DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20195693

A comparative study of tragal cartilage and autologous incus for ossicular chain reconstruction in type IIB tympanoplasty at Dr. Hedgewar Hospital, Aurangabad

Bharat G. Deshmukh, Deepak Bhisegaonkar, Akanksha Bakre

Abstract


Background: Tympanoplasty is the surgical operation performed for the reconstruction of the eardrum (tympanic membrane) and/or the small bones of the middle ear. Chronic otitis media is a very common condition of middle ear which not only has a high incidence in the world but also in our set up. So, in view of this, we decided to conduct a study on the surgical management of CSOM-tubotympanic type.

Methods: We conducted this study at ENT department of Dr. Hedgewar Rugnalaya, Aurangabad to compare air bone gap closure by using tragal cartilage and autologous incus in type IIB tympanoplasty in patients with chronic suppurative otitis media, (tubotympanic). 66 patients with central perforation of tympanic membrane, necrosed incus and mobile stapes requiring type IIB tympanoplasty, were included as a part of the study.

Results: We performed type IIB tympanoplasty with a routine post-aural incision in 66 patients. According to our observation, both incus and cartilage are good materials for ossiculoplasty, tragal cartilage being better.

Conclusions: After conducting this study we concluded that incus and tragal cartilage both are excellent materials for ossiculoplasty.


Keywords


Air bone gap, Chronic otitis, Chronic suppurative otitis media, Tragal cartilage, Tympanoplasty

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References


Mikaelian DO. Perichondrial-cartilage island graft in one stage tympanoossiculoplasty. Laryngoscope. 1986;96:237-9.

Mundada PS, Jaiswal SJ. A method for ossicular reconstruction with tragal cartilage autografts. Laryngoscope. 1989;99(9):955-62.

Malafronte, Giuseppe, Filosa, Barbara, Mercone, Frieda. A new double-cartilage block ossiculoplasty: long term results. Otol Neurotol. 2008;29:531-3.

Donaldson I, Snow DG. A five year follow up of incus transposition in relation to the first stage tympanoplasty technique. J Laryngol Otol. 1992;106:607-9.

Siddiq MA, East DM. Long-term hearing results of incus transposition. Clin Otolaryngol Allied Sci. 2004;29:115-8.

O’Reilly RC, Cass SP, Hirsch BE, Kamerer DB, Bernat RA, Poznanovic SP. Ossiculoplasty using incus interposition: Hearing results and analysis of the middle ear risk index. Otol Neurotol. 2005;26:853-8.

Gajjar Y, Aiyer R. Use of a remodelled autologous incus as an ossicular prosthesis. WAENT. 2010;3(1):1-3.