Acta Otorrinolaringol Esp. 2011;62(4):295---299 www.elsevier.es/otorrino ORIGINAL ARTICLE Ossiculoplasty With Titanium Prosthesis  Joao Martins * , Helder Silva, Victor Certal, Hugo Amorim, Carlos Carvalho Hospital São Sebastião, Santa Maria da Feria, Portugal Received 10 November 2010; accepted 27 February 2011 KEYWORDS Middle ear; Ossiculoplasty; PORP; TORP; Titanium prosthesis Abstract Objectives: The goal of this study was to make a review of the patients who underwent ossicular chain reconstruction with titanium prosthesis during an 8-year period in our Department. Methods: A retrospective study was made on the ossiculoplasty cases over a period of eight years in a Public Hospital District. The information was extracted by clinical process consulta- tion. Between 1999 and 2008, 124 ossiculoplasties using Kurz ® titanium prosthesis for chronic otitis media were performed (78 partial ossicular chain reconstructions and 46 total ossicu- lar chain reconstructions). The single stage, staged and revision ossicular chain reconstruction were included in the analysis. All patients had a minimum of 6-month postoperative follow-up (mean 3 years and 4 months). Comparisons of preoperative and postoperative pure tone aver- ages were performed. Air-bone gap and implant extrusion rates were measured. The success of the reconstruction was defined as a postoperative air-bone gap (ABG) of 20dB or better. Results: Successful ossiculoplasty was obtained in 73.1% of partial ossicular chain reconstruc- tions and 30.4% of total ossicular chain reconstructions (P<.05). The postoperative pure-tone average air-bone gaps was 16 dB in partial reconstructions and 26.7 dB in total reconstructions (P<.05). There were five cases of prosthesis extrusion. Conclusions: The majority of the ossiculoplasties improved the hearing status satisfactorily. There was no difference in hearing results in one-stage and two-stage partial ossicular chain reconstruction, but there were better hearing results in the cases of two-stage total ossicular chain reconstruction. © 2010 Elsevier Espa˜ na, S.L. All rights reserved. PALABRAS CLAVE Oído medio; Osiculoplastia; PORP; TORP; Prótesis de titanio Osiculoplastia con prótesis de titanio Resumen Objetivos: Revisión de los pacientes sometidos a una reconstrucción de la cadena osicular con prótesis de titanio durante un período de ocho a˜ nos en nuestro Servicio. Métodos: Hemos revisado retrospectivamente las osiculoplastias realizadas durante un período de ocho a˜ nos en un hospital público de distrito. La información se ha obtenido mediante consulta del proceso clínico. Entre 1999 y 2008, se realizaran 124 osiculoplastias usando la prótesis  Please cite this article as: Martins J, et al. Osiculoplastia con prótesis de titanio. Acta Otorrinolaringol Esp. 2011;62:295---9. ∗ Corresponding author. E-mail address: martins.jd@gmail.com (J. Martins). 2173-5735/$ – see front matter © 2010 Elsevier Espa˜ na, S.L. All rights reserved. Document downloaded from http://www.elsevier.es, day 02/01/2013. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited.