{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:28:33Z","timestamp":1791822513810,"version":"4.3.4"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,5,18]],"date-time":"2016-05-18T00:00:00Z","timestamp":1463529600000},"content-version":"vor","delay-in-days":8357,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1993,7]]},"abstract":"<jats:p>The clothespin partial ossicular replacement prosthesis (PORP) is designed to Increase Joint stability during incus replacement ossiculoplasty. Fundamental modifications have been made in the Schuring ossicle\u2010cup, which include a forked well, increased well wall thickness and length, and a flexible tip disk added to the shaft. The forked well functions like a straight clothespin rather than an inverted cup. The forked well enables the clothespin prothesis to slide down over the stapes superstructure, between the facial nerve canal and the promontory, to form a stable, mortise\u2010and\u2010tenon prosthesis\u2010stapedial joint. Joint stability is enhanced because the inferior tine of the forked well is able to lever against the inferior surface of the stapes superstructure, creating a counterforce to gravity. This is in contrast to the more unstable ball\u2010and\u2010socket joint created by most partial ossicular replacement prostheses when they articulate with the stapes capitulum. The addition of a flexible disk to the shaft tip produces a tight, stable union between the prosthesis and the ossicular cap by increasing resistance at the shaft\u2010ossicle interface. Fluoroplastic composition maximizes Intraoperative versatility and reliability while the ossicle cap minimizes extrusions. One\u2010year hearing results for twelve chronic ear patients with mobile stapes undergoing clothespin ossiculoplasty during intact canal wall tympanomastoidectomy revealed postoperative air\u2010bone gaps within 20\u00a0dB in 92% of cases. The mean postoperative air\u2010bone gap was 8.9\u00a0dB, and the mean Improvement in air\u2010bone gap was 14.4\u00a0dB. These results are attributable to greater prosthesis stability provided by the time\u2010tested mortise\u2010and\u2010tenon joint concept rather than a ball\u2010and\u2010socket joint in a reconstructive situation in which stability is critical.<\/jats:p>","DOI":"10.1177\/019459989310900105","type":"journal-article","created":{"date-parts":[[2017,1,26]],"date-time":"2017-01-26T23:42:16Z","timestamp":1485474136000},"page":"26-34","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Hearing results with clothespin ossiculoplasty: Preliminary report on the Kraus Modified Schuring Ossicle\u2010Cup Prosthesis (Clothespin Prosthesis)"],"prefix":"10.1002","volume":"109","author":[{"given":"Eric M.","family":"Kraus","sequence":"first","affiliation":[{"name":"Kraus &amp; Mundy Otologic Associates PA, The Ear Center of Greensboro Greensboro North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,18]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1978.00790080021005"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198308000-00001"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198808000-00006"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988209000523"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459987908700118"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198009000-00006"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198407000-00006"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988609500216"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198309000-00007"},{"key":"e_1_2_1_11_1","first-page":"90","article-title":"Interaction between magnetic fields and metallic ossicular prostheses","volume":"8","author":"White DW","year":"1987","journal-title":"Am J Otol"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949009901009"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540831102"},{"key":"e_1_2_1_14_1","first-page":"371","article-title":"Ossicular reconstruction: A comparison of reported results","volume":"8","author":"Hughes GB","year":"1987","journal-title":"Am J Otol"},{"key":"e_1_2_1_15_1","first-page":"85","article-title":"Design and development of a contoured ossicular replacement prosthesis: Clinical trials of 125 cases","volume":"11","author":"Black B","year":"1990","journal-title":"Am J Otol"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400209"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199007000-00004"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1991.01870230076011"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900105","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T08:45:23Z","timestamp":1760949923000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989310900105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,7]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1993,7]]}},"alternative-id":["10.1177\/019459989310900105"],"URL":"https:\/\/doi.org\/10.1177\/019459989310900105","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,7]]},"assertion":[{"value":"1992-09-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1992-11-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-05-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}