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Voice quality (intelligibility, pleasantness, and comprehension) was unsatisfactory in all patients except the 10 patients where a voice prosthesis was positioned in which the functional results are excellent.
All our patients where a phonatory prosthesis was positioned (20/29) were able to achieve speech following speech therapy and all were satisfied with their own capacity to communicate.
All our patients where a phonatory prosthesis was positioned (10/29) were able to achieve speech following speeching rehabilitation and all were satisfied with their own capacity to communicate.
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In order to obtain the 3D surface model of the bone, an imaging expert semi-automatically segmented the cortical bone of both the tibia and fibula with Mimics (Mimics Research 18.0, Materialise NV), resulting in an inner and outer surface of the porcine tibial bone just distal from the site where the future prosthesis would be positioned.
Hart et al. (2009) have shown that in a series of 16 failed large-head MoM prostheses, 13 were positioned outside the Lewinnek "safe zone".
During this procedure a free-floating extension of the arch prosthesis (the elephant trunk) is positioned in the proximal descending thoracic aorta.
The prosthesis was inferiorly positioned to get an overhang of the lower edge of the glenoid [ 11, 12].
In the absence of facet arthropathy, results are optimized when a well-engineered implant is used, soft tissues are balanced, and the prosthesis is well positioned in appropriate alignment.
The radiodense stapes prosthesis is well positioned with its distal end against the oval window Open image in new window Fig. 9 Axial (a) and coronal (b) HRCT images of the left temporal bone in a patient with persistent CHL, post stapedectomy.
Further, X-rays were taken shortly after surgery, which showed that the prosthesis was correctly aimed and positioned with regard to the size and height of the devise.
The third, medial anterior pin could not be inserted into the bone since the prosthesis was in a distal position.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com