{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T12:49:02Z","timestamp":1774010942410,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T00:00:00Z","timestamp":1706054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100018857","name":"MED-EL","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100018857","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Middle ear surgery involves reconstruction of the ossicular chain, predominately using rigid implants. New middle ear prostheses strive to mimic the physiologic micromovements of the ossicular chain and prevent dislocation, protrusion, and preloading of the annular ligament due to pressure fluctuations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010five patients were included in a monocentric, prospective observational study. Patients received tympanoplasty with ossicular reconstruction using the mCLIP ARC partial prosthesis. This titanium prosthesis is equipped with a clip mechanism for coupling at the stapes and a ball joint connecting headplate and shaft. At short\u2010term (ST) and mid\u2010term (MT) follow\u2010up, pure\u2010tone audiometry was performed and the pure tone average of 0.5, 1, 2, and 3\u2009kHz (PTA4) was calculated. The audiological outcome was compared with retrospective data of the Dresden titanium clip prosthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The new prosthesis shows favorable clinical results. Pure\u2010tone audiometry showed satisfactory results in ST and MT follow\u2010up, with the PTA4 air\u2010bone gap (ABG) decreasing from 24.5 (\u00b111) dB to 17.4 (\u00b17.9) dB at the ST follow\u2010up at 27\u2009days to 15.6 (\u00b110.3) dB at MT follow\u2010up at 196\u2009days (<jats:italic>n<\/jats:italic>\u2009=\u200932). A PTA4\u2010ABG value of less than 20\u2009dB was achieved by 63% of patients at ST follow\u2010up and by 77% at MT follow\u2010up. There was no significant difference in PTA4 ABG compared to the Dresden titanium clip prosthesis during ST follow\u2010up (<jats:italic>p<\/jats:italic>\u2009=\u20090.18).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The mCLIP ARC partial prosthesis, a new middle ear prosthesis with a balanced ball joint, shows promising audiological results and is a safe and effective choice for patients with chronic ear disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:italic>Laryngoscope<\/jats:italic>, 134:3323\u20133328, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31301","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T10:59:16Z","timestamp":1706093956000},"page":"3323-3328","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Partial Ossicular Reconstruction With a Novel Ball Joint Prosthesis: The <scp>mCLIP ARC<\/scp> Partial Prosthesis"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1667-1365","authenticated-orcid":false,"given":"Nicholas","family":"Bevis","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Medical Center G\u00f6ttingen  37075 G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Effertz","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Medical Center G\u00f6ttingen  37075 G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"H\u00fcser","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Medical Center G\u00f6ttingen  37075 G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Beutner","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University Medical Center G\u00f6ttingen  37075 G\u00f6ttingen 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