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Synchronous ossiculoplasty with titanium prosthesis during canal wall down surgery for advanced cholesteatoma: anatomical and hearing outcomes

Published online by Cambridge University Press:  16 September 2011

M Iseri ,
E Ustundag ,
A Ulubil ,
M Ozturk  and
O Bircan
M Iseri
Affiliation:
Department of Otorhinolaryngology, Kocaeli University Medical Faculty, Turkey
E Ustundag
Affiliation:
Department of Otorhinolaryngology, Kocaeli University Medical Faculty, Turkey
A Ulubil
Affiliation:
Department of Otorhinolaryngology, Kocaeli University Medical Faculty, Turkey
M Ozturk*
Affiliation:
Department of Otorhinolaryngology, Kocaeli University Medical Faculty, Turkey
O Bircan
Affiliation:
Department of Otorhinolaryngology, Kocaeli University Medical Faculty, Turkey
*
Address for correspondence: Dr Murat Ozturk, Kocaeli Universitesi Tip Fakultesi, KBB Anabilim Dali, 41380 Umuttepe, Kocaeli, Turkey Fax: +90 262 3037003 E-mail: muratkbb@gmail.com
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Abstract

Objective:

To analyse patients with cholesteatoma undergoing canal wall down mastoidectomy together with ossicular reconstruction with a titanium prosthesis, in order to identify factors associated with hearing outcomes.

Study design:

Retrospective review of 97 cases undergoing single-stage surgical management.

Methods:

All patients underwent canal wall down mastoidectomy. Kurz titanium ossicular prostheses were used for ossicular chain reconstruction. Pre-operative and post-operative air conduction and bone conduction hearing thresholds were obtained at 500, 1000, 2000 and 3000 Hz.

Results:

The mean pure tone average improved from 46.02 ± 14.54 dB pre-operatively to 29.32 ± 14.64 dB post-operatively, for both total and partial ossicular replacement prosthesis groups combined. The mean air–bone gap improved from 30.38 ± 11.12 dB pre-operatively to 15.62 ± 9.65 dB post-operatively, for both groups combined.

Conclusion:

Reconstruction with a titanium prosthesis offers good functional results when performed during canal wall down surgery for advanced cholesteatoma, as a single-stage procedure.

Keywords

OssiculoplastyProsthesisTitaniumMastoidectomyCholesteatoma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 2 , February 2012 , pp. 131 - 135
Copyright
Copyright © JLO (1984) Limited 2011

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