Advances in oto-rhino-laryngology · 2007
A new self-retaining titanium clip stapes prosthesis.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wengen Daniel F À
Аннотация
OBJECTIVE: Crimping of the stapes prosthesis might result in injury to the incus. Attachment is often not tight. Facilitated fixation of a stapes prosthesis could improve surgery and provide more stable results.
MATERIALS AND METHODS: After the development of a unique titanium clip over a 6-year period (Kurz AG, Dusslingen, Germany) and reception of a CE mark, the first implantation was performed in September 2000. Full FDA approval was received in June 2002.
RESULTS: Only 60% of the circumference of the incus is touched by the clip permitting adequate mucosal blood supply to the lenticular process. Application of the prosthesis is quick and stable.
DISCUSSION: This new stapes prosthesis facilitates surgery and reduces operation time. There is no need for crimping anymore. Acoustic coupling is ideal due to the spring action of the self-retaining clip. Most surgeons have switched entirely to this prosthesis. Long-term results will be needed to prove the reduction of incus necrosis.
MATERIALS AND METHODS: After the development of a unique titanium clip over a 6-year period (Kurz AG, Dusslingen, Germany) and reception of a CE mark, the first implantation was performed in September 2000. Full FDA approval was received in June 2002.
RESULTS: Only 60% of the circumference of the incus is touched by the clip permitting adequate mucosal blood supply to the lenticular process. Application of the prosthesis is quick and stable.
DISCUSSION: This new stapes prosthesis facilitates surgery and reduces operation time. There is no need for crimping anymore. Acoustic coupling is ideal due to the spring action of the self-retaining clip. Most surgeons have switched entirely to this prosthesis. Long-term results will be needed to prove the reduction of incus necrosis.