: The success rate (ABG≤20 dB) and the pure tone averages were not different between PORP and TORP. Kurz titanium ossicular prostheses offer high biocompatibility and high stability with low complication rates in pediatric ossicular reconstruction.
S Quesnel; N Teissier; P Viala; V Couloigner; T Van Den Abbeele
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Publication Detail:
Type:  Journal Article     Date:  2010-08-30
Journal Detail:
Title:  International journal of pediatric otorhinolaryngology     Volume:  74     ISSN:  1872-8464     ISO Abbreviation:  Int. J. Pediatr. Otorhinolaryngol.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003603     Medline TA:  Int J Pediatr Otorhinolaryngol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  1226-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
ENT Department, Robert Debré Hospital, AP-HP, Paris VII University Denis Diderot, 48 Boulevard Sérurier, 75019 Paris, France.
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