A comparison of sound transmission of middle ear prostheses manufactured via SLM

Abstract

Middle ear surgeries involve Total Ossicular Replacement Prosthesis (TORP) or Partial Ossicular Replacement Prosthesis, where all or some of the three ossicle bones are replaced. Current prostheses are dissimilar to the natural ossicles in geometry, size and only recover up to 75% sound transmission. Additive manufacturing offers complex, near-net shape geometries that allow for patient specific implants. A novel design is used to manufacture a TORP in Ti6Al4V(ELI) via Additive Manufacturing. The sound transmission level of the of the additively manufactured titanium prosthesis was measured by laser doppler vibrometry and compared to that of a Silver additively manufactured prosthesis. The sound transmission level of the additively manufactured prostheses are also compared to that of the international standards and literature using this method.