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VOLUME 7 , ISSUE 3 ( September-December, 2015 ) > List of Articles

RESEARCH ARTICLE

Synchronous Ossiculoplasty with Ossicular Replacement Prosthesis during Canal Wall Down Mastoidectomy for Advanced Cholesteatoma: Anatomical and Audiological Outcomes

Deepak Verma, Mohamed Shareef, Gul Motwani, Noor Ul Din Malik, Santosha Ram Choudhary

Keywords : Cholesteatoma,Mastoidectomy,Ossiculoplasty,Prosthesis

Citation Information : Verma D, Shareef M, Motwani G, Malik NU, Choudhary SR. Synchronous Ossiculoplasty with Ossicular Replacement Prosthesis during Canal Wall Down Mastoidectomy for Advanced Cholesteatoma: Anatomical and Audiological Outcomes. Int J Otorhinolaryngol Clin 2015; 7 (3):109-113.

DOI: 10.5005/jp-journals-10003-1204

Published Online: 00-12-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objectives

To evaluate the anatomical and audiological outcomes of synchronous ossiculoplasty with ossicular replacement prosthesis during canal wall down mastoidectomy for advanced cholesteatoma.

Methods

The prospective study was done at a tertiary referral institute included 30 patients of cholesteatoma who underwent canal wall down mastoidectomy. Ossicular reconstruction was performed using polytetrafluoroethylene (PTFE) (teflon) partial or total ossicular replacement prosthesis. Patients were assessed at 1st, 3rd and 6th postoperative months for graft uptake and hearing evaluation using pure tone audiometry (PTA) in which air bone gap (ABG) closure and mean ABG was calculated and compared with the mean preoperative ABG.

Results

The mean ABG [both total occicular replacement prosthesis (TORP) and partial occicular replacement prosthesis (PORP) groups combined] considerably reduced from 34.33 ± 4.10 dB preoperatively to 15.47 ± 7.65 dB postoperatively at 6 months. There was a 46.29% of closure of ABG in 1st month, which closed more (53.89%) in 3rd month and even more (55.34%) in 6th postoperative month. p < 0.001 showed the ABG closure ratio and reduction in the mean ABG was statistically significant in the postoperative period.

Conclusion

Ossicular reconstruction with ossicular replacement prosthesis offers good functional results when performed during canal wall down surgery for advanced cholesteatoma, as a single-stage procedure.

How to cite this article

Shareef M, Motwani G, Verma D, Malik NUD, Choudhary SR. Synchronous Ossiculoplasty with Ossicular Replacement Prosthesis during Canal Wall Down Mastoidectomy for Advanced Cholesteatoma: Anatomical and Audiological Outcomes. Int J Otorhinolaryngol Clin 2015;7(3):109-113.


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  1. Is it the middle ear disease or the reconstruction material that determines the functional outcome in ossicular chain reconstruction? Otol Neurotol 2012;33(4):580–585.
  2. Synchronous ossiculoplasty with titanium prosthesis during canal wall down surgery for advanced cholesteatoma: anatomical and hearing outcomes. J Laryngol Otol 2012;126(2):131–135.
  3. Role of ossiculoplasty in canal wall down tympanoplasty for middle-ear cholesteatoma: hearing results. J Laryngol Otol 2007;121(4):324–328.
  4. Surgical management of middle ear cholesteatoma and reconstruction at the same time. Colomb Med 2014;45(3):127–131.
  5. Kurz titanium prosthesis ossiculoplasty—follow-up statistical analysis of factors affecting 1 year hearing results. Auris Nasus Larynx 2010;37(2):150–154.
  6. Reconstruction of the ossicular chain with titanium implants: results of a multicenter study. Laryngorhinootologie 2000;79(3):139–145.
  7. Hearing results with the titanium ossicular replacement prostheses. Eur Arch Otorhinolaryngol 2006;263(4): 347–354.
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