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Intraoperative ossicular chain status in patients with chronic otits media

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Chronic otitis media (COM) poses a significant global health burden, contributing to ear discharge and preventable hearing loss. This study aimed to evaluate the ossicular status in COM patients undergoing surgery and correlate the findings with preoperative otoscopic and audiogram assessments. The primary focus was to discern differences in ossicular involvement between squamous and mucosal diseases, shedding light on distinct pathologies crucial for tailoring surgical interventions.

A total of 98 patients with COM (26 squamous disease, 72 mucosal disease) were included in the study. Analysis revealed the incus as the most commonly eroded ossicle, observed in 25 of 26 patients with squamous disease and 19 of 72 patients with mucosal disease. Conversely, the stapes exhibited remarkable resistance to erosion, remaining intact in 89 patients, with the stapes footplate found intact in all cases. Malleus erosion was observed in 13 patients categorized as “unsafe” and 6 patients in the “safe” category. Additionally, ossicular joints were more frequently eroded in squamous disease patients compared to those with mucosal disease. The study provides valuable insights into the distinct pathology of COM squamosal and COM mucosal cases, emphasizing the need for tailored surgical interventions to address the specific requirements of each patient group.

By correlating operative findings with clinical findings, this research contributes to a deeper understanding of COM pathology, paving the way for more targeted and effective intraoperative ossicular reconstruction strategies.

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Funding

The authors have no financial interests to disclose. No funding was received to assist with the preparation of this manuscript.

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Author notes

  1. Satish Suresh Satpute, Mugdha Singh, Ripu Daman Arora and Nitin M Nagarkar contributed equally to this work.

Authors and Affiliations

  1. Department of ENT and Head Neck Surgery, All India Institute of Medical Sciences, Chhattisgarh, Raipur, 492099, India

    Abhishek Rana, Satish Suresh Satpute, Mugdha Singh & Ripu Daman Arora

  2. SRM University, SRM Nagar, Potheri, Kattankulathar, Tamil Nadu, 603203, India

    Nitin M Nagarkar

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  1. Abhishek Rana
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  2. Satish Suresh Satpute
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  3. Mugdha Singh
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Correspondence to Ripu Daman Arora.

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Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the institutional ethical research committee and with the 1964 Helsinki declaration and its later amendments. The research involves human participants, and well informed consent was taken from all participants of the study. Approval was taken from the ethical committee prior to starting the study (Letter no:2091/IEC- AIIMSRPR/2021).

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Rana, A., Satpute, S.S., Singh, M. et al. Intraoperative ossicular chain status in patients with chronic otits media. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04553-7

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