Abstract
To evaluate hearing results following canal wall down mastoidectomy with ossicular reconstruction for Chronic Suppurative Otitis Media of Active Squamosal variety & evaluate various factors related to surgery impacting hearing results. This prospective study involves 40 patients of active squamosal variety of chronic otitis media who attended ENT OPD and underwent canal wall down mastoidectomy with ossiculoplasty during the period from November 2014 to October 2015. All the patients were subjected to pre and 3 months post-op hearing assessment. Based on the hearing outcome, we expressed our study results into two groups, those with statistically significant improvement after surgery (T1) and those whose hearing got worsened or remained the same (T2). The mean post operative hearing gain of patients was 5.25 ± 7.30 dB, The median post-op hearing gain was 5.20 dB. Mean pre-operative hearing loss (AB gap) was 41.28 dB. Mean post-operative hearing loss (AB gap) was 36.24 with the average 3 months post-operative hearing gain was 5.2 dB, which reflects a definite improvement. There is a statistically significant hearing improvement (with an average of 5.2 dB AB gap closure) following Canal Wall Down Mastoidectomy with ossiculoplasty as established in the study.
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References
Ahn JH, An YS, Bae JS, do Kim JS (2012) A study of tympanomastoid surgery in elderly. Ann Otorhinolaryngol 121(3):168
Berçin S, Kutluhan A, Bozdemir K, Yalçiner G, Sari N, Karamese O (2009) Results of revision mastoidectomy. Acta Otolaryngol 129(2):138–141
Li S, Meng J, Zhang F, Li X, Qin Z (2016) Revision surgery for canal wall down mastoidectomy: intra-operative findings and results. Acta Otolaryngol 136(1):18–22
Umit T, Ozgur Y, Bilgehan G, Volkan SA, Sezim SA (2010) Results of primary ossiculoplasty and prognostic factors in canal wall-down tympanoplasty. J Craniofac Surg 21(2):407–410
Celik H, AslanFelek S, Islam A, Demirci M, Samim E, Oztuna D (2009) The impact of fixated glass ionomer cement and springy cortical bone incudostapedial joint reconstruction on hearing results. Acta Otolaryngol 129:1368–1373
Balyan FR, Celikkanat S, Asian A, Taibah A, Russo A, Sanna M (1997) Mastoidectomy in noncholesteatomatous chronic suppurative otitis media: Is it necessary? Otolaryngol Head Neck Surg 117(6):592–595
Black JH, Wormald PJ (1995) Myringoplasty-effects on hearing and contributing factors. S Afr Med J 85:41–43
Naragund AI, Mudhol RS, Harugop AS, Patil PH (2011) Ossiculoplasty with autologous incus versus titanium prosthesis: A comparison of anatomical and functional results. Indian J Otol 17(2):75–279
Prasad V, Prasad KC, Shenoy V, Raghavendra Rao A, Panduranga Kamath M, Sowmya V (2014) A study of middle ear reconstruction, the degree of functional restoration and causes of graft failure following chronic ear disease. Egypt J Ear Nose Throat Allied Sci 15(2):103–108
Dornhoffer JL (2006) Retrograde mastoidectomy. Otolaryngol Clin North Am 39(6):1115–1127
Shinohara T, Gyo K, Saiki T, Yanagihara N (2000) Ossiculoplasty using hydroxyapatite protheses: long-term results. Clin Otolaryngol 25:287–292
Wiatr M, Morawska A, Kocoń S, Medoń D, Składzień J, Tomik J, Stręk P, Podziorny H, Przeklasa R (2013) Response changes of inner ear observed after middle ear surgery. Otolaryngol Pol 67(6):289–294
Berenholz LP, Rizer FM, Burkey JM, Schuring AG, Lippy WH (2000) Ossiculoplasty in canal wall down mastoidectomy. Am J Otolaryngol Head Neck Surg 123(1):30–33
De Corso E, Marchese MR, Sergi B, Rigante M, Paludetti G (2007) Role of ossiculoplasty in canal wall down tympanoplasty for middle-ear cholesteatoma: hearing results. J Laryngol Otol 121(4):324–328
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Sengupta, A., Basu, S., Janweja, M. et al. A Clinical Study on Audiological Evaluation in Patients with Active Squamous Variety of Chronic Otitis Media Following Canal Wall Down Mastoidectomy with Ossicular Reconstruction. Indian J Otolaryngol Head Neck Surg 71 (Suppl 2), 1592–1598 (2019). https://doi.org/10.1007/s12070-019-01680-4
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DOI: https://doi.org/10.1007/s12070-019-01680-4