The TORP-PORP: A Tympanoplasty Technique for Isolated Defects of the Stapes Suprastructure

ObjectiveInvestigating the outcomes of a surgical approach to treat isolated defects of the stapes suprastructure, using a modified total ossicular replacement prosthesis (TORP) prosthesis as a PORP between the footplate and the incus, effectively creating a TORP-PORP configuration.PatientsEleven patients (mean age, 37.2 years; 36% male and 64% female) between the years 2007 and 2022.Intervention(s)Therapeutic (ossiculoplasty).Main Outcome Measure(s)Hearing gain (in dB) in air conduction thresholds at 0.5, 1, 2, 3, and 4 kHz, stability of bone conduction, revision rate.ResultsSignificant improvement in air conduction between the preoperative and the postoperative cohorts (p = 0.002) with a mean postoperative hearing level of 30.00 +/- 5.25 dB. The bone conduction remained stable. We encountered no perioperative complications, and there were no revisions surgery.ConclusionsThe described ossiculoplasty procedure is a safe and effective approach to treat isolated defects of the stapes suprastructure.