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Surgery of isolated malleus fixation due to tympanosclerosis

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

The aim of the present study was to describe our surgical approach for isolated malleus fixation in patients with tympanosclerosis and to analyze the postoperative results. A total of 30 patients presented with isolated malleus fixation were operated. The fixation was reached via canalplasty. Fixated areas were cleaned without damaging the ossicle. Pre- and postoperative audiometric results were evaluated for each patient. Improvement of the pure-tone average (PTA) by at least 10 dB and an air-bone gap (ABG) of less than 20 dB after 12 months of follow-up was accepted to indicate success. The recovery of the postoperative PTA and ABG measurements was significant. Pre- and postoperative PTA was 48.00 ± 11.86 and 24.90 ± 12.45 dB, respectively (p < 0.001). According to PTA measurements, 40–50 dB recovery was achieved in four (13.3 %) patients, 31–40 dB in six (20 %) patients, 21–30 dB in ten (33.3 %) patients, and 11–20 dB in five (16.6 %) patients, with a total success rate of 25/30 (83.2 %). Pre- and postoperative ABG levels were 38.95 ± 9.92 and 16.10 ± 7.79 dB (p < 0.001), respectively. The ABG level was between 0 and 10 dB for 8 (26.6 %) patients, and 11–20 dB for 16 (53.3 %), with a total success rate of 24/30 (80 %). In cases of isolated malleus fixation with tympanosclerosis, performing a canalplasty to clean the sclerotic plaques without damaging the normal anatomy of the ossicle system using a diamond burr is a safe surgical option that provides significant recovery in hearing levels.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Safa Private Hospital, Istanbul, Turkey

    Erdal Sakalli, Cengiz Celikyurt & Burak Guler

  2. Department of Otorhinolaryngology, Bulent Ecevit University Medical Faculty, Zonguldak, Turkey

    Sultan Biskin

  3. Department of Otorhinolaryngology, Devrek State Hospital, Zonguldak, Turkey

    Hasan Deniz Tansuker

  4. Department of Otorhinolaryngology, Hisar Intercontinental Private Hospital, Istanbul, Turkey

    Selcuk Cem Erdurak

  5. Fevzi cakmak mah. Sisecam bloklari. Emek apt. D:8, Bagcilar, Istanbul, Turkey

    Erdal Sakalli

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  1. Erdal Sakalli
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  2. Cengiz Celikyurt
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  3. Burak Guler
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  4. Sultan Biskin
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  5. Hasan Deniz Tansuker
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  6. Selcuk Cem Erdurak
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Correspondence to Erdal Sakalli.

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Sakalli, E., Celikyurt, C., Guler, B. et al. Surgery of isolated malleus fixation due to tympanosclerosis. Eur Arch Otorhinolaryngol 272, 3663–3667 (2015). https://doi.org/10.1007/s00405-014-3445-0

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  • DOI: https://doi.org/10.1007/s00405-014-3445-0

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