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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >First experience with a new titanium clip stapes prosthesis and a comparison with the earlier model used in stapes surgery.
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First experience with a new titanium clip stapes prosthesis and a comparison with the earlier model used in stapes surgery.

机译:首次使用新的钛合金clip骨假体的经验,以及与早期用于骨手术的模型的比较。

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OBJECTIVES/HYPOTHESIS: The aim of the study was to gain the first clinical experience with a new titanium clip prosthesis in stapes surgery, and to compare this model with its predecessor. We placed particular emphasis on the practicability of fixing the prosthesis to the long process of the incus and on the postoperative improvement in hearing. STUDY DESIGN: Retrospective chart review. METHODS: The study included 23 patients who had a CliP Piston aWengen fitted and 21 patients with a Soft CliP Piston (both from Kurz Medizintechnik, Dusslingen, Germany). Air and bone conduction were tested preoperatively and 5 to 6 weeks after surgery in all patients, as well as after about 1 year in a subgroup. RESULTS: We found a mean air-bone gap of 8.5 +/- 5.2 dB in the frequencies 0.5, 1, 2, and 3 kHz for the patients with a CliP Piston aWengen at follow-up audiometry after an average of 31 days, and of 6.4 +/- 3.7 dB for 11 patients after 412 days. The corresponding figures for patients with Soft CliP Pistons were 8.9 +/- 4.1 dB after 44 days, and 6.3 +/- 5.6 dB for 10 patients after 419 days. There were no statistically significant differences. All the prostheses were implanted without difficulty. CONCLUSIONS: The two stapes prostheses studied gave good early audiometric results that showed no difference. After a short learning period, both could be pushed onto the long process of the incus with similar ease, although subjectively the new design of the Soft CliP seemed to adapt better to the different diameters of the process and took up less space in the middle ear.
机译:目的/假设:这项研究的目的是获得在骨手术中使用新型钛夹假体的首次临床经验,并将该模型与其前身进行比较。我们特别强调了将假体固定在骨钉的长形过程中的实用性以及术后听力的改善。研究设计:回顾性图表审查。方法:该研究包括23名装有CliP活塞aWengen的患者和21例软CliP活塞(均来自德国Dusslingen的Kurz Medizintechnik)。术前和术后5至6周对所有患者以及亚组约1年后进行空气和骨传导测试。结果:我们发现,在平均31天后进行随访听力测验的CliP活塞aWengen患者,在0.5、1、2和3 kHz频率下,平均气隙为8.5 +/- 5.2 dB,并且412天后11例患者的6.4 +/- 3.7 dB之差。使用Soft CliP活塞的患者在44天后的相应数字为8.9 +/- 4.1 dB,而在419天后的10位患者的相应数字为6.3 +/- 5.6 dB。没有统计学上的显着差异。所有的假体都被轻松植入。结论:所研究的两种骨假体提供了良好的早期听觉测听结果,但无差异。经过短暂的学习后,尽管从主观上看,Soft CliP的新设计似乎可以更好地适应过程的不同直径,并且占用中耳的空间较小,但是两者都可以轻松地推入到砧木的长过程中。 。

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