Abstract
The principles of reparative and reconstructive microsurgery on the middle ear are identical throughout the world. The first step in chronic middle ear disease is control of the disease process. The second step is restoration of middle ear function, either immediately or after approximately 1 year, depending on the intraoperative findings. Substantial regional variation is observed as to the choice of materials employed for implantation. Thus, synthetic materials that are preferred in many Anglo-Saxon countries (including the primary authors of this chapter) have failed to become popular in Germany. In German-speaking countries, the use of synthetic materials is restricted to placement of platinum ribbon Teflon prostheses in otosclerotic surgery. Despite its biocompatibility and stability after implantation, dense hydroxyapatite has not gained acceptance because of the virtually simultaneous development of ionomeric cement implants and the advent of the currently popular titanium ossicles.
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References
Hildmann H, Karger B, Steinbach E. Ossikeltransplantate zur Rekonstruktion der Schallübertragung im Mittelohr. Eine histologische Langzeituntersuchung. Laryngorhinootologie 1992:71:5–10.
Wullstein H. Die Tympanoplastik als gehörverbessernde Operation bei Otitis media chronica und ihre Resultate. Proc Fifth Internat Congress Oto-Rhino-Laryngol 1953;104.
Kley W. Probleme der Tympanoplastik. Z Laryng Rhinol Otol 1955;34:719–726.
Grote JJ. Reconstruction of the ossicular chain with hydroxyapatite prostheses. Am J Otol 1987;396–401.
Reck R, Störkel S, Meyer A. Langzeitergebnisse der Tympanoplastik mit Ceravital-Prothesen im Mittelohr. Laryng Rhinol Otol 1987;66:373–376.
Schwager K. Titan als Gehörknöchelchenersatzmaterial. In vivo Untersuchungen im Mittelohr des Kaninchens und Untersuchungen zur Proteinadsorption am Implantatmaterial. Habilitationsschrift, Universität Würzburg, 1998.
Geyer G. Materialien zur Rekonstruktion des Schalleitungsapparates. HNO 1999;47:77–91.
Geyer G, Rocker J. Ergebnisse der Tympanoplastik Typ III mit autogenem Amboß sowie Ionomerzement und Titanimplantaten. Laryngo-Rhino-Otologie 2002;81:164–170.
Kley W. Nachbehandlung und Nachsorge nach hörverbessernden Operationen. HNO 1988;36:175–180.
Schmelzer A, Hildmann H. Nachbehandlung nach Ohroperationen. Laryngo-Rhino-Otol 1999;78:103–106.
Müller J, Schön F, Joa P, Freudensprung H, Geyer G. Würzburger Ohrdokumentationsbogen (Erhebungsbogen, Nachschaubogen), Universität Würzburg 1990.
Jennissen HP. Accelerated and improved osteointegration of implants biocoated with bone morphogenetic protein 2 (BMP-2). Ann NY Acad Sci 2002;961:139–142.
Schuknecht HF, Shi SR. Surgical pathology of middle ear implants. Laryngoscope 1985;95:249–258.
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© 2006 Humana Press Inc., Totowa, NJ
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Geyer, G. (2006). European Counterpoint to Chapter 17. In: Johnson, F.E., Virgo, K.S., Lairmore, T.C., Audisio, R.A. (eds) The Bionic Human. Humana Press. https://doi.org/10.1007/978-1-59259-975-2_32
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DOI: https://doi.org/10.1007/978-1-59259-975-2_32
Publisher Name: Humana Press
Print ISBN: 978-0-89603-959-9
Online ISBN: 978-1-59259-975-2
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