Extrusion and Dislocation in Titanium Middle Ear Prostheses: A Literature Review
Titanium middle ear (ME) prostheses are widely used in surgical practice due to their acoustic properties. However, they present a significant drawback shared by all synthetic materials currently in use for ME reconstruction: they can be rejected by the organism of the host. In this study, we aim to...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/13/10/1476 |
| _version_ | 1827721442588884992 |
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| author | Pietro Canzi Elena Carlotto Luca Bruschini Domenico Minervini Mario Mosconi Laura Caliogna Ilaria Ottoboni Cesare Chiapperini Francesco Lazzerini Francesca Forli Stefano Berrettini Marco Benazzo |
| author_facet | Pietro Canzi Elena Carlotto Luca Bruschini Domenico Minervini Mario Mosconi Laura Caliogna Ilaria Ottoboni Cesare Chiapperini Francesco Lazzerini Francesca Forli Stefano Berrettini Marco Benazzo |
| author_sort | Pietro Canzi |
| collection | DOAJ |
| description | Titanium middle ear (ME) prostheses are widely used in surgical practice due to their acoustic properties. However, they present a significant drawback shared by all synthetic materials currently in use for ME reconstruction: they can be rejected by the organism of the host. In this study, we aim to review the current literature on titanium partial ossicular replacement prostheses (PORPs) and total ossicular replacement prostheses (TORPs) extrusion and dislocation. Eighty articles were analysed after a full article review based on the inclusion and exclusion criteria. The most common indication for reconstruction was chronic otitis media with cholesteatoma. The average extrusion or dislocation rate was 5.2%, ranging from 0 to 35%. The average improvements in the air–bone gap were 12.1 dB (1.6 dB to 25.1 dB) and 13.8 (−0.5 dB to 22.7 dB) for the PORP and TORP groups, respectively. The data reported on this topic are highly variable, demonstrating that functional outcomes are difficult to predict in clinical practice. We believe that the current limitations could be overcome with technological developments, including bioengineering research focused on promoting prosthesis adaptation to the ME environment. |
| first_indexed | 2024-03-10T21:23:28Z |
| format | Article |
| id | doaj.art-5ab09c0ab71e42c4a851dc7833957834 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-10T21:23:28Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-5ab09c0ab71e42c4a851dc78339578342023-11-19T15:53:29ZengMDPI AGBrain Sciences2076-34252023-10-011310147610.3390/brainsci13101476Extrusion and Dislocation in Titanium Middle Ear Prostheses: A Literature ReviewPietro Canzi0Elena Carlotto1Luca Bruschini2Domenico Minervini3Mario Mosconi4Laura Caliogna5Ilaria Ottoboni6Cesare Chiapperini7Francesco Lazzerini8Francesca Forli9Stefano Berrettini10Marco Benazzo11Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyDepartment of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, ItalyOtolaryngology, ENT Audiology and Phoniatrics Unit, University Hospital of Pisa, 56126 Pisa, ItalyDepartment of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, ItalyDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyOrthopedics and Traumatology Clinic, IRCCS Policlinico San Matteo Foundation, 27100 Pavia, ItalyDepartment of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, ItalyDepartment of Otorhinolaryngology, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, ItalyOtolaryngology, ENT Audiology and Phoniatrics Unit, University Hospital of Pisa, 56126 Pisa, ItalyOtolaryngology, ENT Audiology and Phoniatrics Unit, University Hospital of Pisa, 56126 Pisa, ItalyOtolaryngology, ENT Audiology and Phoniatrics Unit, University Hospital of Pisa, 56126 Pisa, ItalyDepartment of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, ItalyTitanium middle ear (ME) prostheses are widely used in surgical practice due to their acoustic properties. However, they present a significant drawback shared by all synthetic materials currently in use for ME reconstruction: they can be rejected by the organism of the host. In this study, we aim to review the current literature on titanium partial ossicular replacement prostheses (PORPs) and total ossicular replacement prostheses (TORPs) extrusion and dislocation. Eighty articles were analysed after a full article review based on the inclusion and exclusion criteria. The most common indication for reconstruction was chronic otitis media with cholesteatoma. The average extrusion or dislocation rate was 5.2%, ranging from 0 to 35%. The average improvements in the air–bone gap were 12.1 dB (1.6 dB to 25.1 dB) and 13.8 (−0.5 dB to 22.7 dB) for the PORP and TORP groups, respectively. The data reported on this topic are highly variable, demonstrating that functional outcomes are difficult to predict in clinical practice. We believe that the current limitations could be overcome with technological developments, including bioengineering research focused on promoting prosthesis adaptation to the ME environment.https://www.mdpi.com/2076-3425/13/10/1476middle earossicular replacement prosthesistitaniumextrusiondislocationcomplication |
| spellingShingle | Pietro Canzi Elena Carlotto Luca Bruschini Domenico Minervini Mario Mosconi Laura Caliogna Ilaria Ottoboni Cesare Chiapperini Francesco Lazzerini Francesca Forli Stefano Berrettini Marco Benazzo Extrusion and Dislocation in Titanium Middle Ear Prostheses: A Literature Review Brain Sciences middle ear ossicular replacement prosthesis titanium extrusion dislocation complication |
| title | Extrusion and Dislocation in Titanium Middle Ear Prostheses: A Literature Review |
| title_full | Extrusion and Dislocation in Titanium Middle Ear Prostheses: A Literature Review |
| title_fullStr | Extrusion and Dislocation in Titanium Middle Ear Prostheses: A Literature Review |
| title_full_unstemmed | Extrusion and Dislocation in Titanium Middle Ear Prostheses: A Literature Review |
| title_short | Extrusion and Dislocation in Titanium Middle Ear Prostheses: A Literature Review |
| title_sort | extrusion and dislocation in titanium middle ear prostheses a literature review |
| topic | middle ear ossicular replacement prosthesis titanium extrusion dislocation complication |
| url | https://www.mdpi.com/2076-3425/13/10/1476 |
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