Ossicular Chain Status in Chronic Suppurative Otitis Media in Adults

Varshney, Saurabh; Nangia, Ashutosh; Bist, Sampan Singh; Singh, Rakesh Kumar; Gupta, Nitin; Bhagat, Sanjeev

doi:10.1007/s12070-010-0116-3

Cited by 86 publications

(88 citation statements)

References 10 publications

(12 reference statements)

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“…The incidence of ossicular erosion is much greater in unsafe CSOM than in safe CSOM. 7 Pearson's correlation analysis revealed that Pre-operative PTA values had a statistically significant but weak positive correlation. (r=0.366, p-value <0.05) with age which can attributed to the senile changes, whereas no or very little positive correlation was seen with the duration of the disease(r=0.092, p-value>0.05).…”

Section: Discussionmentioning

confidence: 98%

“…Of these innumerable studies, those that closely resemble the social, anthropological and cultural characteristics of our study participants have been reviewed to refresh our concepts related to the pattern of this disease. [4][5][6][7] The aim of this cross sectional study was to acknowledge the changing trends in the presentations and of atticoantral type of chronic suppurative otitis media with or without complications.…”

Section: Introductionmentioning

confidence: 99%

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Clinico social profile of patients of attico-antral disease in middle ear cleft attending tertiary care center of North India

2016

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Clinico social profile of patients of attico-antral disease in middle ear cleft attending tertiary care center of North India

2016

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“…The hearing loss would be noticed only when the disease has progressed sufficiently to cause a significant impairment of hearing by perforation or ossicular destruction. 4 Majority of our patients 21 (40.38%) were in the age group of 16 to 20 years followed by 16 (30.77%) in the age group of 21-30 years. In present study, young adults were found to be more affected similar to other studies.…”

mentioning

confidence: 70%

Ossicular chain status in cases of cholesteatomatous chronic otitis media in eastern Nepal

Thakur¹,

Ghimire²,

Acharya

et al. 2017

Asian J Med Sci

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Chronic Suppurative Otitis Media (CSOM) is a leading cause of conductive hearing impairment in adults secondary to the damage of the ear drum and middle ear ossicles induced by chronic inflammation present in the tympanic cavity. Ossicular erosion, a frequent complication of CSOM, may lead to total failure of middle ear mechanism resulting in substantial hearing loss.1 The degree of hearing loss varies with size and position of tympanic membrane defect, status of ossicular chain and presence of middle ear pathology. A B S T R A C T ORIGINAL ARTICLE ASIAN JOURNAL OF MEDICAL SCIENCESBackground: Ossicular erosion and disruption of ossicular chain is a frequent complication of cholesteatomatous chronic otitis media leading to hearing loss. Aims and Objectives: To find out the status of ossicles and ossicular chain in patients of choleasteatomatous chronic otitis media undergoing surgery. Materials and Methods: This is a descriptive, cross sectional study conducted among 52 patients of chronic suppurative otitis media with cholesteatoma undergoing surgery at Biratnagar Eye Hospital, Ear Department over 3 years. In each patient the condition and the integrity of ossicular chain was evaluated in order to determine the presence and site of lesion of each ossicles. The data was analysed and expressed in numbers and percentage. Results: Among 52 cases, 27(51.92%) were male and 25(48.08%) were female. The age range was 16 to 50 years. The mean age was 25.6 years. The commonest age range was of 16-20 years, 21 (40.38%). The chief complaints of the patients were ear discharge seen in 52 (100%) cases and hearing loss in 45 (86.5%) cases. Malleus was found intact in 37 (71.1%) cases and absent in 7(13.5%). Handle erosion was found in 3(5.8%) cases. Head and handle erosion was found in 5(9.6%) cases. Incus was found intact in only 6 (11.5%) cases and absent in 11 (21.2%) cases. Long and lenticular process was eroded in 35(67.3%) cases. Intact suprastructure of Stapes was found in 27(51.92%) cases. Suprastructure erosion was found in 25(48.08%) cases. Intact ossicular chain was found only in 6(11.5%) cases. M+S+ was found in 17(32.7%) cases followed by M+S-in 14(26.9%). M-S+ was found in 4(7.8%) cases. All the ossicles eroded were found in 11(21.1%) cases.

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“…Malleus is the most resistant for erosion and most important predictor of hearing outcome in most cases of cholesteatoma surgery, ossicular reconstruction was done depending on presence or absence of stapes superstructure. [5][6][7][8][9] In most cases of ossicular reconstruction preference is given to autologous materials. 4 Autogenic materials like ossicles, cortical bone and cartilage can be used for grafting.…”

Section: Surgical Techniquementioning

confidence: 99%

The role of autologous conchal cartilage in ossiculoplasty during canal wall down mastoidectomy

Jalisatgi

Garag

Arunkumar

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: This study was done to evaluate the hearing outcome in patients undergoing ossiculoplasty using autograft cartilage in canal wall down surgery for cholesteatoma.Methods: This is a retrospective study. This was conducted in a tertiary care hospital from January 2011 to January 2014. This study included 54 patients who underwent canal wall down mastoidectomy with tympanoplasty during this period. Results: Preoperative and postoperative ABG for short columella were 23.13 dB (±11.21) and 12.66 dB (±8.92) respectively. Preoperative and post-operative ABG for long columella were 36.96 dB (±6.73) and 24.77 dB (±10.36) respectively. This is statistically significant.Conclusions: The use of autologous cartilage in ossiculoplasty during canal wall down mastoidectomy gives excellent hearing gain. It is also a cheaper option which is financially feasible in developing countries.

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Ossicular Chain Status in Chronic Suppurative Otitis Media in Adults

Cited by 86 publications

References 10 publications

Clinico social profile of patients of attico-antral disease in middle ear cleft attending tertiary care center of North India

Clinico social profile of patients of attico-antral disease in middle ear cleft attending tertiary care center of North India

Ossicular chain status in cases of cholesteatomatous chronic otitis media in eastern Nepal

The role of autologous conchal cartilage in ossiculoplasty during canal wall down mastoidectomy

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