Middle Ear Implants In otoplasty, middle ear implants serve as replacements for damaged or redundant ossicles. They restore the defect mechanical chain of sound transmission between the tympanum and the stapes footplate. There are two basic types of middle ear implants: Total implants, TORP ( Total Ossicular Replacement Prosthesis) – total ossicular replacement; functional stapes footplate Partial implants, PORP ( Partial Ossicular Replacement Prosthesis) – partial ossicular replacement; stapes still present; functional stapes footplat

Titanium is characterized by its high biocompatibility and stability combined with high rigidity and low weight. According to Wullstein (1968), tympano- hearing. Since the dawn of m iddle ear plasty requires a constant assessment of surgery, a v ariety of m aterials have been the present situation, each of which re- used. An ever-advancing d evelopment in quires a special solution. One of the great challenges is reconstructing a broken or fixed ossicular chain to restore optimal PD Dr. med. Carsten V. Dalchow Head of the Department of Otolaryngology, Head and Neck Surgery, Plastic Surgery and...

Partial implant designs with slitted bells provide the option of placing the implant on the complete bow of the stapes sides when the stapes head is no longer there. This placement reduces the risk of implant dislocation. The implant head can be either centrally (round head) or eccentrically (oval head) attached to the implant shaft. The oval headed version has an additional groove for an improved fitting of the malleus. A clearer view for positioning the bell end is possible due to openings found in both versions. • Round-centric head or oval-excentric head with additional groove • Complete...

• Shaft can be shortened to required length in 1 mm intervals Total implant, shortenable, shaft 0 0.4 mm, sterile • Two parts (with head and separate shoe) Art.-No. Material Overall Length • Adjustable head • Two pieces (with head and separate shoe) Art.-No. Material Overall Length • Two pieces (shaft with shoe and separate head) • Reduction in weight due to 0.3 mm shaft diameter Art.-No. Material Overall Length SPIGGLE & THEIS | Middle Ear Implants

• Shaft can be shortened to required length in 1 mm intervals Partial implant, shaft 0 0.3 mm, sterile • Two pieces (shaft with bell and separate head) • Reduction in weight due to 0.3 mm shaft diameter Art.-No. Material Overall Length Insert length = Overall length - 1 mm SPIGGLE & THEIS | Middle Ear Implants

S horte n i n g i nstrum ents For ti tan i um m iddle ea r impla nts Basic block for shortening scales (total and partial implants) PF001-10 Shortening scale for use with the basic block for total implants 11100, 11200, 11500, 11600 PF001-11 Shortening scale for use with the basic block for partial implants 12100, 12200 PF001-12 Shortening scale for use with the basic block for total implants 11300, 11400 PF001-13 Shortening forceps with extra strong jaw 1.4 x 4.0 mm, 8 cm 10-715-00 Reference Instrument for middle ear prostheses 18.5 cm slide button control from 0-8 mm, 18.5 cm Art.-No. SPIGGLE...

I nse rtio n I nstrume nts Fo r o to lo g ical mic ro surge r y Serrated and fine Self-closing straight 0.8 x 4.0 mm 8 cm Helms, dressing forceps Hildmann, cartilage forceps Please see our otological instrument catalog for the complete range of our otological instruments. SPIGGLE & THEIS | Middle Ear Impla

Vibrant Soundbridge (VSB) implantation is well established in the surgical treatment of sensorineural as well as combined hearing loss in e.g. revision middle ear surgery or complex atresia cases. (( ..Coupling the VSB to existing anatomical frequently used during such operations, structures can be greatly facilitated using the VSB can be easily positioned and will Prof. Dr. med. b. Wollenberg non magnetic Titanium instruments. With no longer be displaced by a magnetic Director of the clinic and polyclinic for ear, nose and throat medicine, the help of the presented i nstruments ghost hand. Chair...

Prof. Wollenberg Micro needle, titanium • Non-magnetic Art.-No. Description 10-600-00 short curve, slightly curved 10-601-00 long curve, very slightly curved Micro hook, titanium • Non-magnetic Micro forceps, titanium • Non-magnetic SPIGGLE & THEIS | Middle Ear Implants

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