Incus Autograft Partial Ossicular Reconstruction Prosthesis vs. Titanium Angular Clip Prosthesis in Patients with Incudostapedial Joint Erosion Caused by Chronic Otitis Media; A Randomized Clinical Trial

Background: Chronic otitis media erodes the bone, destroys the ossicles and has the potential to cause life threatening complications. Methods: This is a prospective study involving patients with chronic otitis media. 120 patients were included and all of them are subjected to ossicular reconstruction either by canal wall down or intact canal wall surgery. Results: As per Wehr's classification 80% of patients in Group 1A have got improvement and 20% have failed to gat improved in A-B gap, in Group 1B 20% -have failed to get improved in A-B gap and in Group 1C, 30% have failed to get improved in A-B gap. 70% of patients in Group 2A have got improvement and 30% have failed to gat improved in A-B gap, in Group 2B 80% of patients have got improvement and 20% -have failed to get improved in A-B gap and in Group 2C 70% of patients have got improvement and 30% have failed to get improved in A-B gap. Conclusion: All the three modalities gave statistically significant improvement (p < 0.001) in A-B gap leading to improvement in hearing but among the three groups there was no statistically significant (p > 0.05) difference found in improvement of A-B gap. Keywords: Chronic Infection, Middle Ear, Ossicles.

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Symptomatic treatment versus symptomatic treatment with antibiotics for children with acute otitis media: A randomized clinical trial

Egyptian Journal of Neck Surgery and Otorhinolaryngology ◽

10.21608/ejnso.2021.165234 ◽

2021 ◽

Vol 0 (0) ◽

pp. 0-0

Author(s):

Hamza Ahmed ◽

Ahmed AbdelWahab ◽

Ahmed Abdel Hameeed

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Otitis Media ◽

Acute Otitis Media ◽

Symptomatic Treatment

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Single centre experience of ossiculoplasty using different materials: a subjective and objective evaluation

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20204632 ◽

2020 ◽

Vol 6 (11) ◽

pp. 2058

Author(s):

Vijay Kumar ◽

Kranti Bhavana ◽

Bhartendu Bharti

Keyword(s):

Hearing Loss ◽

Otitis Media ◽

Chronic Otitis Media ◽

Objective Evaluation ◽

Neck Surgery ◽

Postoperative Result ◽

Ossicular Reconstruction ◽

Single Centre Experience ◽

Associated Symptoms ◽

Air Conduction

Background: Chronic otitis media has serious impact over the ossicular integrity in middle ear resulting in ossicular necrosis and various grades of hearing loss along with other associated symptoms. Tympanomastoidectomy with ossicular reconstruction using various materials can improve the symptoms.Methods: A retrospective study of 50 patients underwent tympanomastoidectomy with ossiculoplasty in Department of ENT and Head and Neck Surgery at AIIMS Patna from April 2017 to 2018. Patients with chronic otitis media having ossicular necrosis with ABG (air bone gap) more than 25 dB were included in this study. PORP (partial ossicular reconstruction prosthesis) and TORP (total ossicular reconstruction prosthesis) were used as ossicular reconstruction after clearance of disease. This study was expressed as subjective and objective evaluation following ossiculoplasty. Results: Fifty patients having chronic otitis media with decreased hearing and other associating symptoms were included in this study. Preoperative air conduction threshold was 55.32 dB with preoperative ABG was 44.24 dB. Postoperative result was summarised as postoperative AC threshold was 32.72 dB with gain of 22.60 dB with ABG 25.45 dB.Conclusions: Chronic otitis media may lead to ossicular necrosis and various grade of hearing loss. A proper technique and skilled tympanomastoidectomy with ossiculoplasty can improve the symptoms of chronic otitis media.

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