Myringostapediopexy and myringolenticulopexy in mastoid surgery

Cheang, P P; Kim, D; Rockley, Tim

doi:10.1017/s0022215108001941

Cited by 6 publications

(12 citation statements)

References 16 publications

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“…The difference between the pre and post-operative PTA-ABG results was statistically significant (P<.001). Our results are similar to the results of myringostapediopexy of Cheang et al 10 In his patients (n=25) PTA-ABG pre-and post operatively were 28.25 dB and 24.7 dB. However our results are different from those of Dawes PJD.…”

Section: Discussionsupporting

confidence: 84%

“…Depending upon a number of factors it is generally found that the success of myringostapediopexy is rather variable, the post operative PTA-ABG being anywhere between 10 and 60 dB. 1 Merchant et al report that type 10 Our results however are different from those of natural myringostapediopexy (n=15) and surgical canal down myringostapediopexy (n=35) of Dawes who reports PTA ABG closure within 30 dB in 87.0% and 90.0% of his cases in these two groups respectively. Moustafa and Khalifa observed hearing results of simple myringostapediopexy technique in (n=145) and showed that only 10% of these cases achieved PTA-ABG closure of less than 30 dB.…”

Section: Discussionmentioning

confidence: 54%

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Comparison of Pre and Post-operative Hearing Results in Canal Wall Down Mastoidectomy with Type III Tympanoplasty

Shrestha¹,

Bhusal²,

Bhattarai³

2008

J Nepal Med Assoc

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This study was done to compare the pre and post-operative hearing results in patients undergoingcanal wall down mastoidectomy with classical type III tympanoplasty using temporalis fasciaalone.Patients of ≥5 years age with the diagnosis of Chronic otitis media (squamous) with conductive ormixed hearing loss, needing canal wall down mastoidectomy and with intact and mobile stapessuprastructure at surgery who underwent classical type III tympanoplasty were included in thestudy. The pre and post-operative PTA was performed and evaluated. The post-operative hearingwas assessed in terms of average ABG and size of ABG closure.Mean pre and post-operative air bone gap in classical type III tympanoplasty were 37.8 dB and 29.8dB respectively and these differences were statistically significant. The postoperative PTA-ABGranged from 15-61.2 dB.Hearing results after type III tympanoplasty varied widely showing statistically significantimprovement in mean post-operative PTA-ABG but there was a great variation.Key words: air bone gap, chronic otitis media, mastoidectomy, tympanoplasty

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 54%

Comparison of Pre and Post-operative Hearing Results in Canal Wall Down Mastoidectomy with Type III Tympanoplasty

Shrestha¹,

Bhusal²,

Bhattarai³

2008

J Nepal Med Assoc

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“…Our results of postoperative ABG of 33 dB augurs well with the varied result of 10 to 60 dB reported in the medical literature for tympanoplasty type III. [5][6][7][8] We now present the hearing analyses in each subtype of tympanoplasty type III.…”

Section: Discussionmentioning

confidence: 99%

“…Varying results have been reported in the medical literature for type III tympanoplasty: postoperative air-bone gap (ABG) of anywhere between 10 and 60 dB. [5][6][7][8] We performed an in-depth analysis of the sparse literature on the subject of hearing reconstruction in cholesteatoma. 4,5,[9][10][11][12] These studies have variable parameters.…”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7][8] We performed an in-depth analysis of the sparse literature on the subject of hearing reconstruction in cholesteatoma. 4,5,[9][10][11][12] These studies have variable parameters. Most of these studies are retrospective analyses, which include both canal wall up and down surgeries and have used many types of prosthesis such as cartilage, autologous remnant ossicles, and biomaterials.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Type III Tympanoplasty Using Cartilage Ossiculoplasty in Cholesteatoma Ear Surgery

et al. 2019

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This prospective observational study evaluates the role of tympanoplasty type III in cholesteatoma ear disease during same sitting with mastoid surgery using cartilage ossiculoplasty. Forty patients of chronic suppurative otitis media-cholesteatoma disease were recruited in the study. All the patients had extensive cholesteatoma and underwent canal wall down mastoid surgery. Tympanoplasty type III, that is, stapes columella, minor columella, or major columella, was done in each case along with mastoid surgery depending upon the remnant ossicular status. Conchal cartilage graft was used for ossiculoplasty along with temporalis fascia graft. Hearing and graft uptake results were evaluated at the end of 6 months postoperatively. Of the 40 cases, 3 cases failed tympanoplasty. In the remaining 37 cases, a statistically significant hearing improvement (air–bone gap of 33 dB) was observed postoperatively. Seven cases underwent stapes columella, 13 cases underwent minor columella, and 17 cases underwent major columella tympanoplasty type III. Although a hearing improvement was recorded in all these subgroups, a statistically significant hearing gain was present only in tympanoplasty type III minor columella cases thereby underlying the importance of intact stapes. However, it is difficult to discern the type of tympanoplasty type III that the patient would undergo prior to the ear surgery

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A comparative study of hearing outcomes in myringostapediopexy and myringoplatinopexy in our experience

Santhanakrishnan

Gandhi

Pradheep

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: COM causes considerable morbidity with ear discharge, conductive hearing loss and complications. Myringostapediopexy and myringoplationpexyis a surgical procedure which intends improve the hearing and quality of the life.Methods: The study was conducted in the department of ENT, SMVMCH, Puducherry from April 2017 to April 2018. A detailed history taking thorough clinical examination done for these patients. PTA was done before the procedure, post operatively at 3rd month. Hearing improvement analysed using different parameters like type of graft used, hearing gain and graft uptake. The data collected was tabulated and subjected to statistical analysis. Results: Myringostapediopexy better hearing gain than myingoplatinopexy. Myringostapediopexy mean hearing gain 19.53 dB, myringoplatinopexy 12.59 dB.Conclusions: This study compared the hearing outcomes of Myringostapediopexy and myringoplatinopexy with respect to hearing gain. Myringostapediopexy better hearing gain than myringoplatinopexy due to presence of stapes supra-structure.

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Myringostapediopexy and myringolenticulopexy in mastoid surgery

Abstract: When surgically feasible, the technique of myringolenticulopexy is a useful method of preserving serviceable hearing in single-stage mastoid cavity surgery.

Cited by 6 publications

References 16 publications

Comparison of Pre and Post-operative Hearing Results in Canal Wall Down Mastoidectomy with Type III Tympanoplasty

Comparison of Pre and Post-operative Hearing Results in Canal Wall Down Mastoidectomy with Type III Tympanoplasty

Evaluation of Type III Tympanoplasty Using Cartilage Ossiculoplasty in Cholesteatoma Ear Surgery

A comparative study of hearing outcomes in myringostapediopexy and myringoplatinopexy in our experience

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