Importance of Atticotomy in Chronic Otitis Media with Fixation of Ossicles

Komune, Shizuo; Hisashi, Kazutaka; Wakizono, S.; Inoue, Hiroaki; Uemura, Takuya

doi:10.1016/s0385-8146(12)80198-2

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…13 Komune et al showed that, instead of tympanoplasty with prosthesis, the combination of atticotomy and myringoplasty was effective to achieve hearing improvement in majority of the CSOM cases with fixation of ossicles. 18 In the current study, we found that the CAL group had a comparable postoperative ABG and success rate with the non-CAL group, and the cases with AML calcification had a higher improvement of ABG at 250 and 500 Hz, under transcanal endoscopic type I tympanoplasty. What is more, the comparison of operating time and closure rate between the 2 groups showed no statistically significant difference.…”

Section: Discussionsupporting

confidence: 53%

Comparison of Tympanic Membrane Perforation With and Without Calcification of Anterior Mallear Ligament Under Transcanal Endoscopic Type I Tympanoplasty

Chen

Huang

et al. 2021

Ear Nose Throat J

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Objectives: Chronic suppurative otitis media (CSOM) induced tympanic membrane perforation (TMP) can be accompanied by anterior mallear ligament (AML) calcification. So far, comparative evaluations of TMP with and without AML calcification have rarely been reported. The aim of the current study is to compare the hearing outcomes of TMP with and without calcification of AML under transcanal endoscopic type I tympanoplasty. Methods: Records of 67 patients diagnosed with CSOM and receiving transcanal endoscopic type I tympanoplasty were divided into the AML calcification group (Cal group, n = 31) and the non-AML calcification group (non-Cal group, n = 36). The 31 patients in the Cal group were divided into subgroup A and B according to the severity of calcification. The operation time, closure rate, and pre- and postoperative audiometric results were retrospectively collected and analyzed. Results: Preoperatively, the Cal group had higher mean air–bone gap (ABG; P = .022), and ABGs at 250 Hz ( P = .017) and 500 Hz ( P = .008) compared with the non-Cal groups. The Cal group showed higher improvements of ABGs at 250 Hz ( P = .039) and 500 Hz ( P = .021) compared with the non-Cal groups postoperatively. Conclusions: The TMP with AML calcification leads to higher ABGs at low frequencies. The hearing outcomes are similar for TMP both with and without AML calcification after surgery. Our results suggest that transcanal endoscopic type I tympanoplasty is an appropriate surgical method for TMP with AML calcification, if the lesion can be detected and completely eliminated.

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Section: Discussionsupporting

confidence: 53%

Comparison of Tympanic Membrane Perforation With and Without Calcification of Anterior Mallear Ligament Under Transcanal Endoscopic Type I Tympanoplasty

Chen

Huang

et al. 2021

Ear Nose Throat J

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“…[1][2][3][4][5] Kordal krestin eksizyonu s›ras›nda korda timpani siniri, kemikçik zincir, fasyal sinir travmaya u¤rayabilir ve ciddi komplikasyonlar meydana gelebilir. 1,[6][7][8][9][10][11] Bu çal›flmada fiiflli Etfal E¤itim ve Araflt›rma Hastanesi 2. KBB Klini¤i'nde 2001-2007 y›llar› aras›nda timpanoplasti, stapes cerrahisi, eksploratif timpanotomi uygulanan 678 olgunun retrospektif analizi yap›ld›.…”

Section: Giriflunclassified

Türk toplumunda orta kulak cerrahisi sırasında inkudostapedial eklemin direkt görülme oranı

2009

Turk Arch Otolaryngol

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Objectives:To determine the rate of direct visibility of incudostapedial joint during the middle ear operations in the Turkish population and to assess the complications occurring during the resection of chordal crest.Methods: Operation records of 678 patients who underwent middle ear surgery (tympanoplasty, stapes surgery, explorative tympanotomy) between 2001 and 2007 at fiiflli Etfal Teaching and Research Hospital has been investigated retrospectively. The rate of visibility of incudostapedial joint with or without intervention to chordal crest has been determined during these surgeries. Complications of surgeries at which chordal crest excised have been assessed. Results:Incudostapedial joint has been observed directly in 513 (75.6%) ears operated while it has become visible with the excision of chordal crest in 165 (24.4%) ears. Of the 165 cases who underwent chordal crest resection, 3 (1.8%) cases had chorda tympani detachment, 6 (3.6%) cases had transient taste disturbance, 2 (1.2%) cases had perilymphatic leakage and one (0.6%) case had mild sensorineural hearing loss. Conclusion:The rate of direct visibility of incudostapedial joint during the middle ear surgeries in Turkish population is very high. Although the rate is low, resection of the chordal crest to make the joint visible can cause some kind of complications. ÖzetAmaç: Türk toplumunda, orta kulak operasyonlar›nda inkudostapedial eklemin (‹SE) direkt görülebilme oran›n›n belirlenmesi, kordal krest eksizyonu s›ras›nda oluflabilecek komplikasyonlar›n de¤erlendirilmesi.Yöntem: fiiflli Etfal E¤itim ve Araflt›rma Hastanesi 2. KBB Klini¤inde 2001-2007 y›llar› aras›nda orta kulak cerrahisi (timpanoplasti, stapes cerrahisi, eksploratif timpanotomi) uygulanan toplam 678 hastan›n operasyon kay›tlar› retrospektif olarak incelendi. Bu operasyonlar esnas›nda ‹SE'nin kordal kreste mü-dahale edilmeden direkt ya da eksize edilerek görülme oranlar› araflt›r›ld›. Kordal krestin al›nd›¤› operasyonlarda meydana gelen komplikasyonlar belirlendi. Bulgular:Opere edilen kulaklar›n 513 (%75.6)'ünde ‹SE direkt olarak görülürken, 165 (%24.4)'inde kordal krest al›narak eklem de¤erlendirilebilmiflti. Kordal krest al›nan 165 olgunun 3 (%1.8)'ünde korda timpani kopmas›, 6 (%3.6)'s›nda geçici tat duyusu bozulmas›, 2 (%1.2)'sinde perilenf s›z›nt›s›, 1 (%0.6)'inde hafif dereceli nörosensoriyal iflitme kayb› meydana gelmiflti.Sonuç: Türk toplumunda, orta kulak operasyonlar›nda ‹SE oldukça yüksek oranda direkt olarak görülebilmektedir. ‹nku-dostapedial eklemi görmek için yap›lan kordal krest eksizyonuna ba¤l› az da olsa ciddi komplikasyonlar oluflabilir.Anahtar Sözcükler: Orta kulak cerrahisi, inkudostapedial eklem, kordal krest, eksploratif timpanotomi.

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