Comparison of Various Graft Materials in the Reconstruction of Ossicular Chain in Patients with Chronic Otitis Media: A Prospective Hospital Based Study
Introduction Ossicular chain reconstruction is the surgical procedure used to correct the hearing problems in patients with chronic otitis media (COM). In this era, where a large variety of innovative artificial prosthetic materials are being used to replace and reconstruct the ossicular chain, a...
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2017-12-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal3/index.php/bjohns/article/view/134 |
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| author | Niaz Fakhruddin Chethan Kumar Gangaiah Gopakumar KP Geogin George Thottan Mon Noufal |
| author_facet | Niaz Fakhruddin Chethan Kumar Gangaiah Gopakumar KP Geogin George Thottan Mon Noufal |
| author_sort | Niaz Fakhruddin |
| collection | DOAJ |
| description | Introduction
Ossicular chain reconstruction is the surgical procedure used to correct the hearing problems in patients with chronic otitis media (COM). In this era, where a large variety of innovative artificial prosthetic materials are being used to replace and reconstruct the ossicular chain, autografts still play a significant role.
Materials and Methods
The present study included 40 patients. Study population was selected based on inclusion and exclusion criteria. The ossicular reconstructive procedure was done under anesthesia and according to the status of the ossicular chain. Temporalis fascia was used to close the perforation. Mainly two procedures were performed: one is intact canal wall and the other is canal wall down.
Results
Most of the study population was middle aged and males were more compared to females. Thirty five patients had air bone gap above 30dB. In 38 patients, the incus had undergone necrosis. Most of the patients underwent short columella reconstruction. A closure of air bone gap with in 20 dB was achieved in 72.2% in patients with malleus stapes assembly. In short columella 22.2% of patients had closure of air bone gap within 20 dB. Incus remnant grafts gave better hearing gain.
Discussion
The published literature on the result of use of sculptured ossicle and cartilage in tympanoplasty have been reviewed
Conclusion
In the present study, cases with COM showed good hearing results patients implanted with autogenous cartilage and bone. |
| first_indexed | 2024-03-07T17:52:10Z |
| format | Article |
| id | doaj.art-d08cfdf36a8c47738e8db76a63b7eff0 |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T17:52:10Z |
| publishDate | 2017-12-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-d08cfdf36a8c47738e8db76a63b7eff02024-03-02T13:53:54ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072017-12-0125310.47210/bjohns.2017.v25i3.134Comparison of Various Graft Materials in the Reconstruction of Ossicular Chain in Patients with Chronic Otitis Media: A Prospective Hospital Based StudyNiaz Fakhruddin0Chethan Kumar Gangaiah1Gopakumar KP2Geogin George Thottan3Mon Noufal4Sree Mookambika Institute of Medical Sciences, Padanilam, Tamil NaduSree Mookambika Institute of Medical Sciences, Padanilam, Tamil NaduSree Mookambika Institute of Medical Sciences, Padanilam, Tamil NaduSree Mookambika Institute of Medical Sciences, Padanilam, Tamil NaduSree Mookambika Institute of Medical Sciences, Padanilam, Tamil NaduIntroduction Ossicular chain reconstruction is the surgical procedure used to correct the hearing problems in patients with chronic otitis media (COM). In this era, where a large variety of innovative artificial prosthetic materials are being used to replace and reconstruct the ossicular chain, autografts still play a significant role. Materials and Methods The present study included 40 patients. Study population was selected based on inclusion and exclusion criteria. The ossicular reconstructive procedure was done under anesthesia and according to the status of the ossicular chain. Temporalis fascia was used to close the perforation. Mainly two procedures were performed: one is intact canal wall and the other is canal wall down. Results Most of the study population was middle aged and males were more compared to females. Thirty five patients had air bone gap above 30dB. In 38 patients, the incus had undergone necrosis. Most of the patients underwent short columella reconstruction. A closure of air bone gap with in 20 dB was achieved in 72.2% in patients with malleus stapes assembly. In short columella 22.2% of patients had closure of air bone gap within 20 dB. Incus remnant grafts gave better hearing gain. Discussion The published literature on the result of use of sculptured ossicle and cartilage in tympanoplasty have been reviewed Conclusion In the present study, cases with COM showed good hearing results patients implanted with autogenous cartilage and bone.https://bjohns.in/journal3/index.php/bjohns/article/view/134Otitis Media, SuppurativeTympanoplastyIncusNecrosisCartilage |
| spellingShingle | Niaz Fakhruddin Chethan Kumar Gangaiah Gopakumar KP Geogin George Thottan Mon Noufal Comparison of Various Graft Materials in the Reconstruction of Ossicular Chain in Patients with Chronic Otitis Media: A Prospective Hospital Based Study Bengal Journal of Otolaryngology and Head Neck Surgery Otitis Media, Suppurative Tympanoplasty Incus Necrosis Cartilage |
| title | Comparison of Various Graft Materials in the Reconstruction of Ossicular Chain in Patients with Chronic Otitis Media: A Prospective Hospital Based Study |
| title_full | Comparison of Various Graft Materials in the Reconstruction of Ossicular Chain in Patients with Chronic Otitis Media: A Prospective Hospital Based Study |
| title_fullStr | Comparison of Various Graft Materials in the Reconstruction of Ossicular Chain in Patients with Chronic Otitis Media: A Prospective Hospital Based Study |
| title_full_unstemmed | Comparison of Various Graft Materials in the Reconstruction of Ossicular Chain in Patients with Chronic Otitis Media: A Prospective Hospital Based Study |
| title_short | Comparison of Various Graft Materials in the Reconstruction of Ossicular Chain in Patients with Chronic Otitis Media: A Prospective Hospital Based Study |
| title_sort | comparison of various graft materials in the reconstruction of ossicular chain in patients with chronic otitis media a prospective hospital based study |
| topic | Otitis Media, Suppurative Tympanoplasty Incus Necrosis Cartilage |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/134 |
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