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Autologous total ossicular replacement prosthesis

Published online by Cambridge University Press:  11 November 2014

M Malhotra ,
S Varshney  and
R Malhotra
M Malhotra*
Affiliation:
Department of Otorhinolaryngology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
S Varshney
Affiliation:
Department of Otorhinolaryngology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
R Malhotra
Affiliation:
Department of Anatomy, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
*
Address for correspondence: Dr Manu Malhotra, 3/4, Type IV, AIIMS, Rishikesh 249201, Uttarakhand, India E-mail: manumalhotrallrm@gmail.com
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Abstract

Objective:

To develop an autologous total ossicular replacement prosthesis with sustainable hearing results.

Methods:

The ears of 40 patients, who had chronic otitis media with absent suprastructure of the stapes and long process of the incus, were repaired using the autologous total ossicular replacement technique. Post-operative results were evaluated after 6 and 12 months on the basis of average pure tone air conduction and average air–bone gap measured at 0.5, 1, 2 and 3 kHz.

Results:

Successful rehabilitation of pure tone average to 30 dB or less was achieved in 75 per cent of patients, and air–bone gap to 20 dB or less was attained in 82.5 per cent of patients. Overall mean improvement in air–bone gap was 23.9 ± 8.5 dB (p < 0.001). Mean improvements in air–bone gap were significantly greater (p < 0.05) in the tympanoplasty only group (27.3 ± 6.6 dB) and the intact canal wall tympanoplasty group (25.9 ± 6.3 dB) than in the canal wall down tympanoplasty group (16.3 ± 8.9 dB).

Conclusion:

This paper describes an autologous total ossicular replacement prosthesis that is biocompatible, stable, magnetic resonance imaging compatible and, above all, results in sustainable hearing improvement.

Keywords

Ear, MiddleAutograftsCartilageTympanoplastyOssicular Replacement ProsthesesOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 12 , December 2014 , pp. 1050 - 1055
Copyright
Copyright © JLO (1984) Limited 2014 

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