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Long-term hearing results of one-stage tympanoplasty for chronic otitis media

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Summary

A study of 277 ears with chronic otitis media undergoing one-stage tympanoplasty has been carried out. The mean follow-up period was 6.4 years. Ears with intact ossicular chains were excluded. Ossiculoplasty was performed using autologous ossicles or cortical bone. Mean hearing gain was 10.8 dB. Closure of the postoperative air-bone gap to within 20 dB was achieved in 51% of cases. The best results were obtained in ears with intact stapes, while cholesteatomatous ears showed poorer results than other chronic ears. The present findings show that autologous ossicle and cortical bone are still suitable for ossicular reconstruction in chronic ears, especially when one-stage surgery is preferred.

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References

  1. Belai A, Sanna M, Gamelotti R (1984) Pathology as it relates to ear surgery. V. Ossiculoplasty. J Laryngol Otol 98:229–240

    Google Scholar 

  2. Kerr AG (1981) Proplast and Plasti-pore. Clin Otolaryngol 6:187–191

    Google Scholar 

  3. Kinney SE (1982) Five years experience using the intact canal wall tympanoplasty with mastoidectomy for cholesteatoma: preliminary report. Laryngoscope 92:1395–1400

    Google Scholar 

  4. Mair IWS, Pedersen S, Laukli E (1989) Audiometric results of Torp and Porp middle ear reconstruction. Ann Otol Rhinol Laryngol 98:429–433

    Google Scholar 

  5. Palva T (1987) Surgical treatment of chronic middle ear disease. II. Canal wall up and canal wall down procedures. Acta Otolaryngol (Stockh) 104:487–494

    Google Scholar 

  6. Quaranta A, Cassano P, Carbonara G (1988) Cholesteatoma surgery: open vs closed tympanoplasty. Am J Otol 9:229–231

    Google Scholar 

  7. Ragheb SM, Gantz BJ, McCabe BF (1987) Hearing results after cholesteatoma surgery. The Iowa experience. Laryngoscope 97:1254–1263

    Google Scholar 

  8. Reimer A, Andreasson L, Harris S (1987) Surgical treatment of cholesteatoma: a comparison of closed and open techniques in a follow-up of 164 ears. Clin Otolaryngol 12:447–454

    Google Scholar 

  9. Sanna M, Zini C, Scandellari R, Jemmi G (1984) Residual and recurrent cholesteatoma in closed tympanoplasty. Am J Otol 5:227–282

    Google Scholar 

  10. Schmid H, Dort JC, Fisch U (1991) Long-term results of treatment for children's cholesteatoma. Am J Otol 12:83–87

    Google Scholar 

  11. Sheehy JL, Crabtree JA (1973) Tympanoplasty: staging the operation. Laryngoscope 83:1594–1621

    Google Scholar 

  12. Sheehy JL, Shelton C (1991) Tympanoplasty: to stage or not to stage. Otolaryngol Head Neck Surg 104:399–407

    Google Scholar 

  13. Toner JG, Smyth GDL (1990) Surgical treatment of cholesteatoma: a comparison of three techniques. Am J Otol 11: 247–249

    Google Scholar 

  14. Toner JG, Smyth GDL, Kerr AG (1991) Realities in ossiculoplasty. J Laryngol Otol 105:529–533

    Google Scholar 

  15. Vartiainen E, Karjalainen S (1985) Autologous ossicle and cortical bone in ossicular reconstruction. Clin Otolaryngol 10:307–310

    Google Scholar 

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Vartiainen, E., Nuutinen, J. Long-term hearing results of one-stage tympanoplasty for chronic otitis media. Eur Arch Otorhinolaryngol 249, 329–331 (1992). https://doi.org/10.1007/BF00179383

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  • DOI: https://doi.org/10.1007/BF00179383

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