A five year follow up of incus transposition in relation to the first stage tympanoplasty technique

Donaldson, Ivor; Snow, D. G.

doi:10.1017/s0022215100120316

Cited by 14 publications

(6 citation statements)

References 9 publications

(7 reference statements)

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“…The main aim of this study was to investigate the change in hearing following successful repair of the tympanic membrane, and to compare this outcome measure with a range of variables that might be expected to affect the hearing outcome 12 – 20 using multivariate analysis. This method of analysis was chosen because it was considered likely that confounding variables would produce misleading results if univariate analysis was employed.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting hearing improvement following successful repair of the tympanic membrane

Thiel

Mills

2013

J. Laryngol. Otol.

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Section: Introductionmentioning

confidence: 99%

Factors affecting hearing improvement following successful repair of the tympanic membrane

Thiel

Mills

2013

J. Laryngol. Otol.

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“…The tympanoplasty literature contains many articles with a variety of reconstruction techniques. In this article we examine the underlying situation without the variability introduced by reconstruction.The authors of reviews of the results of middle-ear surgery have used anatomic classifications in discussing results [4][5][6] but not preoperative hearing levels. Our reading of the literature regarding tympanoplasty leads us to conclude that the status of the remaining ossicles is considered the main-perhaps even the sole-determinant of postoperative hearing.…”

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confidence: 99%

“…The authors of reviews of the results of middle-ear surgery have used anatomic classifications in discussing results [4][5][6] but not preoperative hearing levels. Our reading of the literature regarding tympanoplasty leads us to conclude that the status of the remaining ossicles is considered the main-perhaps even the sole-determinant of postoperative hearing.…”

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confidence: 99%

Preoperative Hearing Predicts Postoperative Hearing

Blakley

Kim

VanCamp

1998

Otolaryngol.--head neck surg.

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Optimal hearing is one goal of otologic surgery. It is generally presumed that hearing thresholds after tympanoplasty-mastoidectomy surgery are determined by remaining anatomy. We assessed the effect of the disease process on hearing after surgery, and our data do not support this presumption. We studied the relationship between preoperative and postoperative hearing across tympanoplasties with differing anatomies in 124 patients without ossicular reconstruction with prostheses or bone. Our results indicate that poor hearing before surgery is associated with poor hearing after surgery, regardless of anatomy (type of tympanoplasty). This relationship holds for both the airbone gap and the speech-reception threshold. When considering ossicular reconstruction, the surgeon should remember that the disease process itself affects hearing in addition to the physical attributes of the ear. These results should be considered in preoperative counseling, as well as in the interpretation of the otologic literature.

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“…Among these materials, none has clearly demonstrated its superiority over the others. According to the literature, closure of the ABG to within 20 dB ranges from 60% to 85% with incus interposition [12][13][14] , from 57% to 84% with hydroxyapatite [11] , and from 60% to 81% with titanium [15][16][17][18] . Most papers comparing hearing outcomes of various ossiculoplasty materials have come to similar conclusions [19][20][21][22][23][24] .…”

Section: Discussionmentioning

confidence: 99%

Cartilage Ossiculoplasty from Stapes to Tympanic Membrane in One-Stage Intact Canal Wall Tympanoplasty for Cholesteatoma

Denis¹,

Manac'h²,

Teszler³

et al. 2017

Int Adv Otol

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Original Article INTRODUCTIONThe double cartilage block ossiculoplasty for partial ossicular reconstruction in the presence of an intact stapes was described in 1987 by Luetje and Denninghoff [1] . This technique offers several advantages-it is easy to perform, uses well-tolerated autologous materials, and has no additional cost. Despite those advantages and encouraging hearing results, this interesting ossiculoplasty technique is not very popular among otologists.For several years we have routinely used this technique at our institution, and we commonly refer to it as cartilage ossiculoplasty from stapes to tympanic membrane (COST). We decided to evaluate our results with this technique in a retrospective case-control study and to compare these to results published in studies dealing with other partial ossicular chain reconstruction techniques.To obtain a homogenous series, we selected patients having undergone a COST during a one-stage intact canal wall tympanoplasty (ICW) for cholesteatoma, even if this condition is probably one of the worst for achieving good hearing results. MATERIALS and METHODSAmong all surgical procedures performed at our institution for chronic otitis media between January 1999 and August 2006, we retrospectively selected the files of patients having undergone a COST during a primary one-stage ICW for middle ear and/or mastoid acquired cholesteatoma. We excluded ossiculoplasty procedures performed in case of chronic otitis media without cholesteatoma, canal wall-down tympanoplasties (CWD), ICW with staged ossiculoplasty, ossiculoplasties performed with other material than cartilage (incus, malleus head, hydroxyapatite, or titanium prosthesis), and cases where the stapes superstructure was missing. ICW included transcanal removal of a middle ear cholesteatoma and canal wall-up tympanoplasty.Cartilage Ossiculoplasty from Stapes to Tympanic Membrane in One-Stage Intact Canal Wall Tympanoplasty for Cholesteatoma OBJECTIVE: To report hearing results of cartilage interposition ossiculoplasty in one-stage intact canal wall (ICW) tympanoplasty for cholesteatoma with intact stapes. MATERIALS and METHODS:A retrospective study of pre and postoperative hearing status was conducted at a tertiary referral otologic center in a series of 61 patients having undergone one-stage ICW tympanoplasty for cholesteatoma with intact stapes and cartilage ossiculoplasty during the same procedure. RESULTS:In the preoperative period, the mean air conduction thresholds (AC), air-bone gap (ABG), and speech reception thresholds (SRT) were 35.3, 20.14, and 35.6 dB, respectively. Postoperatively, with a mean follow-up of 29 months, AC, ABG, and SRT were 27.8, 13.34, and 28.8 dB, respectively. Mean hearing gain was 6.8 dB and mean SRT improvement was 6.8 dB. Mean bone conduction thresholds for 1, 2, and 4 kHz remained stable after surgery (17.6 dB preoperatively vs. 18 dB postoperatively). CONCLUSION:Cartilage ossiculoplasty from stapes to tympanic membrane in one-stage ICW tympanoplasty for cholesteatoma is a safe, relia...

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A five year follow up of incus transposition in relation to the first stage tympanoplasty technique

Cited by 14 publications

References 9 publications

Factors affecting hearing improvement following successful repair of the tympanic membrane

Factors affecting hearing improvement following successful repair of the tympanic membrane

Preoperative Hearing Predicts Postoperative Hearing

Cartilage Ossiculoplasty from Stapes to Tympanic Membrane in One-Stage Intact Canal Wall Tympanoplasty for Cholesteatoma

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