Comparing intermediate-term hearing results of NiTiBOND and Nitinol prostheses in stapes surgery

J Laryngol Otol. 2021 Sep;135(9):795-798. doi: 10.1017/S0022215121001821. Epub 2021 Jul 16.

Abstract

Objective: To statistically analyse the hearing thresholds of two cohorts undergoing stapedotomy for otosclerosis with two different prostheses.

Method: A retrospective study was conducted comparing NiTiBOND (n = 53) and Nitinol (n = 38) prostheses.

Results: Average follow-up duration was 4.1 years for NiTiBOND and 4.4 years for Nitinol prostheses. The post-operative air-bone gap was 10 dB or less, indicating clinical success. The p-values for differences between (1) pre- and post-operative values in the NiTiBOND group, (2) pre- and post-operative values in the Nitinol group, (3) pre-operative values and (4) post-operative values in the two groups were: air-bone gap - p < 0.001, p < 0.001, p = 0.631 and p = 0.647; four-frequency bone conduction threshold - p = 0.076, p = 0.129, p < 0.001 and p = 0.005; four-frequency air conduction threshold - p < 0.001, p < 0.001, p = 0.043 and p = 0.041; three-frequency (1, 2 and 4 kHz) bone conduction threshold pre-operatively - p = 0.639, p = 0.495, p = 0.001 and p = 0.01; and air conduction threshold at 4 kHz: - p < 0.001, p < 0.001, p = 0.03 and p = 0.058.

Conclusion: Post-operative audiological outcomes for NiTiBOND and Nitinol were comparable.

Keywords: Lasers; Nitinol; Otosclerosis; Stapes Fixation; Stapes Surgery.

Publication types

  • Comparative Study
  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Alloys
  • Audiometry / statistics & numerical data*
  • Auditory Threshold
  • Bone Conduction
  • Female
  • Hearing*
  • Humans
  • Male
  • Middle Aged
  • Ossicular Prosthesis*
  • Otosclerosis / physiopathology*
  • Otosclerosis / surgery
  • Postoperative Period
  • Prosthesis Design
  • Retrospective Studies
  • Stapes Surgery / instrumentation*
  • Treatment Outcome
  • Young Adult

Substances

  • Alloys
  • nitinol