全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Preliminary Hearing Results of Tympanomastoidectomies Using Titanium Prostheses: Scenario in a Developing Country

DOI: 10.4236/ijohns.2013.25041, PP. 195-200

Keywords: Midddle Ear Risk Index, Titanium, Total Ossicular Replacement Prosthesis, Partial Ossicular Replacement Prosthesis

Full-Text   Cite this paper   Add to My Lib

Abstract:

The study was done to review postoperative hearing gain of patients with different Middle Ear Risk Index (MERI) undergoing Tympanomastoidectomies with titanium prostheses reconstruction. A Retrospective chart review was performed from September 2009 to December 2011. Of the 17 cases, 9 had moderate MERI while 8 had severe MERI. 9 patients underwent Tympanomastoidectomy with Total Ossicular Reconstruction Prostheses (TORP) and 8 with Partial Ossicular Reconstruction Prostheses (PORP). Hearing gain of 25.31 dB was achieved in cases with moderate MERI compared to 29.37 dB in severe MERI. Less than 20 dB average air-bone gap was achieved in 75% of PORP and 77.77% of TORP reconstructions. In developing countries with limited resources, decision regarding ossicular reconstruction should be made taking into account MERI, intra operative findings and type of surgery. Best results are achieved in cases of CWD with TORP and ICW with PORP.

References

[1]  L. M. Menendez-Colino, M. Bernal-Sprekelsen, I. Alobid and J. Traserra-Coderch, “Preliminary Functional Results of Tympanoplasty with Titanium Prostheses,” Otolaryngology—Head and Neck Surgery, Vol. 131, No. 5, 2004, pp. 747-749. doi:10.1016/j.otohns.2004.04.017
[2]  C. V. Dalchow, D. Grun and H. F. Stupp, “Reconstruction of the Ossicular Chain with Titanium Implants,” Otolaryngology—Head and Neck Surgery, Vol. 125, No. 6, 2001, pp. 628-630. doi:10.1067/mhn.2001.120397
[3]  M. Tos, “Late Results in Tympanoplasty,” Acta Oto-Laryngologica, Vol. 82, No. 1, 1976, pp. 282-285. doi:10.3109/00016487609120906
[4]  B. E. Hirsch, D. B. Kamerer and S. Doshi, “Single Stage Management of Cholesteatoma,” Otolaryngology—Head and Neck Surgery, Vol. 106, 1992, pp. 351-354.
[5]  E. Vartianen and J. Nuutinen, “Long Term Hearing Results of One Stage Tympanoplasty for Chronic Otitis Media,” European Archives of Oto-Rhino-Laryngology, Vol. 249, No. 6, 1992, pp. 329-331.
[6]  J. L. Sheehy and J. A. Crabtree, “Tympanoplasty: Staging the Operation,” Laryngoscope, Vol. 83, No. 10, 1973, pp. 1594-1621. doi:10.1288/00005537-197310000-00003
[7]  C. Shelton and J. L. Sheehy, “Tympanoplasty: Review of 400 Staged Cases,” Laryngoscope, Vol. 100, No. 7, 1990, pp. 679-681.
[8]  J. M. Kartush, “Ossicular Chain Reconstruction. Capitulum to Malleus,” Otolaryngologic Clinics of North America, Vol. 27, No. 4, 1994, pp. 689-715.
[9]  American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc., “Committee on Hearing and Equilibrium Guidelines for the Evaluation of Results of Treatment of Conductive Hearing Loss,” Otolaryngology —Head and Neck Surgery, Vol. 113, No. 3, 1995, pp. 186-187. doi:10.1016/S0194-5998(95)70103-6
[10]  K. Begall and H. Zimmermann, “Reconstruction of the Ossicular Chain with Titanium Implants. Results of a Multicenter Study,” Laryngorhinootologie, Vol. 79, No. 3, 2000, pp. 139-145. doi:10.1055/s-2000-298
[11]  C. H. Stupp, C. Dalchow, D. Grun, H. F. Stupp and J. Wustrow, “Three Years of Experience with Titanium Implants in the Middle Ear,” Laryngorhinootologie, Vol. 78, No. 6, 1999, pp. 299-303. doi:10.1055/s-2007-996875
[12]  C. H. Stupp, H. F. Stupp and D. Grun, “Replacement of Ear Ossicles with Titanium Prostheses,” Laryngorhinootologie, Vol. 75, No. 6, 1996, pp. 335-337. doi:10.1055/s-2007-997590
[13]  S. Y. Ho, R. A. Battista and R. J. Wiet, “Early Results with Titanium Ossicular Implants,” Otology & Neurotology, Vol. 24, No. 2, 2003, pp. 149-152. doi:10.1097/00129492-200303000-00005
[14]  E. K. Gardner, C. G. Jackson and D. M. Kaylie, “Results with Titanium Ossicular Reconstruction Prostheses,” Laryngoscope, Vol. 114, No. 1, 2004, pp. 65-70. doi:10.1097/00005537-200401000-00011
[15]  A. D. Martin and S. G. Harner, “Ossicular Reconstruction with Titanium Prostheses,” Laryngoscope, Vol. 114, No. 1, 2004, pp. 61-64. doi:10.1097/00005537-200401000-00010

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133