A Comparative Study of Ossiculoplasty by Using Various Graft Materials
Journal Title: National Journal of Integrated Research in Medicine - Year 2011, Vol 2, Issue 4
Abstract
Introduction: The use of ossicular graft material in the ossicular chain reconstruction has significantly improved the results in the hearing after the tympanoplasty and tympanomastoid surgery for the chronic otitis media. The ossicular chain transmits the vibration of tympanic membrane to the inner ear with impedance matching function failure to which results in > 50dB hearing loss of conductive variety. Material and Method: A Prospective study of 76 patients who underwent ossiculoplasty was done in the department of ENT & Head and Neck Surgery , Sir T. Hospital ,Bhavnagar, Gujarat between May 2007 to June 2009.Only patients with conductive hearing loss were included in study and underwent ossiculoplasty with using various graft material and assessment done by post operative closure of air bone gap. Most available graft material used are auto graft, cartilage and bone, and various biosynthetic materials like gold,Teflon,plastipore,titanium etc. Results: Majority of patients are middle age group with moderate conductive hearing loss. The comparison of hearing improvement between various graft materials at 2 month and 5 months post operatively were studied in the relation to the postoperative air bone gap closure shows that auto graft and gold prosthesis are cost effective with comparable results obtained as by expensive titanium and plastipore prosthesis. Discussion & Conclusion: The ossiculoplasty materials produce varying results. The titanium and plastipore are rather expensive for the Indian patients , particularly for the government hospital poor class patients. We have tried to evaluate the results using the economical and readily available graft materials like cartilage, bone and gold prosthesis for ossiculoplasty and compared its results with costly plastipore and titanium prosthesis. prosthesis [ Jha S et al NJIRM 2011; 2(4) : 53-55].
Authors and Affiliations
Dr Sushil Jha, Dr. Keyur Mehta, Dr Viral Prajapati, Dr. Deepak Patel ,Dr. Pramod Kharadi
Keywords
Related Articles
- EP ID EP40168
- DOI -
- Views 344
- Downloads 0
Knowledge, Attitude and Practices of Mothers Regarding Acute Respiratory Infection (ARI) In Urban And Rural Communities Of Ahmedabad District, Gujarat
Background: Acute respiratory tract infection is a major cause of morbidity and mortality in developing and also developed countries. About 13 Million under 5 children dies every year in the world, 95% of them in devel...
Profile of Burns Cases Brought For Post- Mortem Examination At Mortuary of Sir T. Hospital, Bhavnagar
Introduction: To provide better facilities medically as well medico-legally it is very important and urgent to know about the profile of cases of burns especially in Bhavnagar region. Material Method: The present study...
Prevalence of Uropathogens In Various Age Groups & Their Resistance Pattern In A Tertiary Care Hospital In Central India
Background: The prevalence of multidrug resistance among uropathogens in rapidly increasing. Analysis of the prevalence in various age groups and the common antimicrobial co-resistance pattern of uropathogens isolated...
THE NEUROBEHAVIORAL EFFECTS OF EXERCISE ON MEMORY FUNCTION DURING PREGNANCY
Memory function is essential for optimal daily functioning. Emerging work demonstrates that memory function may be compromised during pregnancy. Encouragingly, exercise engagement may subserve memory function among vari...
Placental Morphometry in Relation to Birth Weight of Full Term Newborn Babies
Background: In obstetrics the relationship of birth weight and the perinatal outcome has long been appreciated, however an often neglected parameter is the placental changes. Placenta is a vital organ for maintaining p...