A review of biovitroceramic PAW1 – Romanian bioactive implant material for ossiculoplasty

1 - Department of ENT&HNS, Carol Davila University of Medicine and Pharmacy, 020021, Bucharest, Romania. ORCID:0000-0002- 4029-7721

2 - Department of ENT&HNS, Polimed Medical Center, Bucharest, Romania. ORCID ID: 0000-0003-0725-2131 hypoacusis is more likely to have poorer professional results than his colleagues, and will be less competitive in the labor market, and will have smaller chances to complete higher education” [3,4]. The next most important factor influencing results is the type and the quality of the material. Over time many types of materials have been tested (biological and synthetic), some entering into medical practice a shorter period, others remaining in current use, but the surgeon’s choice for the ossicular chain reconstructions depends on their own experience in the field, the ossicular deficiency or the patient’s immunological status [5]. The purpose of all these attempts is to implant a type of material with excellent biocompatibility, and stability, to provide natural sound transmission with the minimum risk of potential bacterial colonization or graft rejection [6]. THEORY AND CONCEPT Ossicular substitution or reconstruction has been attempted with an array of materials but the only conclusion that has been drawn is that “the ideal prosthesis for ossicular reconstruction should be made of a material that maintains