Ila B Upadhya¹, Avinash Shah²*, Divyanshu Sharma², Upasana V Shanbhag³ and Ankita Yadav³

¹Professor and Head, Department of ENT, BJ Medical College, Civil Hospital, Ahmedabad, Gujarat, India
²Senior Resident, Department of ENT, BJ Medical College, Civil Hospital, Ahmedabad, Gujarat, India
³First Year Resident, Department of ENT, BJ Medical College, Civil Hospital, Ahmedabad, Gujarat, India

*Corresponding Author: Avinash Shah, Senior resident, Department of ENT, BJ Medical College, Civil Hospital, Ahmedabad, Gujarat, India.

Received: June 14, 2023; Published: August 09, 2023

Abstract

Context: Conductive hearing loss results from impaired transmission of sound from the external auditory canal across the middle ear structures to the cochlea of the inner ear.  A variety of disorders can affect the sound transmission pathway at the level of the ear canal, tympanic membrane, and ossicles prior to reaching the hearing organ. One of the most intriguing topics in middle ear surgery is the reconstruction of the conductive mechanism. Our study will focus on surgical correction of ossicular continuity and the restoration of hearing mechanism known as Ossiculoplasty [1].

Aims and Objectives: To evaluate the hearing outcome following ossicular reconstruction in patient with Chronic Otitis Media. To compare the hearing outcome following ossicular reconstruction using an autograft ossicle, autograft cartilage and PORP/TORP.

Study Design:  Hospital based Prospective observational study.

Methods and Material: 25 patients who underwent ear surgery by post aural route, subjected to ossicular reconstruction between Jun-2019 and Jun-2021 were studied in our institute.

Statistical Analysis Used:  Paired student t test.

Results and Conclusion: (i) Hearing reconstruction by prosthesis gives significantly good result. (ii) Ossicular status is an important predictor for the success of ossicular reconstruction rather than type of material used. (iii) AB gap closer in the prosthesis group showed significantly better results. P value [0.05].

 Keywords: Ossicular Reconstruction; Ossicular Status; Ossiculoplasty; AB Gap; ENT

References

1. Mawson S. “Ossiculoplasty 1966 to 1978”. The Journal of Laryngology and Otology 11 (1979): 1075-1080.
2. Glasscock ME. “Ossicular chain reconstruction”. The Laryngoscope 2 (1976): 211-221.
3. Dornhoffer JL and Gardner E. “Prognostic factors in ossiculoplasty: a statistical staging system”. Otology and Neurotology3 (2001): 299-304.
4. Albu S., et al. “Prognostic factors in tympanoplasty”. American Journal of Otology2 (1998): 136-140.
5. O'reilly RC., et al. “Ossiculoplasty using incus interposition: hearing results and analysis of the middle ear risk index”. Otology and Neurotology5 (2005): 853-858.
6. Siddiq MA and East DM. “Long‐term hearing results of incus transposition”. Clinical Otolaryngology and Allied Sciences 2 (2004): 115-118.
7. Kawatra R and Maheshwari P. “A comparative study of surgical outcomes of ossiculoplasty using biomaterials and autologous implants”. Bangladesh Journal of Otorhinolaryngology1 (2013): 29-35.

Citation

Citation: Avinash Shah., et al. “A Clinical Study of Hearing Outcomes by Using Cartilage Graft V/S Prosthesis in Ear Surgery: An Institutional Experience".Acta Scientific Otolaryngology 5.9 (2023): 03-07.

Copyright

Copyright: © 2023 Avinash Shah., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.