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Hearing Outcome in Ossiculoplasty With Autologous Incus and Teflon Prosthesis in Chronic Otitis Media: a Comparative Study

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Abstract

To observe and compare the functional outcome in term of hearing gain in ossiculoplasty with autologous incus and Teflon made TORP/PORP in cases of chronic otitis media (COM) with ossicular disruption. 60 patients of COM between age of 11–50 years who had ossicular disruption were included in the study. They were divided into two groups of 30 patients/ group: group 1 included those patients who had mucosal COM and group 2 included those who had squamous COM. They were further subdivided into 3 subgroups each as per the ossiculoplasty material used. Pre-operative pure tone audiometry (PTA) was done. They all were followed-up at 3 months after surgery and at that time PTA was done. Pre-and post-operative hearing was compared and hearing improvement was calculated in term of air–bone gap (ABG). Out of 60 cases, 16 cases marked as failure of ossicular reconstruction as post-operative A-B gap was > 30 dB. Among these 16 cases, 7 were those patients whom ossiculoplasty was done using autologous incus and in rest 9 patients PORP/TORP was used. Success rate of ossiculoplasty using refashioned incus was 76.66% whereas Teflon TORP/PORP had success rate of 70.00%. We conclude that hearing improvement after ossiculoplasty with autologous incus is better as compare with that obtained by Teflon TORP/PORP. Also, it is a cost-effective method.

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Authors and Affiliations

  1. BJMC Medical College and Civil Hospital, Ahmedabad, Gujarat, India

    Manish Omprakash Sharma

  2. Department of Otorhinolaryngology, SMS Medical College, c/o Jitendra Sehra, B-10 Tapovan Vihar, Jagatpura, Jaipur, Rajasthan, India

    Yogendra Pareek, Ritu Sehra & Kailash Singh Jat

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  1. Manish Omprakash Sharma
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  2. Yogendra Pareek
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  3. Ritu Sehra
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  4. Kailash Singh Jat
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Correspondence to Ritu Sehra.

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All procedures performed in presented study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Sharma, M.O., Pareek, Y., Sehra, R. et al. Hearing Outcome in Ossiculoplasty With Autologous Incus and Teflon Prosthesis in Chronic Otitis Media: a Comparative Study. Indian J Otolaryngol Head Neck Surg 74 (Suppl 1), 345–350 (2022). https://doi.org/10.1007/s12070-020-02138-8

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  • DOI: https://doi.org/10.1007/s12070-020-02138-8

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