{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T03:56:50Z","timestamp":1770436610077,"version":"3.49.0"},"reference-count":35,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Otolaryngology"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. Evaluate a porous polyethylene prosthesis with two-point stabilization in total ossiculoplasty. This approach utilizes a lateral as well as a medial graft to stabilize a total ossicular prosthesis (TOP).<jats:italic>Study Design<\/jats:italic>. Retrospective cohort review of total ossiculoplasty.<jats:italic>Methods<\/jats:italic>. All patients who underwent total ossiculoplasty during the years 2004\u20132007 were included in the study group. Only five patients (10%) had primary surgery whereas 45 (90%) underwent revision surgery. Cartilage grafts covering the prosthesis (Sheehy, Xomed) laterally were used in all patients with areolar tissue being used for medial stabilization at the stapes footplate. Follow-up examination and audiometrics were performed a mean of 8.1 months following surgery.<jats:italic>Results<\/jats:italic>. The percentage of patients closing their ABG to within 10\u2009dB was 44% with 66% closing their ABG to within 20\u2009dB. The mean four-frequency hearing gain was 15.7\u2009dB. The mean postoperative ABG was 15.7\u2009dB.<jats:italic>Conclusion<\/jats:italic>. Audiometric results following total ossiculoplasty surgery using two-point stabilization exceeded results from the otologic literature. Proper two-point fixation with areolar tissue and stabilization utilizing cartilage were the keys to achieving a relatively high percentage of success in chronic ear disease in this sample.<\/jats:p>","DOI":"10.1155\/2012\/346260","type":"journal-article","created":{"date-parts":[[2012,4,11]],"date-time":"2012-04-11T21:01:29Z","timestamp":1334178089000},"page":"1-9","source":"Crossref","is-referenced-by-count":9,"title":["Total Ossiculoplasty: Advantages of Two-Point Stabilization Technique"],"prefix":"10.1155","volume":"2012","author":[{"given":"Leonard","family":"Berenholz","sequence":"first","affiliation":[{"name":"The Lippy Group, 3893 E. Market Street, Warren, OH 44484, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Burkey","sequence":"additional","affiliation":[{"name":"The Lippy Group, 3893 E. 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