Total and partial ossiculoplasty in children: Audiological results and predictive factors

Dumont, J.C.; Abouzayd, Moumainn; Louarn, A. Le; Pondaven, S.; Bakhos, D.; Lescanne, E.

doi:10.1016/j.anorl.2019.02.012

Cited by 8 publications

(2 citation statements)

References 22 publications

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“…Perhaps, the aeration of the middle ear space is restored/improved after chronic inflammation ceases and, therefore, results in a better hearing threshold. The usually reported superiority of PORP over TORP could not be supported [23]. A possible explanation could be that the middle ear space is still limited after surgery and the eardrum often retracts in these troublesome cases making any type of reconstruction more difficult.…”

Section: Discussionmentioning

confidence: 96%

Hearing and hearing rehabilitation after obliteration of troublesome mastoid cavities

Geerse

Bost

Allagul

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose The purpose of this study is the evaluation of post-operative hearing threshold after revision surgery and obliteration of troublesome canal wall down mastoidectomy cavities (CWDMCs). The ability to use and tolerate conventional hearing aids (CHAs) was also evaluated. Methods A retrospective chart analysis of 249 patients with chronically draining CWDMCs who underwent revision surgery including obliteration of the mastoid cavity between 2007 and 2017 at the AMC location of the Amsterdam University Medical Centers (Amsterdam UMC) was performed. Patient characteristics, pre- and post-operative Merchant grade, surgical outcomes, pre- and post-operative hearing thresholds, and the ability/necessity to use a CHA or the ability/necessity to use a Bone Conduction Device (BCD) were recorded. Results Dry ears were found in 95% of the total cohort. Residual disease was detected in 1.6% during MRI follow-up with no residual cholesteatoma in the obliterated area. In 3.2% of the patients, recurrent disease was found. A significant improvement in mean air conduction level, mean bone conduction level, and mean air-bone gap (ABG) was found post-operatively (p < 0.05). For all types of ossicular chain reconstruction, a significant improvement in mean Pure Tone Average was observed (p < 0.05). The percentage of patients with an indication for CHA was similar pre- and post-operatively (67% both pre- and post-operatively). The ability to use a CHA improved from 3% pre-operatively to 57% post-operatively (p < 0.001). Conclusion This study shows that revision surgery and obliteration of CWDMCs enable successful CHA rehabilitation post-operatively. Upon this type of surgery, hearing thresholds improve significantly, but the need for rehabilitation with a CHA remains necessary in most cases.

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Section: Discussionmentioning

confidence: 96%

Hearing and hearing rehabilitation after obliteration of troublesome mastoid cavities

Geerse

Bost

Allagul

et al. 2020

Eur Arch Otorhinolaryngol

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“…27,47,79 In the study conducted by Kasbekar et al, 27 the authors used a modified tragal cartilage augmentation technique without ossicular reconstruction and found an increase of the mean postoperative ABG of 0.5 dB; however, the clinical relevance of this may be negligible. When ossiculoplasty was required, the prosthetic materials used included a titanium prosthesis, 4,28,48,49,[80][81][82][83] autologous ossicles, 47,84,85 cavum conchae cartilage, 86 and Teflon. 47 It was impossible to discern the advantages of these ossicular reconstruction materials due to the different methods the studies used to analyze functional outcomes.…”

Section: Cholesteatomamentioning

confidence: 99%

Tympanoplasty in the Setting of Complex Middle Ear Pathology: A Systematic Review

Gutiérrez

Cabrera

Stout

et al. 2023

Ann Otol Rhinol Laryngol

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Objective: To assess the prognostic factors for anatomic and hearing success after tympanoplasty in the setting of complex middle ear pathology. Methods: A systematic review was performed in January 2022. English-language articles describing outcome data for tympanoplasty repair variables including underlying pathology, perforation location, smoking status, graft technique, reconstruction material, anatomic success, and hearing success were extracted. Articles were included when tympanosclerosis, retraction pockets, adhesions, cholesteatoma, chronic suppurative otitis media, anterior perforations, and smoking were included. Underlying pathology, perforation location, smoking status, graft technique, reconstruction material, anatomic success, and hearing success were extracted. Any factors analyzed as potential indicators of success were sought out. Results: Data sources included PubMed, OVID, Cochrane, Web of Science, Scopus, and manual search of bibliographies. Ninety-three articles met final criteria, which accounted for 6685 patients. Fifty articles presented data on both anatomic and hearing outcomes, 32 articles presented data on anatomic outcomes only, and 11 articles presented data on hearing outcomes only. This systematic review found that adhesions and tympanosclerosis were prognostic factors for poorer hearing. Additionally, smoking and tympanosclerosis may be predictive of anatomic failure; however, the significance of this finding was mixed in included studies. This analysis is significantly limited by both the heterogeneity within the patients and the lack of controls. Conclusion: Adhesions and tympanosclerosis were prognostic factors for poorer hearing. Clearly documented methods and outcomes for the included pathologies could lead to more definitive conclusions regarding prognostic factors for success. Level of Evidence: 3B

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Long-term outcomes following pediatric endoscopic titanium ossiculoplasty: A single-institution experience

Leahy,

Wong,

Govindan

et al. 2024

International Journal of Pediatric Otorhinolaryngology

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Total and partial ossiculoplasty in children: Audiological results and predictive factors

Cited by 8 publications

References 22 publications

Hearing and hearing rehabilitation after obliteration of troublesome mastoid cavities

Hearing and hearing rehabilitation after obliteration of troublesome mastoid cavities

Tympanoplasty in the Setting of Complex Middle Ear Pathology: A Systematic Review

Long-term outcomes following pediatric endoscopic titanium ossiculoplasty: A single-institution experience

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