[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-452572-105":59,"doc-detail-452572-en":134},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":127,"head_meta":129,"extra_data":131,"updated_unix":133},105,"en","new-semi-synthetic-torp-ossiculoplasty-long-term-results","New Semi-Synthetic TORP Ossiculoplasty - Long-Term Results","","Prospective tertiary-center study evaluated long-term hearing outcomes after ossiculoplasty using a new semi-synthetic TORP (MalafronteTORP). From April to May 2023, 18 procedures placed the TORP between the stapes footplate and tympanic membrane with or without a stapes superstructure. Primary endpoint was long-term postoperative air-bone gap (ABG), compared with short-term ABG, plus secondary measures including air-conduction pure-tone average, word recognition, ABG ≤20 dB rate, and extrusion. ABG improved at both follow-ups without extrusion, with no significant short- versus long-term difference.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/new-semi-synthetic-torp-ossiculoplasty-long-term-results/452572/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/new-semi-synthetic-torp-ossiculoplasty-long-term-results/452572.png","ImageObject",300,407,{"name":92,"@type":93},"RuangKosong","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What was the primary objective of the study?","Question",{"text":112,"@type":113},"To report the long-term hearing outcomes after ossiculoplasty using the new semi-synthetic TORP.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were the hearing outcomes measured over time?",{"text":117,"@type":113},"Long-term postoperative air-bone gap (ABG) was compared with short-term postoperative ABG, and secondary outcomes included ACPTA, word recognition scores, and the proportion achieving ABG ≤ 20 dB.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the main findings at short-term and long-term follow-up?",{"text":121,"@type":113},"Short-term follow-up showed ABG improvement from a mean of 33.5 dB to 12.2 dB, while long-term follow-up improved ABG to 13.2 dB. The rates achieving ABG ≤ 20 dB were 88.8% and 83.3%, respectively.",{"name":123,"@type":110,"acceptedAnswer":124},"Did the new semi-synthetic TORP show extrusion during follow-up?",{"text":125,"@type":113},"No extrusion was observed; the extrusion rate was 0%.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},452572,1791100533,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":46,"preview_page_count":4},962090883219,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","’Original Study  \nNew Semi-Synthetic TORP Ossiculoplasty:  \nLong-Term Results  \nGiuseppe Malafronte* , Antonio Trusio, Valeria Rossetti, Vito Colacurcio, Generoso De Cristofaro, Barbara Filosa  \nObjective: To report the long-term hearing outcomes after ossiculoplasty using the new semi-synthetic TORP.   \nStudy design: Prospective study.  \nSetting: Tertiary referral center.  \nMethods: From April to May 2023, 18 ossiculoplasties using the new semi-synthetic TORP were performed by the first author. In all patients, the new semi-synthetic TORP was placed between the stapes footplate and the tympanic membrane, both in the presence and absence of the stapes superstructure. The primary outcome was the long-term postoperative air-bone gap (ABG) . Hearing stability over time was assessed by comparing short-and long-term postoperative ABG. Secondary outcomes included postoperative air-conduction pure-tone average (ACPTA), word recognition scores, and the percentage of patients achieving ABG ≤ 20 dB. The extrusion rate was also evaluated.  \nResults: At short-term follow-up (mean: 8 .5 mo), the ABG improved from a mean of 33 .5 dB (SD = 8.7) to 12 .2 dB (SD = 5.98); 88.8% of patients (16/18) achieved ABG ≤ 20 dB. The short-term postoperative ABG was significantly improved compared with preoperative values (t = 27.7; P \u003C 0.05) . At long-term follow-up (mean 24 .5 mo), the ABG improved to 13 .2 dB (SD = 5.49), with 83.3% of patients (15/18) achieving ABG ≤ 20 dB (t = 15.3; P \u003C 0.05) . No statistically significant difference was observed between short-term and long-term ABG (t = 0.45; P > 0.05) . The extrusion rate was 0% .  \nConclusions: The new semi-synthetic TORP ossiculoplasty demonstrated excellent and stable long-term hearing outcomes with no extrusion.  \nKeywords: Middle ear prostheses, Ossiculoplasty, PORP, Stapes surgery, TORP, Tympanoplasty  \nIntroduction  \nOssiculoplasty is the surgical technique for the reconstruction of the ossicular chain[1,2] . Its aim is to restore conductive hearing loss. In the United States, from 2010 to 2019, ossiculoplasty procedures decreased by 18%[3] . This negative trend may be linked to the declining interest of general otolaryngologists and younger surgeons in this procedure, which involves many uncertainties and carries a high failure rate[3,4] . Although many prostheses are currently in use, no universally accepted or ideal solution exists that guarantees stability and integration under all conditions. Each surgeon, when considering ossiculoplasty, faces  \nDepartment of Otolaryngology Head and Neck Surgery, San Giuseppe Moscati Hospital, Avellino, Italy  \nG.M. has patented the shaft prosthesis and he does not have funding to disclose. The remaining authors disclose no conflicts of interest.  \n*Corresponding author. Address: Department of Otolaryngology Head and Neck Surgery, San Giuseppe Moscati Hospital, Contrada Amoretta, Avellino 83100, Italy. [E-mail address: gimalafronte@libero.it](E-mail address: gimalafronte@libero.it) (G. Malafronte).  \nCopyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc on behalf of Otology & Neurotology, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.  \nOtology & Neurotology (2026) 47:356–363  \nSupplemental Digital Content is available for this article. Direct URL citations are provided in the HTML and PDF versions of this article on the journal's website, www. [otology-neurotology.com](otology-neurotology.com).  \n[http://dx.doi.org/10.1097/MAO.0000000000004735](http://dx.doi.org/10.1097/MAO.0000000000004735)  \nmany uncertainties: columellar or assembly ossiculoplasty? Total or partial ossiculoplasty? Assembly ossiculoplasty provides more prosthetic stability than colum","cbCaieXRSRli6Hmf","https://ap.wps.com/l/cbCaieXRSRli6Hmf","pdf",708002,"English","# Objective\n# Study design and setting\n# Methods\n## Primary and secondary outcomes\n# Results\n## Hearing outcomes\n## Extrusion rate\n# Conclusions\n# Keywords","[{\"question\":\"What was the primary objective of the study?\",\"answer\":\"To report the long-term hearing outcomes after ossiculoplasty using the new semi-synthetic TORP.\"},{\"question\":\"How were the hearing outcomes measured over time?\",\"answer\":\"Long-term postoperative air-bone gap (ABG) was compared with short-term postoperative ABG, and secondary outcomes included ACPTA, word recognition scores, and the proportion achieving ABG ≤ 20 dB.\"},{\"question\":\"What were the main findings at short-term and long-term follow-up?\",\"answer\":\"Short-term follow-up showed ABG improvement from a mean of 33.5 dB to 12.2 dB, while long-term follow-up improved ABG to 13.2 dB. The rates achieving ABG ≤ 20 dB were 88.8% and 83.3%, respectively.\"},{\"question\":\"Did the new semi-synthetic TORP show extrusion during follow-up?\",\"answer\":\"No extrusion was observed; the extrusion rate was 0%.\"}]","New Semi-Synthetic TORP Ossiculoplasty - Long-Term Results | PDF",1790737425]