The crimping of stapes
prosthesis to the long process of incus has always been the bugbear of an otologist. Malcrimping on one hand can lead to
necrosis of the long process on the other it can lead to a residual air-bone gap or a postoperative reappearance of the
conductive hearing loss. To solve these problems different types of stapes
prostheses having different techniques to achieve a secure attachment to incus have been devised. Retrospective analysis of patient data. Tertiary care hospital. Case records of 20 patients of
otosclerosis who had undergone stapedotomy using
titanium soft
clip stapes piston (Kurz, Germany) were retrospectively analysed. This new type of stapes piston is a modification of the earlier àWengen
clip piston (Kurz, Germany) which was designed to avoid the crimping onto the incus in stapedotomy. Hearing results were analyzed using American Academy of Otolaryngology-Head and Neck Surgery guidelines including 4 frequency pure tone average. The mean postoperative air-bone gap was with in 10 dB in 8 (40% of cases), up to 15 dB in another 8 (40%) cases and in rest 4 (20%) was with in 20 dB. No adverse reactions occurred during follow-up. The use of the
titanium soft
clip stapes piston gives good results in cases of stapedotomy for
otosclerosis. The soft
clip design is a new development in the evolution of stapes piston
prostheses. Surgical introduction, placement, and fixation are easier than the earlier àWengen design of
clip piston.