Study of pathology of ossicles in non-cholesteatomatous chronic suppurative otitis media, its repair and outcome

Authors

  • C. R. Vijay Bharath Reddy Department of ENT, Malla Reddy Institute of Medical Sciences, Suraram, Hyderabad, Telangana, India
  • M. Santhosh Reddy Department of ENT, Malla Reddy Institute of Medical Sciences, Suraram, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20180699

Keywords:

Pathology, CSOM, Cartilage, PORP

Abstract

Background: If the ears have perforation of long standing durations, even without cholesteatomas, they remain infected. Three times as many operations were performed in the United States in 1978 for this disease as were performed for cholesteatoma. The objective of the study was to study of pathology of ossicles in non-cholesteatomatous chronic suppurative otitis media, its repair and outcome.

Methods: This is a clinical study of patients presented to outpatient, department of Vijayanagar Institute of Medical Sciences, Bellary during the period of November 2004 to November 2005 with non-cholesteatomatous chronic suppurative otitis media. This study is aimed to study the various ossicular abnormalities encountered in non-cholesteatomatous chronic suppurative otitis media and their reconstruction techniques.  

Results: 12 ears (40%) had central and 18 ears (60%) had subtotal perforation. The average hearing loss in patients with isolated erosion of lenticular process of incus was 50.72±6.95 dB. In our study, autologous incus was used for ossicular reconstruction in 14 (46.67%) patients and homologous septal cartilage in 10 (33.33%) cases. Twenty-nine of the 30 cases underwent myringostapediopexy (type IIIb tympanoplasty) with the ossicular graft as short columella between the tympanic membrane graft and the stapes superstructure.

Conclusions: Excellent results were noted only with the autologous incus graft. 28.57% of the total patients with autologous incus graft showed excellent post-operative results. Good results were found for autologous incus, homologous septal cartilage and teflon PORP, with percentage of 28.57, 50 and 25% respectively.

References

Report of a WHO/CIBA Foundation workshop: Prevention of hearing impairment from chronic otitis media. London (U.K): 1996.

Ruben RJ. The disease in society: evaluation of chronic otitis media in general and cholesteatoma in particular. In Sade. J, editor: Cholesteatoma and mastoid surgery. Amsterdam: Kugler publishing; 1982.

Paparella MM, Kim CS: Mastoidectomy update. Laryngoscope. 1977;87:1977.

Celik O, Gok U, Yalcin S, Susaman N, Kaygusuz I, Karl›dag T, Çetinkaya T. Results of ossiculoplasty in chronic otitis media without cholesteatoma: Turkish Arch Otolaryngol. 2001;39(4):259-62.

Austin DF. Ossicular reconstruction. Otolaryngol Clin North Am. 1972;5:145-60.

Austin DF. Sound conduction of the diseased ear. J Laryngol Otol. 1978;92:367-93.

Austin DF. Acoustic mechanisms in middle ear sound transfer, Ossiculoplasty. Otolaryngologic Clin North Am. 1994;27(4):641-53.

Toner JG, Smyth GDL, Kerr AG: Realities in Ossiculoplasty. J Laryngol Otol. 1991;105(7):529-33.

Grote JJ. Biocompatible materials in chronic ear surgery. In Brackmann DE, Shelton C, Arriaga MA, editors: Otologic Surgery. Philadelphia: WB Saunders; 2001: 185-200.

Hillman TA, Shelton C: Ossicular chain reconstruction: titanium versus Plastipore. Laryngoscope. 2003;113:1731.

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Published

2018-02-23

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Section

Original Research Articles