Evaluating hearing results in stapedotomy: Comparison of fluoroplastic Causse loop piston and Matrix prosthesis

Abstract Objective We carried out this research to assess and compare post‐stapedotomy hearing results of Matrix titanium prosthesis with a Teflon piston prosthesis, specifically the fluoroplastic (Teflon) Causse loop piston prosthesis in patients who suffered from otosclerosis. Methodology In this...

Full description

Bibliographic Details
Main Authors: Mohammad Faramarzi, Pegah Pedramfard, Sareh Roosta, Tayebeh Kazemi, Hanie Aboughadare
Format: Article
Language:English
Published: Wiley 2021-12-01
Series:Laryngoscope Investigative Otolaryngology
Subjects:
Online Access:https://doi.org/10.1002/lio2.675
_version_ 1829487102773952512
author Mohammad Faramarzi
Pegah Pedramfard
Sareh Roosta
Tayebeh Kazemi
Hanie Aboughadare
author_facet Mohammad Faramarzi
Pegah Pedramfard
Sareh Roosta
Tayebeh Kazemi
Hanie Aboughadare
author_sort Mohammad Faramarzi
collection DOAJ
description Abstract Objective We carried out this research to assess and compare post‐stapedotomy hearing results of Matrix titanium prosthesis with a Teflon piston prosthesis, specifically the fluoroplastic (Teflon) Causse loop piston prosthesis in patients who suffered from otosclerosis. Methodology In this retrospective study, Causse loop piston prosthesis was used in 81 ears, and the Matrix prosthesis was applied in 44 ears. For pairwise matching with Matrix prosthesis, 44 out of 81 Causse loop piston‐treated ears were selected based on preoperative audiometric data. Then, postoperative audiometric results of these two groups were compared. The main outcomes were pure tone audiometric results and air‐bone gap (ABG) closure before and after the surgery. Incidence of postoperative sensorineural hearing loss was also evaluated and compared between the two groups. Results The results revealed no significant difference in improvement of speech reception threshold, mean air conduction, bone conduction gain, ABG closure, and incidence of postoperative sensorineural hearing loss at the frequencies of 0.5‐4 kHz between the two groups. However, performance of Matrix prosthesis was better in ABG closure at a frequency of 250 Hz. Conclusion Herein, similar postoperative improvement was achieved at the frequencies of 0.5‐4 kHz; nevertheless, Matrix provided better ABG closure at frequency of 250 Hz in short term. Level of Evidence 4
first_indexed 2024-12-14T23:20:54Z
format Article
id doaj.art-f6cebab7a40c4a57bc25fbcc459c55f3
institution Directory Open Access Journal
issn 2378-8038
language English
last_indexed 2024-12-14T23:20:54Z
publishDate 2021-12-01
publisher Wiley
record_format Article
series Laryngoscope Investigative Otolaryngology
spelling doaj.art-f6cebab7a40c4a57bc25fbcc459c55f32022-12-21T22:43:58ZengWileyLaryngoscope Investigative Otolaryngology2378-80382021-12-01661289129510.1002/lio2.675Evaluating hearing results in stapedotomy: Comparison of fluoroplastic Causse loop piston and Matrix prosthesisMohammad Faramarzi0Pegah Pedramfard1Sareh Roosta2Tayebeh Kazemi3Hanie Aboughadare4Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz IranStudent Research Committee, School of Medicine Shiraz University of Medical Sciences Shiraz IranOtolaryngology Research Center Shiraz University of Medical Sciences Shiraz IranOtolaryngology Research Center Shiraz University of Medical Sciences Shiraz IranStudent Research Committee, School of Medicine Shiraz University of Medical Sciences Shiraz IranAbstract Objective We carried out this research to assess and compare post‐stapedotomy hearing results of Matrix titanium prosthesis with a Teflon piston prosthesis, specifically the fluoroplastic (Teflon) Causse loop piston prosthesis in patients who suffered from otosclerosis. Methodology In this retrospective study, Causse loop piston prosthesis was used in 81 ears, and the Matrix prosthesis was applied in 44 ears. For pairwise matching with Matrix prosthesis, 44 out of 81 Causse loop piston‐treated ears were selected based on preoperative audiometric data. Then, postoperative audiometric results of these two groups were compared. The main outcomes were pure tone audiometric results and air‐bone gap (ABG) closure before and after the surgery. Incidence of postoperative sensorineural hearing loss was also evaluated and compared between the two groups. Results The results revealed no significant difference in improvement of speech reception threshold, mean air conduction, bone conduction gain, ABG closure, and incidence of postoperative sensorineural hearing loss at the frequencies of 0.5‐4 kHz between the two groups. However, performance of Matrix prosthesis was better in ABG closure at a frequency of 250 Hz. Conclusion Herein, similar postoperative improvement was achieved at the frequencies of 0.5‐4 kHz; nevertheless, Matrix provided better ABG closure at frequency of 250 Hz in short term. Level of Evidence 4https://doi.org/10.1002/lio2.675fluoroplastic Causse loop pistonmatrix prosthesisossicular prosthesisotosclerosisstapes surgery
spellingShingle Mohammad Faramarzi
Pegah Pedramfard
Sareh Roosta
Tayebeh Kazemi
Hanie Aboughadare
Evaluating hearing results in stapedotomy: Comparison of fluoroplastic Causse loop piston and Matrix prosthesis
Laryngoscope Investigative Otolaryngology
fluoroplastic Causse loop piston
matrix prosthesis
ossicular prosthesis
otosclerosis
stapes surgery
title Evaluating hearing results in stapedotomy: Comparison of fluoroplastic Causse loop piston and Matrix prosthesis
title_full Evaluating hearing results in stapedotomy: Comparison of fluoroplastic Causse loop piston and Matrix prosthesis
title_fullStr Evaluating hearing results in stapedotomy: Comparison of fluoroplastic Causse loop piston and Matrix prosthesis
title_full_unstemmed Evaluating hearing results in stapedotomy: Comparison of fluoroplastic Causse loop piston and Matrix prosthesis
title_short Evaluating hearing results in stapedotomy: Comparison of fluoroplastic Causse loop piston and Matrix prosthesis
title_sort evaluating hearing results in stapedotomy comparison of fluoroplastic causse loop piston and matrix prosthesis
topic fluoroplastic Causse loop piston
matrix prosthesis
ossicular prosthesis
otosclerosis
stapes surgery
url https://doi.org/10.1002/lio2.675
work_keys_str_mv AT mohammadfaramarzi evaluatinghearingresultsinstapedotomycomparisonoffluoroplasticcausselooppistonandmatrixprosthesis
AT pegahpedramfard evaluatinghearingresultsinstapedotomycomparisonoffluoroplasticcausselooppistonandmatrixprosthesis
AT sarehroosta evaluatinghearingresultsinstapedotomycomparisonoffluoroplasticcausselooppistonandmatrixprosthesis
AT tayebehkazemi evaluatinghearingresultsinstapedotomycomparisonoffluoroplasticcausselooppistonandmatrixprosthesis
AT hanieaboughadare evaluatinghearingresultsinstapedotomycomparisonoffluoroplasticcausselooppistonandmatrixprosthesis