Ossicular reconstruction in chronic otitis media

Abstract

The present study evaluated the long term results of chronic otitis media cases with ossicular reconstruction, and in the light of these results, hearing reconstruction in chronic otitis media was studied in 312 patients. These patients periodically came to postoperative control, after being surgically treated with ossicular reconstruction due to chronic otitis media between January 1996 and January 2003. There was no statistically significant difference in hearing gain of patients who were treated with different surgical techniques. Our clinical experiences considered together with the findings in the literature suggest the following: With the condition of eradicated infection, in chronic otitis cases with healthy stapes, satisfactory results were obtained with autograft or homograft incus. In cases where the stapedial suprastructure was destructed, graft or an allograft prothesis that reached from the malleus to the bottom was found to be quite satisfactory provided that cartilage was placed in the platform.

Keywords

• chronic otitis
• tympanoplasty
• ossicular prosthesis
• cholesteatoma.