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76th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

04.05. - 08.05.2005, Erfurt

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Ossicular reconstruction with Bulgarian prosthesis from ceromer

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  • corresponding author Petar Rouev - Uni-HNO-Kliniк Stara Zagora, Bulgaria
  • author Mario Milkov - Uni-HNO-Kliniк Varna, Medical University Varna, Bulgaria
  • Plamen Nedev - Uni-HNO-Kliniк Varna, Medical University Varna, Bulgaria
  • author Pavel Dimov - Uni-HNO-Kliniк Stara Zagora, Bulgaria
  • author Dimitar Marev - Uni-HNO-Kliniк Varna, Medical University Varna, Bulgaria

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Erfurt, 04.-08.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05hno171

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hno2005/05hno102.shtml

Published: September 22, 2005

© 2005 Rouev et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Hypothesis: The goal of this study was to analyze hearing results after implantation of Bulgarian PORP and TORP from Ceromer.

Study design: We conducted a prospective review of 16 patients undergo primary or secondary middle ear operations performed between August 2003 and August 2004.

Methods: PORP and TORP from Ceromer were inserted for different anatomic or pathologic situations in the operated middle ear in 16 patients. Pure-tone audiometry for bone and air conduction threshold was performed in all the patients. Hearing tests were carried out before and 45 days and 3 months after the operation.

Results: The average preoperative air-bone gap in all operations was 45 dB, whereas the mean postoperative gap was 15 dB hearing loss for TORP and 20 dB for PORP. The air-bone gap to within 10 dB was achieved in 75% of patients.

Conclusions: The results by surgery of cholesteatoma suggest that TORP in comparison with PORP was better audiological outcome in ossiculoplasty. The hearing results with prostheses composed of a ceromer are good and comparable to the results of authors using other synthetic ossicular prostheses. These prostheses are timesaving because it can be quickly cut and shortened to an individual length. The price of the prosthesis is extremely low, what is an important advantage for popular application in our country. In the future, longer follow-up and increased patient numbers will strengthen our conclusions.