Hearing Results in Pediatric Patients With Chronic Otitis Media After Ossicular Reconstruction With Partial Ossicular Replacement Prostheses and Total Ossicular Replacement Prostheses

2000 ◽  
Vol 110 (4) ◽  
pp. 536-544 ◽  
Author(s):  
Terrence P. Murphy
Keyword(s):  
Otitis Media ◽  
Pediatric Patients ◽  
Chronic Otitis Media ◽  
Hearing Results ◽  
Ossicular Reconstruction ◽  
Ossicular Replacement

scholarly journals TO EVALUATE THE HEARING RESULTS FOLLOWING OSSICULAR RECONSTRUCTION IN PATIENT WITH CHRONIC SUPPURATIVE OTTITIS MEDIA.

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Arjun Nath Yogee ◽  
Navneet Mathur
Keyword(s):  
Otitis Media ◽  
Chronic Infection ◽  
Chronic Otitis Media ◽  
Canal Wall ◽  
Hearing Results ◽  
Ossicular Reconstruction ◽  
Ear Ossicles ◽  
Life Threatening ◽  
Canal Wall Down ◽  
A Prospective Study

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.

Comparison of Hearing Results by Type of Tympanoplasty with Mastoid Obliteration during Chronic Otitis Media Surgery

2009 ◽  
Vol 45 (2) ◽  
pp. 122
Author(s):  
Jeong Uk Choi ◽  
Seung Eun Oh ◽  
Dong Hoon Lee ◽  
Yong Bum Cho ◽  
Hyong Ho Cho
Keyword(s):  
Otitis Media ◽  
Chronic Otitis Media ◽  
Mastoid Obliteration ◽  
Hearing Results

Long-Term Experience with Biocompatible Ossicular Implants

1986 ◽  
Vol 94 (6) ◽  
pp. 611-616 ◽  
Author(s):  
John R. Emmett ◽  
John J. Shea ◽  
William H. Moretz
Keyword(s):  
Chronic Otitis Media ◽  
Hearing Results ◽  
Common Causes ◽  
Ossicular Replacement ◽  
Stapes Prosthesis ◽  
Short And Long Term ◽  
Conductive Hearing ◽  
Long Term Experience

The senior author's 8-year personal experience with biocompatible ossicular implants is reviewed. Four hundred sixty-one consecutive operations, in which high-density polyethylene sponge ossicular replacement prostheses were used, are grouped according to the Bellucci classification of chronic otitis media. The prostheses used were the drum-to-footplate prosthesis (TORP, total) and the drum-to-stapes prosthesis (PORP, partial)*. Each group's short- and long-term hearing results are compared. Prosthesis extrusion and persistent or recurrent conductive hearing loss are the most common causes of operation failure. Failures within each group are analyzed, and techniques to prevent these complications are outlined.

Autologous total ossicular replacement prosthesis

2014 ◽  
Vol 128 (12) ◽  
pp. 1050-1055 ◽  
Author(s):  
M Malhotra ◽  
S Varshney ◽  
R Malhotra
Keyword(s):  
Pure Tone ◽  
Chronic Otitis Media ◽  
Canal Wall ◽  
Hearing Improvement ◽  
Hearing Results ◽  
Replacement Technique ◽  
Ossicular Replacement ◽  
Canal Wall Down ◽  
Replacement Prosthesis ◽  
Air Conduction

AbstractObjective:To develop an autologous total ossicular replacement prosthesis with sustainable hearing results.Methods:The ears of 40 patients, who had chronic otitis media with absent suprastructure of the stapes and long process of the incus, were repaired using the autologous total ossicular replacement technique. Post-operative results were evaluated after 6 and 12 months on the basis of average pure tone air conduction and average air–bone gap measured at 0.5, 1, 2 and 3 kHz.Results:Successful rehabilitation of pure tone average to 30 dB or less was achieved in 75 per cent of patients, and air–bone gap to 20 dB or less was attained in 82.5 per cent of patients. Overall mean improvement in air–bone gap was 23.9 ± 8.5 dB (p < 0.001). Mean improvements in air–bone gap were significantly greater (p < 0.05) in the tympanoplasty only group (27.3 ± 6.6 dB) and the intact canal wall tympanoplasty group (25.9 ± 6.3 dB) than in the canal wall down tympanoplasty group (16.3 ± 8.9 dB).Conclusion:This paper describes an autologous total ossicular replacement prosthesis that is biocompatible, stable, magnetic resonance imaging compatible and, above all, results in sustainable hearing improvement.

The radiologic evaluation of adenoid hypertrophy and the presence of sinusitis in pediatric patients with chronic otitis media

2019 ◽  
Vol 25 (3) ◽  
pp. 141
Author(s):  
Bilge Türk ◽  
ArzuYasemin Korkut ◽  
Pinar Soytaş ◽  
KeremSami Kaya ◽  
Ersin Vanli ◽  
...  
Keyword(s):  
Otitis Media ◽  
Pediatric Patients ◽  
Chronic Otitis Media ◽  
Adenoid Hypertrophy ◽  
Radiologic Evaluation

The assessment of hearing results following surgery for otitis media with effusion using the Glasgow Benefit Plot

1994 ◽  
Vol 108 (9) ◽  
pp. 733-735 ◽  
Author(s):  
H. L. Tay ◽  
R. P. Mills
Keyword(s):  
Hearing Loss ◽  
Surgical Treatment ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Chronic Otitis Media ◽  
Normal Hearing ◽  
Hearing Level ◽  
Hearing Results ◽  
Bilateral Hearing Loss ◽  
Cause Of Failure

AbstractThe hearing data from a sample of 73 children undergoing surgical treatment for chronic otitis media with effusion (OME) were analysed using a modification of the Glasgow Benefit Plot. All the patients had bilateral middle ear effusions confirmed at surgery. Using 20 dB average hearing level as the ‘cutoff’ point between normal and abnormal hearing, 65 (89 per cent) patients had binaural normal hearing, five (7 per cent) had monaural normal hearing and three (4 per cent) had bilateral hearing loss after surgery. However, 70 patients (96 per cent) were found to benefit from surgery. The cases with persistent hearing loss were re-examined to determine the cause of failure.

Atypical incus necrosis: a case report and literature review

2007 ◽  
Vol 122 (10) ◽  
pp. 1124-1126 ◽  
Author(s):  
N Choudhury ◽  
G Kumar ◽  
M Krishnan ◽  
D J Gatland
Keyword(s):  
Case Report ◽  
Otitis Media ◽  
Middle Ear ◽  
Chronic Otitis Media ◽  
Conductive Deafness ◽  
Ossicular Replacement ◽  
Stapes Footplate ◽  
History Of ◽  
Serous Otitis Media ◽  
Replacement Prosthesis

AbstractObjective:We report an atypical case of ossicular necrosis affecting the incus, in the absence of any history of chronic serous otitis media. We also discuss the current theories of incus necrosis.Case report:A male patient presented with a history of right unilateral hearing loss and tinnitus. Audiometry confirmed right conductive deafness; tympanometry was normal bilaterally. He underwent a right exploratory tympanotomy, which revealed atypical erosion of the proximal long process of the incus. Middle-ear examination was otherwise normal, with a mobile stapes footplate. The redundant long process of the incus was excised and a partial ossicular replacement prosthesis was inserted, resulting in improved hearing.Conclusion:Ossicular pathologies most commonly affect the incus. The commonest defect is an absent lenticular and distal long process of the incus, which is most commonly associated with chronic otitis media. This is the first reported case of ossicular necrosis, particularly of the proximal long process of the incus, in the absence of chronic middle-ear pathology.

scholarly journals Ossiculoplasty using Autologous Reshaped Incus and Teflon PORP: A Comparative Study

2019 ◽  
Vol 27 (2) ◽  
pp. 129-134
Author(s):  
Ankit Choudhary ◽  
Sayan Hazra ◽  
Arindam Das ◽  
Aryabrata Dubey ◽  
Mridul Janweja ◽  
...  
Keyword(s):  
Chronic Otitis Media ◽  
Ossicular Chain ◽  
Care Hospital ◽  
Hearing Results ◽  
Extrusion Rate ◽  
Hearing Result ◽  
Ossicular Replacement ◽  
Ossicular Chain Reconstruction ◽  
Study Population ◽  
Replacement Prosthesis

Introduction Autologous reshaped Incus and Teflon partial ossicular replacement prosthesis (PORP) are commonly used for ossicular chain reconstruction. The present study attempts to assess the post-operative outcome with these two prostheses. Materials and Methods  A Randomized prospective study was conducted in Tertiary referral care hospital to determine which material, among autologous reshaped Incus and Teflon partial ossicular replacement prosthesis (PORP) gives better postoperative hearing result in Ossiculoplasty. Patients presenting at outpatients’ department with the clinical diagnosis of chronic otitis media with perforation or retraction. The study population consisted of a total of 50 patients. Ossiculoplasty with reshaped Incus or PORP was performed after Canal Wall Up mastoidectomy. Hearing results were measured by Air-Bone gap in PTA after 6 months of surgery. Results  Selecting the criteria <20 dB ABG as success when Stapes superstructure is present, Incus has 64.29% success rate, whereas PORP has 31.81% success. Extrusion rate of different prosthesis shows PORP has 18.18% extrusion whereas autologous Incus has lower (7.14%) extrusion rate. Conclusion  Among these two ossiculoplasty materials, autologous Incus gives better postoperative hearing gain and lower extrusion rate.

scholarly journals Correlation between Presence of Viable Bacteria and Presence of Endotoxin in Middle-Ear Effusions

1998 ◽  
Vol 36 (11) ◽  
pp. 3417-3419 ◽  
Author(s):  
Jeffrey R. Dingman ◽  
Mark G. Rayner ◽  
Suman Mishra ◽  
Yingze Zhang ◽  
Miles D. Ehrlich ◽  
...  
Keyword(s):  
Haemophilus Influenzae ◽  
Otitis Media ◽  
Middle Ear ◽  
Moraxella Catarrhalis ◽  
Pediatric Patients ◽  
Chronic Otitis Media ◽  
Gram Negative Bacteria ◽  
Gram Negative ◽  
Viable Bacteria

The presence of endotoxin (detected by the Limulusamebocyte lysate assay) was compared to the presence of viableHaemophilus influenzae and Moraxella catarrhalis (detected by PCR) in 106 middle-ear effusions from pediatric patients with chronic otitis media. Endotoxin was found in 81 of the 106 specimens. Of these 81 specimens, 66 (81.5%) also tested positive for one or both of the gram-negative bacteria H. influenzae and M. catarrhalis. The data suggest that viable gram-negative bacteria, detectable by PCR but often undetectable by culture, may be the source of endotoxin in middle-ear effusions.

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