{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T06:10:01Z","timestamp":1792649401365,"version":"4.5.0"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2017,2,21]],"date-time":"2017-02-21T00:00:00Z","timestamp":1487635200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215117000251_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>This study aimed to compare the functional and anatomical outcomes of ossiculoplasty using an autograft incus or a titanium partial ossicular replacement prosthesis for reconstructing Austin type A ossicular defects.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215117000251_sec_a2\"><jats:title>Methods:<\/jats:title><jats:p>Patients with Austin A ossicular defects were randomly divided into two groups: one group underwent ossiculoplasty with an autologous incus (the autologous incus group) and the other underwent ossiculoplasty with a titanium partial ossicular replacement prosthesis (the titanium prosthesis group). Otoscopic examination and audiological assessment was done pre-operatively and at 3, 6 and 12 months post-operatively.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215117000251_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>A post-operative average air\u2013bone gap closure of less than 20 dB was seen in 13 patients (65 per cent) in the autologous incus group and 7 (35 per cent) in the titanium prosthesis group. There were fewer post-operative complications in the autologous incus group (20 per cent) than in the titanium prosthesis group (45 per cent).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215117000251_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>Hearing outcomes and graft take up after ossiculoplasty were significantly better when an autologous incus rather than a titanium partial ossicular replacement prosthesis was used to reconstruct Austin type A ossicular defects. The major disadvantages of the titanium prosthesis were unpredictable results and more post-operative complications.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215117000251","type":"journal-article","created":{"date-parts":[[2017,2,21]],"date-time":"2017-02-21T14:58:14Z","timestamp":1487689094000},"page":"391-398","source":"Crossref","is-referenced-by-count":27,"title":["Autologous incus versus titanium partial ossicular replacement prosthesis in reconstruction of Austin type A ossicular defects: a prospective randomised clinical trial"],"prefix":"10.1017","volume":"131","author":[{"given":"Naragund","family":"Amith","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mudhol","family":"RS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2017,2,21]]},"reference":[{"key":"S0022215117000251_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200307000-00002"},{"key":"S0022215117000251_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181cc04b5"},{"key":"S0022215117000251_ref9","first-page":"280","volume-title":"Ballanger's Otorhinolaryngology Head and Neck Surgery","author":"Telian","year":"2003"},{"key":"S0022215117000251_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000185601.98903.34"},{"key":"S0022215117000251_ref11","first-page":"175","article-title":"Comparative results of type II ossiculoplasty: incus transposition versus titanium PORP (Kurz)","volume":"1","author":"Ceccato","year":"2005","journal-title":"Rev Laryngol Otol Rhinol (Bord)"},{"key":"S0022215117000251_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000185054.92265.b7"},{"key":"S0022215117000251_ref15","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1288\/00005537-198602000-00006","article-title":"A comparison of PORP, TORP, and incus homograft for ossicular reconstruction in chronic ear surgery","volume":"1","author":"Silverstein","year":"1986","journal-title":"Laryngoscope"},{"key":"S0022215117000251_ref12","doi-asserted-by":"publisher","DOI":"10.4103\/0971-7749.91042"},{"key":"S0022215117000251_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200401000-00010"},{"key":"S0022215117000251_ref1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/S0030-6665(20)33024-3","article-title":"Ossicular reconstruction","volume":"1","author":"Austin","year":"1972","journal-title":"Otolaryngol Clin North Am"},{"key":"S0022215117000251_ref7","first-page":"176","volume-title":"Middle ear and mastoid surgery","author":"Sanna","year":"2003"},{"key":"S0022215117000251_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000176173.94764.f5"},{"key":"S0022215117000251_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s001060050363"},{"key":"S0022215117000251_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181de4937"},{"key":"S0022215117000251_ref6","first-page":"92","volume-title":"Surgical techniques in chronic otitis media and otosclerosis: text and atlas","author":"Mahadevaiah","year":"2008"},{"key":"S0022215117000251_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200103000-00004"},{"key":"S0022215117000251_ref18","first-page":"153","article-title":"Short term results of ossicular reconstruction with titanium-gold TORP in chronic otitis media surgery","volume":"1","author":"Olgun","year":"2005","journal-title":"KBB Forum"},{"key":"S0022215117000251_ref17","first-page":"701","article-title":"Surgical treatment of chronic otitis media III: Middle ear reconstruction","volume":"1","author":"H\u00fcttenbrink","year":"1994","journal-title":"HNO"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215117000251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T16:04:37Z","timestamp":1719072277000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215117000251\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,21]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["S0022215117000251"],"URL":"https:\/\/doi.org\/10.1017\/s0022215117000251","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,21]]}}}