Exclusive Endoscopic Total Ossicular Replacement Prosthesis (TORP)

To begin, prepare all the necessary surgical tools and equipment for the procedure. Assess the integrity of the stapes footplate and prepare it for the prosthesis placement. Measure the defect between the tympanic membrane and the stapes footplate to choose the appropriate implant size.

Next, position the TORP inside the tympanic cavity and use a microneedle to locate the foot of the TORP precisely onto the stapes footplate. Stabilize the TORP by using resorbable gelatin sponges. Ensure that there is contact between the cartilage and the prosthesis once the tympanomeatal flap has been placed over it.

The overall graft intake rate showed a success rate of 98.3%Preoperatively, the average air-bone gap was 36.80 decibels, whereas after surgery, the average air-bone gap significantly reduced to 20.30 decibels.