Hostname: page-component-76dd75c94c-ccc76 Total loading time: 0 Render date: 2024-04-30T08:50:28.957Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparison of the application of artificial ossicles and autologous ossicles in the reconstruction of a damaged ossicular chain

Published online by Cambridge University Press:  02 November 2018

L Zhao ,
J Li  and
S Gong
L Zhao
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, China
J Li
Affiliation:
Department of Otolaryngology, Beijing Electric Power Hospital, China
S Gong*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, China
*
Author for correspondence: Prof Shusheng Gong, Department of Otolaryngology, Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, PR China E-mail: gongss1962@163.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To evaluate the therapeutic effect that the titanium partial ossicular reconstruction prosthesis and autologous ossicles have on hearing loss after reconstruction of a damaged ossicular chain.

Methods

Forty-two medical records of treatments carried out from 2013 to 2015 for ossicular chain damage with facial nerve paralysis due to temporal bone fractures were reviewed. The study assessed: causes of damage, pre-operative pure tone audiometry findings, types of intra-operative ossicular chain damage, intra-operative ossicular chain repair methods (titanium partial ossicular reconstruction prosthesis or autologous ossicles) and post-operative pure tone audiometry results.

Results

The titanium partial ossicular reconstruction prosthesis was used in 26 cases; the average air–bone gap was 32.3 ± 5.3 dB pre-operatively and 12.8 ± 5.3 dB post-operatively. Autologous ossicles were used in 16 cases; the average air–bone gap was 33.4 ± 4.5 dB pre-operatively and 17.8 ± 7.8 dB post-operatively.

Conclusion

Ossicular chain reconstruction is an effective way of improving hearing in patients with ossicular chain damage. The results suggest that repair with either the titanium partial ossicular reconstruction prosthesis or autologous ossicles can improve hearing following ossicular chain injury with facial nerve paralysis caused by a temporal bone fracture.

Keywords

TitaniumPORPHearing Loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 10 , October 2018 , pp. 885 - 890
Copyright
Copyright © JLO (1984) Limited, 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Prof S Gong takes responsibility for the integrity of the content of the paper

References

1Iurato, S, Quaranta, A. Malleus-handle fracture: historical review and three new cases. Am J Otol 1999;20:19–25Google Scholar
2Hough, JV, Stuart, WD. Middle ear injuries in skull trauma. Laryngoscope 1968;78:899–937Google Scholar
3Cremin, MD. Injuries of the ossicular chain. J Laryngol Otol 1969;83:845–62Google Scholar
4Hammond, VT. Ossicular lesions. J Laryngol Otol 1980;94:117–22Google Scholar
5McGuirt, WF Jr, Stool, SE. Temporal bone fractures in children: a review with emphasis on long-term sequelae. Clin Pediatr (Phila) 1992;31:12–18Google Scholar
6Meriot, P, Veillon, F, Garcia, JF, Nonent, M, Jezequel, J, Bourjat, P et al. CT appearances of ossicular injuries. Radiographics 1997;17:1445–54Google Scholar
7Ghonim, MR, Shabana, YK, Ashraf, B, Salem, MA. Traumatic ossicular disruption with intact tympanic membrane: treatment modalities in 42 patients: our experience. Clin Otolaryngol 2015;41:176–96Google Scholar
8Wennmo, C, Spandow, O. Fractures of the temporal bone--chain incongruencies. J Am Otolaryngol 1993;14:38–42Google Scholar
9Johnson, F, Semaan, MT, Megerian, CA. Temporal bone fracture: evaluation and management in the modern era. Otolaryngol Clin North Am 2008;41:597–618Google Scholar
10Grant, JR, Arganbright, J, Friedland, DR. Outcomes for conservative management of traumatic conductive hearing loss. Otol Neurotol 2008;29:344–9Google Scholar
11Darrouzet, V, Duclos, JY, Liguoro, D, Turilhe, Y, De Bonfils, C, Bebear, JP et al. Management of facial paralysis resulting from temporal bone fractures: our experience in 115 cases. Otolaryngol Head Neck Surg 2001;125:77–84Google Scholar
12Tos, M. Fractura ossis temporalis. The course and sequelae of 248 fractures of the temporal bones [in Danish]. Ugeskr Laeger 1971;133:1449–56Google Scholar
13Zenner, HP, Stegmaier, A, Lehner, R, Baumann, I, Zimmermann, R. Open Tübingen titanium prostheses for ossiculoplasty: a prospective clinical trial. Otol Neurotol 2001;22:582–9Google Scholar
14Wu, KC, Shu, MT, Yang, CC. Autologous ossiculoplasty following temporal bone fracture. J Laryngol Otol 2009;123:50–3Google Scholar