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Role of ossiculoplasty in canal wall down tympanoplasty for middle-ear cholesteatoma: hearing results

Published online by Cambridge University Press:  24 November 2006

E De Corso ,
M R Marchese ,
B Sergi ,
M Rigante  and
G Paludetti
E De Corso
Affiliation:
Institute of Otorhinolaryngology, Policlinico ‘A Gemelli’, Università Cattolica del Sacro Cuore, Rome, Italy.
M R Marchese
Affiliation:
Institute of Otorhinolaryngology, Policlinico ‘A Gemelli’, Università Cattolica del Sacro Cuore, Rome, Italy.
B Sergi
Affiliation:
Institute of Otorhinolaryngology, Policlinico ‘A Gemelli’, Università Cattolica del Sacro Cuore, Rome, Italy.
M Rigante
Affiliation:
Institute of Otorhinolaryngology, Policlinico ‘A Gemelli’, Università Cattolica del Sacro Cuore, Rome, Italy.
G Paludetti
Affiliation:
Institute of Otorhinolaryngology, Policlinico ‘A Gemelli’, Università Cattolica del Sacro Cuore, Rome, Italy.
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Abstract

The aim of this study was to evaluate the hearing results of ossiculoplasty in canal wall down tympanoplasty in one stage middle-ear cholesteatoma surgery.

We carried out a retrospective review of a consecutive series of 142 cases which had undergone type two or three canal wall down tympanoplasty with ossicular reconstruction, between January 1995 and December 2002, due to chronic otitis media with cholesteatoma.

Pre-operative audiometric testing revealed a mean air conduction pure tone average (PTA) of 50.97 dB and a mean bone conduction PTA of 22.14 dB. The mean post-operative result for air conduction PTA was 37.62 and for bone conduction PTA was 23.37 dB. The mean pre- and post-operative air–bone gaps (ABGs) were 28.83 and 13.94 dB, respectively, with a gain of 14.89 dB. Almost 62.67 per cent of patients closed their ABGs to within 20 dB.

Our functional results are comparable with those of other authors. In the present study, we show that hearing improvement is possible following cholesteatoma surgery with canal wall down tympanoplasty and ossicular chain reconstruction.

Keywords

MastoidTympanoplastyOtologic Surgical ProceduresCholesteatomaHearing
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 4 , April 2007 , pp. 324 - 328
Copyright
2006 JLO (1984) Limited

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