Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 May;33(116):143-149.
doi: 10.22038/ijorl.2021.52321.2775.

Comparison of Titanium versus Polycel as Partial Ossicular Replacement Prosthesis: A Randomized Clinical Trial

Mohammad Faramarzi  1   2 , Masih Tale  2 , Sheida Khosravaniardakani  2 , Sareh Roosta  2 , Ali Faramarzi  2   3
Affiliations

Comparison of Titanium versus Polycel as Partial Ossicular Replacement Prosthesis: A Randomized Clinical Trial

Mohammad Faramarzi et al. Iran J Otorhinolaryngol. 2021 May.

Abstract

Introduction: Each type of prosthesis for ossiculoplasty has its advantages and disadvantages, and the choice of the best material has been a matter of various studies. The present study aimed to make a comparison between the hearing outcomes of partial ossicular replacement prosthesis (PORP) using titanium versus Polycel prosthesis.

Material and methods: A total of 106 patients undergoing PORP as a second stage ossiculoplasty were analyzed in this study. Following that, they were randomly assigned to two groups of titanium (n=54) and Polycel (n=52) prosthesis. Subsequently, pre-and post-operative audiometric data were assessed based on the aim of the study.

Results: In general, the post-operative air-bone gap within 20 dB was given to 63.5% and 55.6% of all ears in the Polycel and titanium groups, respectively, indicating a non-significant difference (P=0.407). Finally, no SNHL was observed in the groups.

Conclusion: Overall, the hearing outcomes and the success rate of PORP are comparable between titanium and Polycel prostheses. Therefore, the selection of these prostheses could be based on the surgeons' preferences, availability, and cost.

Keywords: Hearing outcome; Ossiculoplasty; Partial ossicular replacement prosthesis; Polycel; Titanium.

PubMed Disclaimer

Figures

Fig 1
Fig 1
CONSORT trial flow diagram
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Deklerck AN, Acke FR, Janssens S, De Leenheer EMR. Etiological approach in patients with unidentified hearing loss. Int J Pediatr Otorhinolaryngol. 2015 ;79(2):216–22. - PubMed
    1. Dougherty W, Kesser BW. Management of Conductive Hearing Loss in Children. Otolaryngol Clin North Am. 2015 ;48(6):955–74. - PubMed
    1. Cox MD, Trinidade A, Russell JS, Dornhoffer JL. Long-Term Hearing Results After Ossiculoplasty. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc [and] Eur Acad Otol Neurotol. 2017 ;38(4):510–5. - PubMed
    1. Page JC, Cox MD, King D, Allsopp T, Dornhoffer JL. Long-term Outcomes of Ossiculoplasty With and Without an Intact Malleus. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc [and] Eur Acad Otol Neurotol. 2019 ;40(1):73–8. - PubMed
    1. Birk S, Brase C, Hornung J. Experience with the use of a partial ossicular replacement prosthesis with a ball-and-socket joint between the plate and the shaft. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc [and] Eur Acad Otol Neurotol. 2014 ;35(7):1248–50. - PubMed

LinkOut - more resources