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- 1,2Senior residents, Department of ENT, Bangalore Medical College& Research Institute, India
- 3,4,5Postgraduate, Department of ENT, Bangalore Medical College& Research Institute, India
- 6Professor and Head, Department of ENT, Bangalore Medical College& Research Institute, India
*Corresponding author:
Rukmini M Prabhu, Senior Resident, Department of ENT, Bangalore Medical College& Research Institute,
Bangalore, India
Received: October 17, 2020; Published: November 02, 2020
DOI: 10.32474/SJO.2020.05.000215
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Abstract
Ossicular chain reconstruction is the primary method of restoring conductive hearing deficit seen in chronic middle ear disease.
Many factors affect outcomes in this procedure including the middle ear environment, status of the Eustachian tube, surgical
technique, type of prosthesis and status of residual ossicular remnants. Many materials have been used for Ossiculoplasty including
both biologic and alloplastic materials, with varying degrees of success. This study was done to evaluate the efficacy of preserved
septal cartilage as ossicular reconstruction prosthesis in patients with mucosal type of COM (chronic otitis media) with ossicular
discontinuity.
Objective: To evaluate the efficacy of preserved septal cartilage as ossicular reconstruction prosthesis in patients with mucosal
type of COM with ossicular discontinuity.
Materials and Methods: A prospective study of 20 patients with mucosal type of COM, undergoing Ossiculoplasty was
conducted at a teaching tertiary care hospital from January 2019 to July 2020.
Results: A total 20 patients (13 males and 7 females) between the age group of 18-60 years with mucosal type of COM with
ossicular discontinuity were included in the study. Out of 20 patients 18 patients (90%) had improvement in A-B gap (air bone gap)
after surgery and 2 patients had no improvement in A-B gap after 3 months of follow up. The mean hearing gain was 12.25±7.23 dB
which was statistically significant (p value 0.001).
Conclusion: Preserved septal cartilage is a good material for ossicular reconstruction in terms of postoperative hearing
improvement and closure of A-B gap. By giving careful attention to the principles of ossicular construction and understanding basic
principles and applying them in clinical practice, it is possible to give more desirable hearing results for the patients.
Keywords:Ossiculoplasty, septal cartilage
Abbreviations: COM: Chronic Otitis Media
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