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Acta Oto-Laryngologica Volume 137, 2017 - Issue 3
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Research Article

Early functional results using the nitibond prosthesis in stapes surgery

Giuseppina CanuService d’Oto-Rhino-Laryngologie, département d’Otologie, Implants auditifs et Chirurgie de la base du crâne, AP-HP, Groupe hospitalier Pitié-Salpêtrière, Paris, France; ;Sorbonne Universités, UPMC Univ Paris 06, Paris, France; ;Réhabilitation chirurgicale mini-invasive et robotisée de l’audition, Inserm UMR-S 1159, Paris, France; ;Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy;
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Fulvio LauretaniInternal Medicine and Critical Subacute Care Unit, Geriatric-Rehabilitation Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
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Francesca Yoshie RussoService d’Oto-Rhino-Laryngologie, département d’Otologie, Implants auditifs et Chirurgie de la base du crâne, AP-HP, Groupe hospitalier Pitié-Salpêtrière, Paris, France; ;Sorbonne Universités, UPMC Univ Paris 06, Paris, France; ;Réhabilitation chirurgicale mini-invasive et robotisée de l’audition, Inserm UMR-S 1159, Paris, France;
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Evelyne FerraryService d’Oto-Rhino-Laryngologie, département d’Otologie, Implants auditifs et Chirurgie de la base du crâne, AP-HP, Groupe hospitalier Pitié-Salpêtrière, Paris, France; ;Sorbonne Universités, UPMC Univ Paris 06, Paris, France; ;Réhabilitation chirurgicale mini-invasive et robotisée de l’audition, Inserm UMR-S 1159, Paris, France;
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Georges LamasService d’Oto-Rhino-Laryngologie, département d’Otologie, Implants auditifs et Chirurgie de la base du crâne, AP-HP, Groupe hospitalier Pitié-Salpêtrière, Paris, France; ;Sorbonne Universités, UPMC Univ Paris 06, Paris, France; ;Réhabilitation chirurgicale mini-invasive et robotisée de l’audition, Inserm UMR-S 1159, Paris, France;
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Olivier SterkersService d’Oto-Rhino-Laryngologie, département d’Otologie, Implants auditifs et Chirurgie de la base du crâne, AP-HP, Groupe hospitalier Pitié-Salpêtrière, Paris, France; ;Sorbonne Universités, UPMC Univ Paris 06, Paris, France; ;Réhabilitation chirurgicale mini-invasive et robotisée de l’audition, Inserm UMR-S 1159, Paris, France;
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Daniele De SetaService d’Oto-Rhino-Laryngologie, département d’Otologie, Implants auditifs et Chirurgie de la base du crâne, AP-HP, Groupe hospitalier Pitié-Salpêtrière, Paris, France; ;Sorbonne Universités, UPMC Univ Paris 06, Paris, France; ;Réhabilitation chirurgicale mini-invasive et robotisée de l’audition, Inserm UMR-S 1159, Paris, France;
&
Daniele BernardeschiService d’Oto-Rhino-Laryngologie, département d’Otologie, Implants auditifs et Chirurgie de la base du crâne, AP-HP, Groupe hospitalier Pitié-Salpêtrière, Paris, France; ;Sorbonne Universités, UPMC Univ Paris 06, Paris, France; ;Réhabilitation chirurgicale mini-invasive et robotisée de l’audition, Inserm UMR-S 1159, Paris, France; Correspondence[email protected]
 show all
Pages 259-264 | Received 21 Aug 2016, Accepted 27 Sep 2016, Published online: 04 Nov 2016
 
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Abstract

Conclusion: The NiTiBOND® prosthesis allows early results to be obtained similar to those with a manually crimped prosthesis fitted by experienced surgeons, thus reducing the learning curve in this critical step of the procedure.

Objective: To analyze the 1-month results using the nitinol NiTiBOND® prosthesis in primary otosclerosis surgery and to compare the results with those obtained with fully fluoroplastic or fully titanium pistons.

Materials and methods: Fifty consecutive cases operated on with the NiTiBOND® prosthesis (nitinol group) were compared with 50 cases operated on with a fully fluoroplastic piston (fluoroplastic group), and with 131 cases operated on with a fully titanium piston (first titanium group), and also with 50 cases operated on with the same titanium piston just before using the NiTiBOND® piston (last titanium group). Pure-tone and speech audiometry was performed 1 month after surgery for the nitinol group. Comparison was made between the early hearing results of the four groups.

Results: The mean air–bone gap closure for the nitinol group was 16 ± 1.0 dB (mean ± SEM, n = 50); an air–bone gap of <15 dB and <10 dB was obtained in 100% and 84% of cases, respectively. These hearing results were similar to the last titanium group and significantly better than those observed in the fluoroplastic and first titanium groups.

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.

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