JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY
Online ISSN : 1884-474X
Print ISSN : 1349-581X
ISSN-L : 1349-581X
Cartilage Connecting Ossicular Chain Prosthesis
Shugo ShiraishiYasuo HosodaToyohiko MinamiKouichi TomodaToshio Yamashita
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1996 Volume 6 Issue 3 Pages 209-214

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Abstract
There are two main problems for artificial ossicular chain prosthesis ; extrusion and postoperative slippage of prosthesis. We manufactured a new hydroxylapatite prosthesis “carti-lage connecting ossicular chain prosthesis” with a planar-like head portion to contact with a piece of cartilage. As a result, postoperative extrusion rate was 4/124 (3.2 %) which seemed lower than the conventional type, and hearing success rates were 78.8 % in modified type III tympanoplasty, 80.0 % in modified type IV tympanoplasty. Average improvement on air conduction were 13.5 dB in modified type III tympanoplasty, 17.5 dB in modified type IV tympanoplasty. Those good results were explained by that the “Cartilage connecting ossicular chain prosthesis” Was tightly attached with a reconstructed tympanic membrane and ossicular chain prosthesis might be stable in tympanic cavity.
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