Titanium prostheses versus stapes columella type 3 tympanoplasty: a comparative prospective study
Introduction: Tympanoplasty is a surgical procedure designed to reconstruct the mechanisms of sound transmission in the middle ear. Objective: Analyze, from an audiological point of view, patients with chronic otitis media undergoing type 3 tympanoplasty major columella with total ossicular replacem...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-07-01
|
| Series: | Brazilian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869420301440 |
| _version_ | 1818191223187308544 |
|---|---|
| author | Fayez Bahmad, Jr. Andréa Gonçalves Perdigão |
| author_facet | Fayez Bahmad, Jr. Andréa Gonçalves Perdigão |
| author_sort | Fayez Bahmad, Jr. |
| collection | DOAJ |
| description | Introduction: Tympanoplasty is a surgical procedure designed to reconstruct the mechanisms of sound transmission in the middle ear. Objective: Analyze, from an audiological point of view, patients with chronic otitis media undergoing type 3 tympanoplasty major columella with total ossicular replacement titanium prosthesis or with cartilage graft stapes columella. Methods: This is a prospective analytical study, carried out at the otorhinolaryngology outpatient clinic in a tertiary care hospital, through the evaluation of 26 patients with chronic otitis media who underwent tympanoplasty using different materials for auditory rehabilitation such as titanium prostheses or cartilage autografts. Results: There was no statistically significant association between the group factors (cartilage or titanium reconstruction) and preoperative variables. There was no statistically significant association between the postoperative characteristics of the patients and the type of reconstruction. Neither subjective improvement (hearing improvement) nor residual perforation were associated with a type of material. The via factor was the only one that showed a statistically significant difference once air-conduction pathway improved more than bone-conduction pathway, decreasing the air-bone gap. Conclusion: There was no statistical difference between the two groups in relation to the audiometric improvement. There was hearing improvement in both groups. More studies must be done with a longer follow-up to better evaluate the outcome. |
| first_indexed | 2024-12-12T00:11:11Z |
| format | Article |
| id | doaj.art-095775a9cca84508abec25c77cf45bfb |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-12-12T00:11:11Z |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-095775a9cca84508abec25c77cf45bfb2022-12-22T00:44:58ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942022-07-01884562569Titanium prostheses versus stapes columella type 3 tympanoplasty: a comparative prospective studyFayez Bahmad, Jr.0Andréa Gonçalves Perdigão1Hospital Universitário de Brasília, Brasília, DF, Brazil; Universidade de Brasília (UnB), Faculdade de Ciências de Saúde, Programa de Pós-Graduação em Ciências da Saúde, Brasília, DF, Brazil; Corresponding author.Universidade de Brasília (UnB), Faculdade de Medicina, Brasília, DF, BrazilIntroduction: Tympanoplasty is a surgical procedure designed to reconstruct the mechanisms of sound transmission in the middle ear. Objective: Analyze, from an audiological point of view, patients with chronic otitis media undergoing type 3 tympanoplasty major columella with total ossicular replacement titanium prosthesis or with cartilage graft stapes columella. Methods: This is a prospective analytical study, carried out at the otorhinolaryngology outpatient clinic in a tertiary care hospital, through the evaluation of 26 patients with chronic otitis media who underwent tympanoplasty using different materials for auditory rehabilitation such as titanium prostheses or cartilage autografts. Results: There was no statistically significant association between the group factors (cartilage or titanium reconstruction) and preoperative variables. There was no statistically significant association between the postoperative characteristics of the patients and the type of reconstruction. Neither subjective improvement (hearing improvement) nor residual perforation were associated with a type of material. The via factor was the only one that showed a statistically significant difference once air-conduction pathway improved more than bone-conduction pathway, decreasing the air-bone gap. Conclusion: There was no statistical difference between the two groups in relation to the audiometric improvement. There was hearing improvement in both groups. More studies must be done with a longer follow-up to better evaluate the outcome.http://www.sciencedirect.com/science/article/pii/S1808869420301440TympanoplastyProsthesesStapesOtitis media |
| spellingShingle | Fayez Bahmad, Jr. Andréa Gonçalves Perdigão Titanium prostheses versus stapes columella type 3 tympanoplasty: a comparative prospective study Brazilian Journal of Otorhinolaryngology Tympanoplasty Prostheses Stapes Otitis media |
| title | Titanium prostheses versus stapes columella type 3 tympanoplasty: a comparative prospective study |
| title_full | Titanium prostheses versus stapes columella type 3 tympanoplasty: a comparative prospective study |
| title_fullStr | Titanium prostheses versus stapes columella type 3 tympanoplasty: a comparative prospective study |
| title_full_unstemmed | Titanium prostheses versus stapes columella type 3 tympanoplasty: a comparative prospective study |
| title_short | Titanium prostheses versus stapes columella type 3 tympanoplasty: a comparative prospective study |
| title_sort | titanium prostheses versus stapes columella type 3 tympanoplasty a comparative prospective study |
| topic | Tympanoplasty Prostheses Stapes Otitis media |
| url | http://www.sciencedirect.com/science/article/pii/S1808869420301440 |
| work_keys_str_mv | AT fayezbahmadjr titaniumprosthesesversusstapescolumellatype3tympanoplastyacomparativeprospectivestudy AT andreagoncalvesperdigao titaniumprosthesesversusstapescolumellatype3tympanoplastyacomparativeprospectivestudy |