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Kurz titanium prostheses in paediatric ossiculoplasty--short term results.

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Michael, Philip and Fong, Jim and Raut, Vivek (2008) Kurz titanium prostheses in paediatric ossiculoplasty--short term results. International journal of pediatric otorhinolaryngology, 72 (9). pp. 1329-33. ISSN 0165-5876. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Official URL: http://www.ijporlonline.com/article/S0165-5876(08)...

Abstract

OBJECTIVE

The objective of this study is to assess the efficacy of ossiculoplasty procedures in the paediatric population when the Kurz titanium ossicular prosthesis is used.

PATIENTS AND METHODS

Data was collected prospectively upon 14 ossiculoplasty cases using Kurz titanium prostheses. Audiological parameters using four frequency average (FFA(0.5, 1, 2 and 4kHz)) were assessed pre- and post-operatively.

RESULTS

In the case of patients reconstructed using partial ossicular reconstruction prostheses, 7/9 (78%) achieved an air bone gap (<20dB) using FFA criteria. Parameters at 12-month follow-up suggested 4/5 (80%) patients reconstructed using total ossicular reconstruction prostheses achieved an air bone gap (<20dB) using FFA.

CONCLUSION

The question of age and presence of co-existing cholesteatoma or tympanic membrane perforation does not appear to mitigate against performing ossicular reconstruction in this age group. Consequently, the results of this study suggest that the use of Kurz titanium prostheses is a feasible option to augment hearing in paediatric cases involving chronic otitis media. This is a significant finding especially in view of the added psychological burden of hearing difficulties carried by the paediatric population.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WV Otorhinolaryngology. ENT medicine
Divisions: Planned IP Care > General Surgery
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Depositing User: Sophie Rollason
Date Deposited: 06 Jun 2014 10:48
Last Modified: 06 Jun 2014 10:48
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/184

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