Method and Reproducibility of a Standardized Ossiculoplasty Technique

Gluth, Michael B.; Moore, Page C.; Dornhoffer, John L.

doi:10.1097/mao.0b013e31825f2387

Cited by 12 publications

(4 citation statements)

References 29 publications

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“…The titles were initially screened for inclusion resulting in further consideration of 485 publications. After screening of abstracts and then full‐text articles, 153 articles were selected for inclusion …”

Section: Resultsmentioning

confidence: 99%

Physical outcome measures for conductive and mixed hearing loss treatment: A systematic review

Johansson

Tysome

Hill-Feltham

et al. 2018

Clinical Otolaryngology

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Section: Resultsmentioning

confidence: 99%

Physical outcome measures for conductive and mixed hearing loss treatment: A systematic review

Johansson

Tysome

Hill-Feltham

et al. 2018

Clinical Otolaryngology

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“…The main objective of surgical management of COM is the achievement of a dry and safe ear, the interruption of recurrent ear drainage and, on the other hand, the improvement of hearing. Therefore, tympanic membrane integrity and the ossicular chain status are important (8,12). The status of the ossicular chain as a determinant factor of hearing outcome has been somehow controversial in the literature.…”

Section: Discussionmentioning

confidence: 99%

Predictors of hearing outcomes in patients undergoing ossicular chain reconstruction in a developing country.

Ramirez Zea,

García Chabur,

Solorzano Useche

et al. 2024

Acta otorrinolaringol cir cabeza cuello

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Objective: To explore the social and clinical factors that predict audiometric outcomes in patients undergoing ossicular chain reconstruction. Methods: A retrospective analytical cohort study was conducted, including patients 18 years of age or older with a history of chronic otitis media (COM) and/or any of its complications, who underwent ossicular chain reconstruction with Partial Ossicular Replacement Prosthesis (PORP) or Total Ossicular Replacement Prosthesis (TORP), at Hospital San José and Hospital infantile Universitario de San José between 2012 and 2020. We excluded patients with ossicular chain malformations and those with incomplete information. Information about sociodemographic and clinical factors was collected. Additionally, the surgery findings information was analyzed using the Ossiculoplasty outcome parameter staging ( OOPS) index. Results: A total of 35 adult patients who underwent ossicular chain reconstruction were retrospectively studied. An improvement was evidenced in the Preoperative Pure-Tone Average (PTA) and postoperative PTA (p-value=0.036), as well as in the pre and postoperative air-bone gap (ABG) (p-value < 0.01). A moderate correlation coefficient was found between the OOPS index and the postoperative PTA (p= 0.429), and between the OOPS index and the postoperative (ABG) (p= 0.653). Conclusion: We found that a higher OOPS score is correlated with worse hearing outcomes postoperatively, and there was no association between the demographic or pathologic factors with a worse postoperative hearing outcome. Therefore, OOPS index can predict audiometric outcomes in patients undergoing ossicular chain reconstruction in a developing country, regardless of the demographic or pathologic factors.

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“…Ossiculoplasty results reported in the literature have been variable and inconsistent. 12 This inconsistency is a reflection of the many variables likely to play a role in ossiculoplasty outcomes, including the underlying middleear pathology, the status of the Eustachian tube, surgical techniques, prostheses design, and patient factors. 4,[13][14][15][16][17][18][19][20][21] Furthermore, published data differ among studies with regard to the studied population, outcome measures reported, and follow-up periods.…”

Section: Discussionmentioning

confidence: 99%

Pilot Study Assessing the Feasibility and Clinical Outcomes of Office-Based Ossiculoplasty

Shoman

2018

Ann Otol Rhinol Laryngol

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The aim of this study was to assess the feasibility and safety of ossiculoplasty under local anesthesia in an office setting without sedation. Methods: Between May 2017 and November 2017, patients who presented with conductive hearing loss and known isolated ossicular discontinuities were offered ossiculoplasty under local anesthesia. Inclusion criteria included age ⩾ 18 years, adequate transcanal access, and the ability to lie supine for up to 45 minutes. Exclusion criteria included associated tympanic membrane perforation and the presence of middleear or mastoid cholesteatoma or infection. Results: Fourteen patients underwent the procedure. The mean age was 48.3 years (range, 19-74 years). Six were primary and 8 revision cases. There were 8 partial and 6 total prosthesis placements. The mean operative time was 34 minutes (range, 26-43 minutes). All patients tolerated the procedure to completion. There were no intraoperative complications. The mean air conduction pure-tone average was 76.6 dB and the mean bone conduction pure-tone average was 27.2 dB, with a preoperative air-bone gap of 49.9 dB. Air conduction pure-tone average significantly improved to 45.2 dB (P < .0001). Air-bone gap significantly improved to 17.8 dB (P < .0001). Conclusions: Ossiculoplasty using partial or total prostheses can be safely performed in the office setting under local anesthesia without sedation in carefully selected patients. This has potentially significant patient and system benefits.

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Method and Reproducibility of a Standardized Ossiculoplasty Technique

Abstract: Short-term data suggest that this standardized technique of ossiculoplasty leads to predictable hearing outcomes and seems to be reproducible by an experienced otologist with only limited specific instruction.

Cited by 12 publications

References 29 publications

Physical outcome measures for conductive and mixed hearing loss treatment: A systematic review

Physical outcome measures for conductive and mixed hearing loss treatment: A systematic review

Predictors of hearing outcomes in patients undergoing ossicular chain reconstruction in a developing country.

Pilot Study Assessing the Feasibility and Clinical Outcomes of Office-Based Ossiculoplasty

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