{
    "abstract": "The titanium stapes footplate prosthesis (FPP) was designed to ensure a stable connection of a total ossicular replacement prosthesis (TORP) to the stapes footplate and maximize acoustic coupling by centering the footplate on the oval window. Our goal was to assess the impact of the FPP on TORP ossiculoplasty outcomes.\nCase series with chart review.\nTertiary care center.\nAdult patients undergoing TORP ossiculoplasty with (n=53) or without (n=108) a stapes FPP.\nRate of prosthesis displacement and audiologic outcomes were tabulated for statistical analysis.\nA lower rate of prosthesis displacement and statistically better audiologic outcomes were seen in FPP patients. The pure-tone average air-bone gap (PTA-ABG) was closed to <20 dB in 69.8% (37/53) of patients in the study arm and 44.4% (48/108) of patients in the control arm (P=.003). The PTA-ABG was decreased by a mean\u00b1SD of 19.3\u00b111.7 dB and 12.6\u00b111.0 dB in the study and control groups, respectively (P=.0012).\nUse of the titanium stapes FPP during TORP ossiculoplasty provides a statistically significant advantage in short-term PTA-ABG closure and a higher rate of successful rehabilitation of conductive hearing loss. Further studies are necessary to assess any long-term advantages a FPP may offer.",
    "authors": [
        {
            "affiliation": "Department of Otolaryngology-Head & Neck Surgery, Division of Otology & Neurotology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA mdcox@uams.edu.",
            "firstname": "Matthew D",
            "initials": "MD",
            "lastname": "Cox"
        },
        {
            "affiliation": "Department of Otolaryngology-Head & Neck Surgery, Division of Otology & Neurotology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.",
            "firstname": "James S",
            "initials": "JS",
            "lastname": "Russell"
        },
        {
            "affiliation": "Department of Otolaryngology-Head & Neck Surgery, Division of Otology & Neurotology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.",
            "firstname": "John L",
            "initials": "JL",
            "lastname": "Dornhoffer"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 American Academy of Otolaryngology\u2014Head and Neck Surgery Foundation 2014.",
    "doi": "10.1177/0194599814564538",
    "journal": "Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery",
    "keywords": [
        "TORP",
        "ossiculoplasty",
        "stapes footplate",
        "total ossicular replacement prosthesis"
    ],
    "methods": null,
    "publication_date": "2015-01-01",
    "pubmed_id": "25550225",
    "results": "A lower rate of prosthesis displacement and statistically better audiologic outcomes were seen in FPP patients. The pure-tone average air-bone gap (PTA-ABG) was closed to <20 dB in 69.8% (37/53) of patients in the study arm and 44.4% (48/108) of patients in the control arm (P=.003). The PTA-ABG was decreased by a mean\u00b1SD of 19.3\u00b111.7 dB and 12.6\u00b111.0 dB in the study and control groups, respectively (P=.0012).",
    "title": "TORP ossiculoplasty outcomes with and without a stapes footplate prosthesis.",
    "xml": "<Element 'PubmedArticle' at 0x7885034a7920>"
}