Optimizing Hearing Outcomes in Middle Ear Surgery: A Comparative Analysis of Titanium (PORP) Against Autologous Incus in Type IIb Tympanoplasty.

IF 0.6 Q4 SURGERY

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-03-01 Epub Date: 2025-01-17 DOI:10.1007/s12070-025-05340-8

S Gopishankar, Kshitij D Shah, Anagha A Joshi, Renuka A Bradoo

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引用次数: 0

Abstract

The aim of the study is to compare the hearing improvement using Titanium prosthesis (PORP) against autologous incus in Type IIb Tympanoplasty. A prospective study was done for patients of chronic otitis media having ossicular discontinuity with necrosed lenticular process during surgery. It includes 115 patients of which 61 underwent ossicular reconstruction with titanium (PORP) and 54 with refashioned autologous incus during the period 2015-2023 (8 years). Pure tone Audiometry was done post-operatively at 1, 3, and 6 months. Air-Bone Gap (ABG) improvement was recorded as recommended by AAO-HNS (at 0.5,1,2,3 kHz) to assess hearing improvement and results were compared. The hearing improvement was analyzed by comparing the Air-Bone Gap and hearing loss before and after surgery. There was a significant hearing improvement in both groups. However, there was no statistically significant difference in hearing improvement between the two groups.As per AAO-HNS guidelines, a success outcome is defined as a of post-operative Air-Bone gap of less than20 dB. The success outcome in our study was found to be-Titanium prosthesis (PORP) - 73.77% (45/61patients) Autologous incus- 57.41% (31/54patients). Autologous incus is commonly used ossicular remnant for reconstruction with promising results in literature. In our study, titanium prosthesis also showed similar statistical significant improvement in hearing. Reconstruction using titanium prosthesis showed better results in-terms of percentile than autologous incus in AB gap closure.

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.