entupdates cover page
Cemal Cingi
2020 Vol. 10
downicon 2020
»Volume: 10 Issue: 2
»Volume: 10 Issue: 1
downicon 2019
»Volume: 9 Issue: 3
»Volume: 9 Issue: 2
»Volume: 9 Issue: 1
downicon 2018
»Volume: 8 Issue: 3
»Volume: 8 Issue: 2
»Volume: 8 Issue: 1
downicon 2017
»Volume: 7 Issue: 3
»Volume: 7 Issue: 2
»Volume: 7 Issue: 1
downicon 2016
»Volume: 6 Issue: 3
»Volume: 6 Issue: 2
»Volume: 6 Issue: 1
downicon 2015
»Volume: 5 Issue: 3
»Volume: 5 Issue: 2
»Volume: 5 Issue: 1
List of Archive

Volume 9, Issue 1, April 2019, Pages: 34-37

icon2 PDF (269 KB)

Comparison of two different methods of prosthesis placement in otosclerosis

Suphi Bulgurcu1, İlker Burak Arslan2, Ömer Uğur3, İbrahim Cukurova4

1 Department of Otorhinolaryngology, Sultan Abdülhamid Han Training and Research Hospital, Istanbul , Turkey, suphibulg@yahoo.com ORCID ID: 0000-0002-0769-0513
2 Department of Otorhinolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey, ilkerburakarslan@hotmail.com ORCID ID: 0000-0001-6987-3887
3 Department of Otorhinolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey, omerugur@yahoo.com ORCID ID: 0000-0003-3591-645X
4 Department of Otorhinolaryngology, Tepecik Training and Research Hospital, İzmir, Turkey, cukurova57@gmail.com ORCID ID: 0000-0002-2398-3391



Objective: Choice and positioning of the prosthesis is a fundamental element in successful operations for otosclerosis. The present study compares two different techniques for placing a prosthesis when undertaking surgery for otosclerosis.

Materials and Methods: A retrospective review was undertaken of records from 50 cases of individuals (33 women, 17 men) undergoing stapedotomy between the years 2009 and 2016. Two alternative procedures were used: in the “reverse” technique, placement of the prosthesis preceded stapes removal; in the “conventional” technique, placement of the prosthesis followed stapes removal. These groups were labeled groups 1 and 2, respectively. There were 25 cases in each. The two groups were compared for hearing outcome and incidence of complications.

Results: An air-bone gap below 20 dB was obtained in 80% of cases following the reverse technique, and 76% of cases after conventional surgery. The difference between the two techniques lacked statistical significance (p>0.05). A single case in group 1 required a revision procedure since the prosthesis was taken out 4 months post-surgery. In group 2, a single case sustained an injury to the chorda tympani. Vertigo symptoms occurred in 7 individuals in group 1, and 8 in group 2. 

Conclusion: There is no significant difference between treatments in terms of improved auditory function or fewer complications. The authors suggest clinicians' experience is the key factor in deciding which technique to favor. 



Otosclerosis, hearing disorders, vertigo







EndNote Style
Click to download the EndNote style of our journal ENT Updates to format your references.

Your Opinions are Important to Us! 
We are waiting for your valuable opinions and contributions...

Open Access
Our journal promotes the development of global open access to scientific information and research...

google scholar