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M K Rajasekar


Ossicular Reconstruction, Partial Prosthesis, Hearing Impairment


Introduction-According to the World Health Organization, 63 million people in India have significant hearing impairment. Reports of NSSO survey in the year 2001 suggest that there are 291 persons per one lakh population suffering from severe to profound hearing loss. 

Methodology- Prospective study conducted among 32 patients came to the outpatient department with complaints of ear discharge and hard of hearing. An informed consent was obtained from all patients following which all our patients were operated under general anaesthesia. A William Wilde postaural incision is made and extended up and temporalis fascia graft was harvested. The incision was deepened and then a T shaped incision was made and periosteum was elevated. Spine of Henle was identified. A meatotomy was  done    and pinna retracted forwards. Tympanomeatal flap was elevated. Bone work was started in the MacEwan’s triangle and the mastoid antrum reached which is usually located at a distance of 1-1.5cm from the mastoid cortex. 

Results- The results were analyzed after following up the patients every week for the first month postoperatively followed by monthly for the next 2 months postoperatively. The collected data were analysed with SPSS software 23.0 Version. There was a male predominance in the study group. In majority of cases the prosthesis that was used was PORP. 

Conclusion-Ossiculoplasty gives better results when compared to cases where ossiculoplasty isn’t done. Ossiculoplasty should always be done in patients with conductive hearing loss which is secondary to ossicular pathology.

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1. Scott-Brown’s Otorhinolaryngology, head and neck surgery 7th edition pg.966
2. Stupp CH, Stupp HF, Grün D. Replacement of ear ossicles with titanium prostheses. Laryngorhinootologie. 1996;75:335–337.
3. Dalchow CV, Grün D, Stupp HF. Reconstruction of the ossicular chain with titanium implants. Otolaryngol Head Neck Surg. 2001;125:628–30.
4. Zhang LC, Zhang TY, Dai PD, Luo JF. Titanium versus non-titanium prostheses in ossiculoplasty: a meta-analysis. Acta Otolaryngol. 2011;131:708–15.
5. Sade J, Berco E, Buyanover D, Brown M. Ossicular damage in chronic middle ear inflammation. Acta Otolaryngol. 1981;92:273– 283.
6. De Vos C, Gersdorff M, Gerard JM. Prognostic factors in ossiculoplasty. Otol Neurotol. 2007; 28(1):61-7
7. Fisch U, May J. Tympanoplasty, Mastoidectomy and Stapes Surgery. New York: Thieme; 1994
8. Glasscock & Shambough Surgeries of the ear 6th edition pg. 63 - 68, Pg.489-498
9. Brian A. Neff; Franklin M. Rizer; Arnold G. Schuring; William H. Lippy (2003). Tympano-Ossiculoplasty Utilizing the Spiggle and Theis Titanium Total Ossicular Replacement Prosthesis. , 113(9), 1525–1529. doi:10.1097/00005537-200309000-00021
10. Mardassi A, Deveze A, Sanjuan M, et al. Titanium ossicular chain replacement prostheses: prognostic factors and preliminary functional results. Eur Ann Otorhinolaryngol Head Neck Dis. 2011;128:53–58.
11. Quesnel S, Teissier N, Viala P, Couloigner V, Van Den Abbeele T. Long term results of ossiculoplasties with partial and total titanium Vario Kurz prostheses in children. Int J Pediatr Otorhinolaryngol. 2010;74:1226–1229.
12. Preciado DA. Biology of cholesteatoma: special considerations in pediatric patients. Int J Pediatr Otorhinolaryngol. 2012;76:319–321.
13. Michael P, Fong J, Raut V. Kurz titanium prostheses in paediatric ossiculoplasty—short term results. Int J Pediatr Otorhinolaryngol. 2008;72:1329–1333.
14. Nevoux J, Moya-Plana A, Chauvin P, Denoyelle F, Garabedian EN. Total ossiculoplasty in children: predictive factors and long-term follow-up. Arch Otolaryngol Head Neck Surg. 2011;137:1240–1246.
15. Palva A, Karma P, Kärjä J. Cholesteatoma in children. Arch Otolaryngol. 1977;103:74–77.
16. Dornelles Cde C, da Costa SS, Meurer L, Rosito LP, da Silva AR, Alves SL. Comparison of acquired cholesteatoma between pediatric and adult patients. Eur Arch Otorhinolaryngol. 266:2009;1553–61.