Turkish Archives of Otorhinolaryngology (Dec 2001)
Results of Ossiculoplasty in Chronic Otitis Media without Cholesteatoma
Abstract
Objective:To analyze hearing results of ossiculoplasty in ears with chronic otitis media without cholesteatoma.Materials and Methods:The charts of patients who had ossiculoplasty using autologous ossicles or cortical bone graft performed at the Otolaryngology Department of F›rat University F›rat Medical Center between 1994 and 1997 were evaluated retrospectively. The 32 ears who had follow-up examinations for six months or longer after ossicular reconstruction were included in the analysis. Nine cases with ossicular replacement prostheses were not included in the study. Preoperative and postoperative audiometric data and otoscopic findings at the final follow-up examination were taken into consideration. Results were considered to be satisfactory (anatomic and functional success) if there were intact tympanic membrane and the mean postoperative air-bone gap of 15 dB or less at the last postoperative evaluation.Results:Ossiculoplasties were performed using autologous ossicles (29 ears) and cortical bone (3 ears). All ears had intact stapes arch. In 26 ears (81%), ossiculoplasty combined with complete mastoidectomy. In the remaining 6 ears, ossiculoplasty was performed without mastoidectomy. The operation resulted in an intact graft in 94% of ears and a postoperative air-bone gap less than 15 dB in 56% of ears and less than 25 dB in 91% of ears.Conclusion:Ossiculoplasty using autologous ossicles is an effective and safe surgical method for restoration of sound transmission in the middle ear and reconstruction of ossicular chain in chronic otitis media.
