MANAGEMENT OF OSSICULAR CHAIN ABNORMALITIES IN CHRONIC SUPPURATIVE OTITIS MEDIA OF TUBOTYMPANIC TYPE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 13
Abstract
BACKGROUND The aim of the study is to study the commonest ossicular pathology in Chronic Suppurative Otitis Media (CSOM), tubotympanic type and how the results vary with various techniques and graft materials used for ossicular reconstruction. MATERIALS AND METHODS A total of 200 patients between 15-60 years of age with CSOM tubotympanic type requiring surgical treatment who underwent treatment at Dr. B. R. Ambedkar Medical College and Hospital, Bangalore, within a period of 36 months from June 2012 to May 2015 were taken into study. Design- Randomised Prospective study. Setting- Department of ENT, Dr. B.R. Ambedkar Medical College and Hospital, Bangalore. RESULTS The commonest ossicular pathology noticed was necrosis of incus. Ossicular reconstruction performed by short columella and long columella procedure using autogenous/homogenous incus gave the best results, i.e. 21.42% and 20% closure of AB gap within 10dB, respectively and 70% and 66.66% closure of AB gap within 20 dB, respectively. CONCLUSION In this era where a large variety of artificial prosthetic materials are being used to replace and to reconstruct the ossicular chain, autograft/homograft still play a significant role.
Authors and Affiliations
Muniraju M, Vidya H
Keywords
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- EP ID EP214108
- DOI 10.18410/jebmh/2017/142
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