Safety of gold in stapes surgery

Kwok, Pingling and Schuster, M. and Boch, K. and Jacob, Peter and Gleich, Otto and Strutz, Juergen (2005) Safety of gold in stapes surgery. BIOMATERIALS, 26 (34). pp. 7132-7135. ISSN 0142-9612,

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Abstract

Gold prostheses in middle ear surgery were found to have a higher extrusion rate than prostheses made from titanium. Incidences of deafness after insertion of a gold piston into the vestibule during stapes surgery have been observed. The aim of this study was to find out to what degree gold cations can diffuse from the prosthesis piston into the perilymph. For this, gold prostheses were incubated in artificial perilymph for four months, after which the gold content of the perilymph was analysed. As gold exhibits a special behaviour in complex fluids like the perilymph, a new analysing method was developed. The results show that gold does leak out of the pistons, that it can be reliably measured and that the amount of gold reaching the perilymph depends on the contact area. As the amount of gold measured in the perilymph stays far below the toxic level, it is very unlikely that the gold cations diffusing from a stapes prosthesis into the perilymph have a toxic effect on the inner ear hair cells. Inflammatory or allergic reactions to gold induced by direct tissue contact, however, cannot be excluded. (c) 2005 Elsevier Ltd. All rights reserved.

Item Type: Article
Uncontrolled Keywords: METAL-CATIONS; PROSTHESES; IMPLANTS; FLUID; gold content; perilymph; analysing method; stapes surgery; gold stapes prosthesis
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 04 Mar 2021 10:35
Last Modified: 04 Mar 2021 10:35
URI: https://pred.uni-regensburg.de/id/eprint/35337

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