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Iranian Journal of Otorhinolaryngology، جلد ۲۶، شماره ۳، صفحات ۱۴۳-۱۵۰
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عنوان انگلیسی Ossiculoplasty: A Prospective Study of 80 Cases
چکیده انگلیسی مقاله Introduction: The use of ossicular graft material in ossicular chain reconstruction has significantly improved hearing results hearing after tympanoplasty and tympanomastoid surgery for chronic otitis media. Today, otologists have a wide array of tools from which to choose, but may find it difficult to know which middle ear implant works best. Materials and Methods: A prospective study of 80 patients who underwent ossiculoplasty was performed in the ear, nose, and throat (ENT) department at a tertiary health care facility from 2011 to 2013. Patients with chronic suppurative otitis media with an air-bone gap (ABG) of >25 dB with ossicular involvement were included in the study. Total ossicular replacement prosthesis (TORP), partial ossicular replacement prosthesis (PORP), and refashioned incus were used. Success was defined as ABG Results: The majority patients were of middle age with moderate conductive hearing loss. Incus was the most susceptible ossicle. Overall success rate in this study was 80.0% with an average change of 15.76 dB in ABG. Conclusion: With continuing advances in our understanding of middle ear mechanics, the results of ossiculoplasty are improving and results can be very rewarding in experienced hands. Severity of preoperative ear discharge, preoperative mastoid cellularity, presence of disease, and surgical procedure proved to be significant prognostic factors. Autograft incus and PORP fared better when the malleus handle was present while TORP gave better results when the malleus handle was eroded.
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نویسندگان مقاله shrinivas shripatrao chavan | shrinivas shripatrao chavan
department of otorhinolaryngology, government medical college, aurangabad, india.


prateek v jain | prateek v jain
department of otorhinolaryngology, government medical college, aurangabad, india.


jeevan n vedi | jeevan n vedi
department of otorhinolaryngology, government medical college, aurangabad, india


dharmendra کومار رای | dharmendra kumar rai
department of otorhinolaryngology, government medical college, aurangabad, india


himayat kadri | himayat kadri
department of otorhinolaryngology, government medical college, aurangabad, india
نشانی اینترنتی http://ijorl.mums.ac.ir/article_2571.html
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