A Study of Outcome of Ossicuplasty using Autologous Cartilage and Refashioned Incus in Patients of CSOM
Authors/Creators
- 1. Professor, Department of Otorhinolaryngology, Jaipur National University Institute for Medical Sciences and Research Centre, Jaipur, Rajasthan, India
- 2. Assistant professor, Department of Otorhinolaryngology, Jaipur National University Institute for Medical Sciences and Research Centre, Jaipur, Rajasthan, India
- 3. Senior resident, Department of Otorhinolaryngology, Jaipur National University Institute for Medical Sciences and Research Centre, Jaipur, Rajasthan, India
Description
Background: Chronic suppurative otitis media (CSOM) is a persistent inflammation of the middle ear cleft, leading to ossicular erosion and hearing loss. Ossiculoplasty aims to reconstruct the ossicular chain to restore hearing. This study compares the outcomes of ossiculoplasty using autologous cartilage versus refashioned incus in patients with CSOM. Methods: A prospective study was conducted on 100 patients diagnosed with CSOM requiring ossiculoplasty. Patients were divided into two groups: Group A (n=50) received autologous cartilage grafts, and Group B (n=50) received refashioned incus. Preoperative and postoperative audiometric evaluations were performed to assess hearing improvement over a 6-month follow-up period. Results: Both groups showed significant postoperative hearing improvement. Group A had an average air-bone gap (ABG) reduction of 20 dB, while Group B showed an average reduction of 18 dB. The difference between the groups was not statistically significant (p > 0.05). Graft uptake rates were comparable in both groups, with minimal complications observed. Conclusion: Ossiculoplasty using either autologous cartilage or refashioned incus provides significant hearing improvement in CSOM patients. Both materials are effective and safe, with no significant difference in outcomes. Selection of the graft material can be based on surgeon preference and intraoperative findings.
Abstract (English)
Background: Chronic suppurative otitis media (CSOM) is a persistent inflammation of the middle ear cleft, leading to ossicular erosion and hearing loss. Ossiculoplasty aims to reconstruct the ossicular chain to restore hearing. This study compares the outcomes of ossiculoplasty using autologous cartilage versus refashioned incus in patients with CSOM. Methods: A prospective study was conducted on 100 patients diagnosed with CSOM requiring ossiculoplasty. Patients were divided into two groups: Group A (n=50) received autologous cartilage grafts, and Group B (n=50) received refashioned incus. Preoperative and postoperative audiometric evaluations were performed to assess hearing improvement over a 6-month follow-up period. Results: Both groups showed significant postoperative hearing improvement. Group A had an average air-bone gap (ABG) reduction of 20 dB, while Group B showed an average reduction of 18 dB. The difference between the groups was not statistically significant (p > 0.05). Graft uptake rates were comparable in both groups, with minimal complications observed. Conclusion: Ossiculoplasty using either autologous cartilage or refashioned incus provides significant hearing improvement in CSOM patients. Both materials are effective and safe, with no significant difference in outcomes. Selection of the graft material can be based on surgeon preference and intraoperative findings.
Files
IJPCR,Vol16,Issue12,Article207.pdf
Files
(404.7 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:f31a4fd07228a5320c095a980a318eeb
|
404.7 kB | Preview Download |
Additional details
Dates
- Accepted
-
2024-11-26
Software
- Repository URL
- http://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue12,Article207.pdf
- Development Status
- Active
References
- 1. World Health Organization. Chronic suppurative otitis media: burden of illness and management options. WHO; 2004. 2. Acuin J. Chronic suppurative otitis media: burden of illness and management options. World Health Organization; 2004. 3. Smyth GD. Sensorineural hearing loss in chronic ear surgery. Ann Otol Rhinol Laryngol. 1977; 86(1_pt_1):3-7. 4. Austin DF. Ossicular reconstruction. Otolaryngol Clin North Am. 1972; 5(1):145-160. 5. Black B. Ossiculoplasty prognosis: the spite method of assessment. Am J Otol. 1992; 13(6):544-551. 6. Kartush JM. Ossicular chain reconstruction. Capitulum to malleus. Otolaryngol Clin North Am. 1994; 27(4):689-715. 7. Dornhoffer JL. Hearing results with cartilage tympanoplasty. Laryngoscope. 1997; 107(8):1094-1099. 8. Mills RP. The use of autografts and homografts in ossiculoplasty. Clin Otolaryngol Allied Sci. 1993; 18(3):202-205. 9. Wullstein H. Theory and practice of tympanoplasty. Laryngoscope. 1956; 66(8):1076-1093. 10. Yung M. Cartilage tympanoplasty: literature review. J Laryngol Otol. 2008; 122(7):663- 672. 11. Mohamad SH, Khan I, Hussain SS. Is cartilage tympanoplasty more effective than fascia tympanoplasty? A systematic review. Otol Neurotol. 2012; 33(5):699-705. 12. Shrestha S, Sinha BK. Hearing results after ossicular reconstruction: a comparison between autograft ossicles and titanium prosthesis. Kathmandu Univ Med J. 2012; 10(1):54- 58. 13. Yung M, Vowler SL. Long-term results in ossiculoplasty: an analysis of prognostic factors. Otol Neurotol. 2006; 27(6):874-881. 14. Merchant SN, Ravicz ME, Voss SE, Peake WT, Rosowski JJ. Middle ear mechanics in normal, diseased and reconstructed ears. J Laryngol Otol. 1998; 112(8):715-731. 15. Onal K, Arslanoglu S, Songu M, Demiray U, Demirpehlivan IA. Functional results of temporalis fascia versus cartilage tympanoplasty in patients with bilateral chronic otitis media. J Laryngol Otol. 2012; 126(1):22-25. 16. Tos M. Cartilage tympanoplasty methods: proposal of a classification. Otolaryngol Head Neck Surg. 2008; 139(6):747-758. 17. Gerber MJ, Mason JC, Lambert PR. Hearing results after primary ossiculoplasty. Otol Neurotol. 2000; 21(1):22-25. 18. Vassbotn FS, Møller P, Silvola JT. A comparison of hearing results using hydroxyapatite prostheses versus ossicular allografts in ossiculoplasty. Otol Neurotol. 2007; 28(4):492-498.