Skip to main content Accessibility help

Comparison of the application of artificial ossicles and autologous ossicles in the reconstruction of a damaged ossicular chain

  • L Zhao (a1), J Li (a2) and S Gong (a1)



To evaluate the therapeutic effect that the titanium partial ossicular reconstruction prosthesis and autologous ossicles have on hearing loss after reconstruction of a damaged ossicular chain.


Forty-two medical records of treatments carried out from 2013 to 2015 for ossicular chain damage with facial nerve paralysis due to temporal bone fractures were reviewed. The study assessed: causes of damage, pre-operative pure tone audiometry findings, types of intra-operative ossicular chain damage, intra-operative ossicular chain repair methods (titanium partial ossicular reconstruction prosthesis or autologous ossicles) and post-operative pure tone audiometry results.


The titanium partial ossicular reconstruction prosthesis was used in 26 cases; the average air–bone gap was 32.3 ± 5.3 dB pre-operatively and 12.8 ± 5.3 dB post-operatively. Autologous ossicles were used in 16 cases; the average air–bone gap was 33.4 ± 4.5 dB pre-operatively and 17.8 ± 7.8 dB post-operatively.


Ossicular chain reconstruction is an effective way of improving hearing in patients with ossicular chain damage. The results suggest that repair with either the titanium partial ossicular reconstruction prosthesis or autologous ossicles can improve hearing following ossicular chain injury with facial nerve paralysis caused by a temporal bone fracture.


Corresponding author

Author for correspondence: Prof Shusheng Gong, Department of Otolaryngology, Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, PR China E-mail:


Hide All

Prof S Gong takes responsibility for the integrity of the content of the paper



Hide All
1Iurato, S, Quaranta, A. Malleus-handle fracture: historical review and three new cases. Am J Otol 1999;20:1925
2Hough, JV, Stuart, WD. Middle ear injuries in skull trauma. Laryngoscope 1968;78:899937
3Cremin, MD. Injuries of the ossicular chain. J Laryngol Otol 1969;83:845–62
4Hammond, VT. Ossicular lesions. J Laryngol Otol 1980;94:117–22
5McGuirt, WF Jr, Stool, SE. Temporal bone fractures in children: a review with emphasis on long-term sequelae. Clin Pediatr (Phila) 1992;31:1218
6Meriot, P, Veillon, F, Garcia, JF, Nonent, M, Jezequel, J, Bourjat, P et al. CT appearances of ossicular injuries. Radiographics 1997;17:1445–54
7Ghonim, MR, Shabana, YK, Ashraf, B, Salem, MA. Traumatic ossicular disruption with intact tympanic membrane: treatment modalities in 42 patients: our experience. Clin Otolaryngol 2015;41:176–96
8Wennmo, C, Spandow, O. Fractures of the temporal bone--chain incongruencies. J Am Otolaryngol 1993;14:3842
9Johnson, F, Semaan, MT, Megerian, CA. Temporal bone fracture: evaluation and management in the modern era. Otolaryngol Clin North Am 2008;41:597618
10Grant, JR, Arganbright, J, Friedland, DR. Outcomes for conservative management of traumatic conductive hearing loss. Otol Neurotol 2008;29:344–9
11Darrouzet, V, Duclos, JY, Liguoro, D, Turilhe, Y, De Bonfils, C, Bebear, JP et al. Management of facial paralysis resulting from temporal bone fractures: our experience in 115 cases. Otolaryngol Head Neck Surg 2001;125:7784
12Tos, M. Fractura ossis temporalis. The course and sequelae of 248 fractures of the temporal bones [in Danish]. Ugeskr Laeger 1971;133:1449–56
13Zenner, HP, Stegmaier, A, Lehner, R, Baumann, I, Zimmermann, R. Open Tübingen titanium prostheses for ossiculoplasty: a prospective clinical trial. Otol Neurotol 2001;22:582–9
14Wu, KC, Shu, MT, Yang, CC. Autologous ossiculoplasty following temporal bone fracture. J Laryngol Otol 2009;123:50–3



Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed