DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20190455

A comparative study of hearing outcomes in myringostapediopexy and myringoplatinopexy in our experience

K. Santhanakrishnan, G. Gandhi, K. Pradheep

Abstract


Background: COM causes considerable morbidity with ear discharge, conductive hearing loss and complications. Myringostapediopexy and myringoplationpexyis a surgical procedure which intends improve the hearing and quality of the life.

Methods: The  study was conducted in the department of ENT, SMVMCH, Puducherry from April 2017 to April 2018. A detailed history taking thorough clinical examination done for these patients. PTA was done before the procedure, post operatively at 3rd month. Hearing improvement analysed using different parameters like type of graft used, hearing gain and graft uptake. The data collected was tabulated and subjected to statistical analysis.  

Results: Myringostapediopexy better hearing gain than myingoplatinopexy. Myringostapediopexy mean hearing gain 19.53 dB, myringoplatinopexy 12.59 dB.

Conclusions: This study compared the hearing outcomes of Myringostapediopexy and myringoplatinopexy with respect to hearing gain. Myringostapediopexy better hearing gain than myringoplatinopexy due to presence of stapes supra-structure.


Keywords


Chronic suppurative otitis media, Autologous ossicles, Temporalis fascia, Myringostapediopexy, Myingoplatinopexy

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References


Reddy CV, Reddy MS. Study of pathology of ossicles in non-cholesteatomatous chronic suppurative otitis media, its repair and outcome. Int J Otorhinolaryngol Head Neck Surg. 2018;4(2):462-6.

Prevention of hearing impairment from chronic otitis media: report of a WHO/CIBA Foundation Workshop. London, U.K, Geneva: 1996.

Celik O, Gok U, Yalcin S, Susman N, Kaygusuz I, Karlidag T, et al. Results Of Ossiculoplasty In Chronic Otitis Media Without Cholesteatoma. Turk Arch Otolaryngol. 2001;39(4):259-62.

Wullstein H. The restoration of the function of the middle ear, in chronic otitis media. Ann Otol Rhinol Laryngol. 1956;65:1021-41.

Zollner F. The principles of plastic surgery of sound conducting apparatus. J Laryngol Otol. 1955;69:637-52.

Lin J, Lin Z, Wang Y, Lin Chuang. The use of autogeneic residual auditory ossicles, allogeneic auditory ossicles and the allogeneic nasoseptal cartilage in tympanoplasty. Er Bi Yan Hou Ke Za Zhi. 1999;13(1):16-7.

Cheang PP, Kim D, Rockley TJ. Myringostapediopexy and myringolenticulopexy in mastoid surgery. J Laryngol Otol. 2008;122(10):1042-6.

Kuo CL, Shiao AS, Liao WH, Ho CY, Lien CF. Can long-term hearing preservation be expected in children following cholesteatoma surgery? Results from a 14-year-long study of atticotomy-limited mastoidectomy with cartilage reconstruction. Audiology Neurotol. 2012;17(6):386-94.

Mohammadi G, Naderpour M, Mousaviagdas M. Ossicular Erosion in Patients Requiring Surgery for Cholesteatoma. Iran J Otorhinolaryngol. 2012;24(68):125–8.