Comparative study of autologous incus, tragal cartilage and partial ossicular reconstruction prosthesis (PORP) in ossiculoplasty
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 6, Issue 3
Abstract
Aim: Ossicular discontinuity is a common complication of chronic otitis media. Ossiculoplasty is done to restore the hearing mechanism. Aim of the study is to compare efficacy of autologous remodelled incus, tragal cartilage and Teflon PORP used for ossicular reconstruction in terms of post-operative fearing improvement. Material and Methods: A comparative prospective study of 90 patients of ossiculoplasty usingremodeledincus, tragal cartilage and polytetrafluoroethylene (Teflon) partial ossicular replacement prosthesis (PORP) was done to analyse the hearing gain at the end of six months post-operatively. Results: All the 3 materials were found to provide significant benefit to the patients in hearing. Out of the 3 materials studied, remodelled incus was found to be significantly better than the other two. Conclusion: Autologous remodeled incus to have the best outcome in terms of post-operative closure of air bone gap as compared to tragal cartilage followed by Teflon PORP and it was found to be statistically significant.
Authors and Affiliations
Abhishek Gugliani, Kalpesh B Patel, Rohan K Patel, Rajesh Vishwakarma
Keywords
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