Problems in alloplastic middle ear reconstruction.

Abstract:

:Alloplastic materials have been used in middle ear reconstruction since 1952. Biologically, biomaterials and specifically ceramics can be defined as being bioinert, bioactive or biodegradable; these terms being descriptive of the biochemical response provoked by the material in the host tissue. Various ceramics, carbons and polymers and their reactions have been studied by the author and his colleagues over the past 5 years utilising animal implantation and fibroblast culture studies aligned with experience from clinical usage. The qualities of the ideal alloplastic implant namely: biocompatibility, stabilisation and incorporation, the consistency of the implant and bioactive bonding and the biofunctionality or mechanics, are applied to the materials currently available. No single alloplastic material fulfills all criteria, the problems encountered in relation to the biomaterials are reported. A better understanding of the microstresses, fatigue and microfractures is necessary, before the ideal alloplastic biomaterial becomes available.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Blayney AW,Williams KR,Erre JP,Lesser TH,Portmann M

doi

10.1080/00016489.1992.11665426

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

322-7

issue

2

eissn

0001-6489

issn

1651-2251

journal_volume

112

pub_type

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