Cortical bone total ossicular graft supported with crescent-shaped cartilage.

IF 1.9 3区 医学 Q2 OTORHINOLARYNGOLOGY
Ibrahim Erdim, Ismail Hologlu, Alara Izgic
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引用次数: 0

Abstract

Purpose: This study aimed to compare the hearing outcomes of patients who underwent different type 4 tympanoplasty techniques.

Methods: Patients who underwent tympanoplasty for chronic otitis media and were treated with cortical bone total ossicular prosthesis supported with crescent-shaped cartilage (Group 1), cortical bone total ossicular prosthesis (Group 2) and titanium total ossicular prosthesis (Group 3) were included in the study. Hearing outcomes were evaluated and compared with audiological tests performed before and at least 1 year after surgery.

Results: There were 12 patients in Group 1 (6 males and 6 females), 14 patients in Group 2 (6 males and 8 females) and 18 patients in Group 3 (10 males and 8 females). After reconstruction, the air conduction threshold changed from 56.83 ± 13.63 to 32.25 ± 13.55 dB in Group 1, from 57.43 ± 15.3 to 40.07 ± 18.8 dB in Group 2 and from 55.39 ± 15.59 to 42.22 ± 17.32 dB in Group 3. Air-bone gap (ABG) changed from 37.58 ± 9.56 to 15.08 ± 9.58 dB in Group 1, from 36.71 ± 10.84 to 21.07 ± 11.16 dB in Group 2 and from 34.5 ± 11.72 to 22.28 ± 10.13 dB in Group 3. Preoperative and postoperative outcomes of all three groups in terms of both air conduction threshold and air-bone gap were significantly different (p < 0.01). Preoperative and postoperative changes in air conduction threshold of the three groups were also significantly different (p = 0.037). However, the differences among the three groups in terms of preoperative and postoperative changes in ABG were not significant (p = 0.057).

Conclusions: Cortical bone supported with crescent-shaped cartilage total ossicular prosthesis had better hearing outcomes than other groups.

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来源期刊
CiteScore
5.30
自引率
7.70%
发文量
537
审稿时长
2-4 weeks
期刊介绍: Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.
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