HEARING RESULTS ACCORDING TO OSSICULOPLASTY TECHNIQUES IN CHRONIC OTITIS MEDIA
1Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi, KBB-BBC ABD, Sakarya, Turkey Introduction: In our study, it was aimed to analyze the postoperative hearing data of the patients with chronic otitis media who were operated with different ossiculoplasty techniques and to compare ossiculoplasty techniques with each other and the literature.Methods: Patients who were operated for chronic otitis media accompanied by hearing loss in Sakarya University Training and Research Hospital, Otorhinolaryngology Clinic between April 2013-December 2017 were retrospectively analyzed. Medical notes belonging to the patient were recorded. Thus, age, gender, surgical procedure and surgical findings of the disease, as well as the technique used for ossiculoplasty and audiometry test results at least 6 months postoperatively were determined.
Findings: A total of 203 ossiculoplasty files scanned by the retrospective method were included in the study. Among these cases, data on 131 operated ears who had no graft failure and whose files were fully accessible were included in the study. Fifty-seven (57%) percent of the patients were female, and 56 (43%) were male. There was no statistically significant difference between the ossiculoplasty methods and the absence of stapes, high middle ear risk index and secondary surgeries were among the factors that reduce the success.
Conclusion: As a result, we believe that it is important for the literature to demonstrate that open technique tympano-mastoidectomies can not be directly correlated with poor hearing outcomes and for the patients with intact manubrium mallei, audiological results of malleostapedopexy is as efficient as the patients implanted with partial ossicular replacement prosthesis (PORP).
Keywords : Chronic otitis media, hearing gain, ossicul, ossiculoplasty, air-bone gap