• Luis A Vallejo, María T Manzano, Antonio Hidalgo, Alberto Hernández, Juan Sabas, Hugo Lara, Elisa Gil-Carcedo, and David Herrero.
• Cátedra de Otorrinolaringología, Universidad de Valladolid, Valladolid, España; Servicio de Otorrinolaringología, Hospital Universitario Río Hortega, Valladolid, España; Instituto de Neurociencias de Castilla y León (INCyL), Valladolid, España. Electronic address: lvallejovaldez@movistar.es.
• Acta Otorrinolaringol Esp. 2017 Mar 1; 68 (2): 69-79.

Introduction And ObjectivesOne of the problems with total ossicular replacement prostheses is their stability. Prosthesis dislocations and extrusions are common in middle ear surgery. This is due to variations in endo-tympanic pressure as well as design defects. The design of this new prosthesis reduces this problem by being joined directly to the malleus handle. The aim of this study is to confirm adequate acoustic-mechanical behaviour in fresh cadaver middle ear of a new total ossicular replacement prosthesis, designed using the finite elements method.MethodsUsing the doppler vibrometer laser, we analysed the acoustic-mechanical behaviour of a new total ossicular replacement prosthesis in the human middle ear using 10 temporal bones from fresh cadavers.ResultsThe transfer function of the ears in which we implanted the new prosthesis was superimposed over the non-manipulated ear. This suggests optimum acoustic-mechanical behaviour.ConclusionsThe titanium prosthesis analysed in this study demonstrated optimum acoustic-mechanical behaviour. Together with its ease of implantation and post-surgical stability, these factors make it a prosthesis to be kept in mind in ossicular reconstruction.Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. All rights reserved.

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