Cortical bone total ossicular replacement prosthesis

Malhotra, Manu; Varshney, Saurabh; Malhotra, Rashmi

doi:10.4103/0971-7749.146933

Cited by 4 publications

(6 citation statements)

References 17 publications

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“…Here, the successful rehabilitation of the air-bone gap to 20 dB or less was achieved in 95% of patients, and an overall mean improvement in the air-bone gap was 26 dB approximately. e data were presented as per the guidelines of the American Academy of Otolaryngology-Head and Neck Surgery Committee on Hearing and Equilibrium [18,41,42]. Kasbekar et al in 2015 reported a study in which they performed cartilage augmentation in cases with Charachon stage II and III retractions of the tympanic membrane.…”

Section: Techniques Of Surgerymentioning

confidence: 99%

A Historical Review of Indian Perspectives on Techniques of Tympanoplasty

Malhotra

Varshney

et al. 2020

International Journal of Otolaryngology

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Reconstructive surgery of the conductive hearing mechanism is collectively called as tympanoplasty, which has gradually evolved over time with the contributions from all over the word. The aim of the present historical review is to summarize the Indian contributions in the development of the technique of tympanoplasty. The literature review was conducted using only the “Medline” search using keywords “tympanoplasty” and “ossiculoplasty” in “India” on 15th June 2016. A total of 195 articles and abstracts were found dated from the year 1998 onwards. Articles describing work on technique were included, and those describing only experimentation with graft material were excluded. All articles were fully read and analysed. It was found that there had been experiments regarding the choice of anaesthesia and the use of combinations of different chemical agents for this purpose. There were suggestions in favour of monitored anaesthesia care for the surgery in select patients. Surgeons expressed their perspectives on the time and conditions for the surgery, laterality of surgery, different types of incisions, use of endoscopes, graft placement techniques, ossicular replacements with autologous or allogenic grafts, and the timing of prophylactic antibiotic therapy given after or during the surgery. The range of work is wide and covers most of the aspects of surgery; however, the incorporation of a uniform methodology and standards reporting results were lacking in the articles reviewed.

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Section: Techniques Of Surgerymentioning

confidence: 99%

A Historical Review of Indian Perspectives on Techniques of Tympanoplasty

Malhotra

Varshney

et al. 2020

International Journal of Otolaryngology

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“…On examining the full texts, 92 articles were assessed as unsuitable where COM was not the primary disease (7), tympanoplasty subtypes were not the primary intervention (11), the article was not published in English (5), the article did not contain long‐term hearing outcomes (68) or the presented data were too limited (1). Thirty‐nine studies 14‐52 reporting long‐term hearing outcomes and/or complications following middle ear interventions were included for synthesis.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Mean preoperative and postoperative pure tone audiometry was reported in accordance with the inclusion criteria, and was therefore suitable for quantitative synthesis, in 21 studies 14,17,18,20,21,24,25,31,32,36‐39,42,45‐47,49‐52 . 10 of these studies 20,21,24,25,32,38,39,42,45,52 reported air‐bone gap (ABG) data in sufficient detail so that it could be categorized in to bins of ≤20 dB HL or ˃20 dB HL. Additionally, 14 publications 15,18,19,23,24,35,36,38,42,43,46‐48,52 reported mean pre‐ and post‐operative ABG for patients with and without cholesteatoma in sufficient detail to permit weighted averages for these subgroups to be calculated.…”

Section: Resultsmentioning

confidence: 99%

“…10 of these studies 20,21,24,25,32,38,39,42,45,52 reported air‐bone gap (ABG) data in sufficient detail so that it could be categorized in to bins of ≤20 dB HL or ˃20 dB HL. Additionally, 14 publications 15,18,19,23,24,35,36,38,42,43,46‐48,52 reported mean pre‐ and post‐operative ABG for patients with and without cholesteatoma in sufficient detail to permit weighted averages for these subgroups to be calculated. Eight studies 18,21,24,32,34,42,45,52 also reported these data for patients that underwent ossicular reconstruction, permitting the calculation of weighted averages for this subgroup.…”

Section: Resultsmentioning

confidence: 99%

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Success rates in restoring hearing loss in patients with chronic otitis media: A systematic review

Lewis¹,

Vanaelst²,

Hua³

et al. 2021

Laryngoscope Investig Oto

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Objective To assess the effectiveness of tympanoplasty in treating chronic otitis media‐related hearing loss, published literature was systematically reviewed to determine the clinical success rate of tympanoplasty at restoring hearing in chronic otitis media patients at a minimum follow‐up period of 12‐months. Data Sources PubMed, Embase and the Cochrane Library. Methods Two independent reviewers performed literature searches. Publications reporting long‐term (≥12‐month) hearing outcomes and complications data on adult and pediatric patients with chronic otitis media were included and assessed for risk of bias and strength of evidence. To assess how tympanoplasty influences long‐term hearing outcomes, data on pure tone audiometry (air‐bone gap) and complications were extracted and synthesized. Results Thirty‐nine studies met the inclusion criteria. Data from 3162 patients indicated that 14.0% of patients encountered postoperative complications. In adult patients, mean weighted air‐bone gap data show closure from 26.5 dB hearing level (HL) (preoperatively) to 16.1 dB HL (postoperatively). In studies that presented combined adult and pediatric data, the mean preoperative air‐bone gap of 26.7 dB HL was closed to 15.4 dB HL. In 1370 patients with synthesizable data, 70.7% of patients had a postoperative air‐bone gap ˂ 20 dB HL at long‐term follow‐up. Finally, subgroup analysis identified that mean improvement in ABG closure for patients with and without cholesteatoma was 10.0 dB HL and 12.4 dB HL, respectively. Conclusion In patients with chronic otitis media, tympanoplasty successfully closed the air‐bone gap to within 20 dB HL in 7/10 cases and had an overall complication rate of 14.0%. Level of Evidence 2a.

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