OSSICULAR  RECONSTRUCTION AND HEARING OUTCOME

Dr Trupal Solanki; Dr Ankur Barot; Dr Nisharg Mehta; Dr Roma Gandhi; Dr Rohan Patel; Dr Rajesh Vishwakarma

Volume : IV, Issue : VII, July - 2015

OSSICULAR RECONSTRUCTION AND HEARING OUTCOME

Dr Trupal Solanki, Dr Ankur Barot, Dr Nisharg Mehta, Dr Roma Gandhi, Dr Rohan Patel, Dr Rajesh Vishwakarma

Abstract :

Aims & Objectives The purpose of this study was to evaluate the he� outcome of ossicular reconstruction using 3 different materials namely auricular cartilage (chonchal and tragal), titanium prosthesis (total and partial replacement) and autologous bone (incus ) Material & Methods Prospective study was conducted in 40 patients with chronic suppurative otitis media with mastoidectomy with Tympanoplaty at Civil Hospital, Ahmedabad in year 2013-2014. 20 patients were reconstructed with cartilage, 20 with PORP & 20 with autologenous bone. Follow up was taken at 6 to 18 months post operatively. Results Pre operative air-bone gap was 35 to 60 dB. Out of 20 patients who were reconstructed with cartilage , 16 had AB gap less than 25 dB, 4 patient had AB gap less than 20 dB. Out of 20 patients who were reconstructed with bone, 14 had AB gap less than 25 dB, 6 patient had AB gap less than 20 dB. Out of 20 patients who were reconstructed with PORP, 5 had AB gap less than 25 dB, 15 patient had AB gap less than 20 dB. Conclusion Ossicular reconstruction with cartilage may have possibility of migration, adhesions with promontory and recurrent conductive he� loss. Autologus bone (incus) restores the integrity of ossicular chain in most natural ways and improves he�. Although chance of extrusion of titanium prosthesis is possible, but it provides better he� outcome then cartilage and bone, therefore titanium prosthesis provides excellent alternative to currently accepted method.