Indian Journal of Otology

ORIGINAL ARTICLE
Year
: 2015  |  Volume : 21  |  Issue : 2  |  Page : 144--148

A comparative study of outcome of ossiculoplasty using cartilage graft, bone and different alloplasts in chronic otitis media


Sougata Mahanty1, Amit Bikram Maiti2, Sourav Naskar3, Sudip Kumar Das4, Satadal Mandal5, Minakshmi Karmakar2 
1 Department of ENT, N.R.S.M.C and H, Kolkata, West Bengal, India
2 Department of ENT, RMO Cum Clinical Tutor, Midnapore Medical College, West Bengal, India
3 Department of ENT, Murshidabad Medical College, West Bengal, India
4 Department of ENT, Bankura Sammilani Medical College, West Bengal, India
5 Department of ENT, Midnapore Medical College, West Bengal, India

Correspondence Address:
Dr. Sudip Kumar Das
35B Moore Avenue, Kolkata - 700 040, West Bengal
India

Objective: The objective was to determine which material, among autologous cartilage, autologous incus and partial ossicular replacement prosthesis (PORP), gives better postoperative hearing result in ossiculoplasty. Study Design: Nonrandomized prospective cohort (longitudinal study). Settings: Tertiary referral center. Materials and Methods: Patients were selected from outpatients department with the clinical diagnosis of chronic suppurative otitis media with cholesteatoma or granulation tissue. Patients underwent necessary preoperative investigations including pure tone audiometry (PTA). Total 67 patients were selected for this study, among them 12 patients did not fit the selection criteria and 5 patients lost during follow-up. Hence, total 50 patients were taken in the study group. Intervention: Ossiculoplasty with cartilage, incus and PORP after modified radical mastoidectomy. Main Outcome Measure: Hearing results were measured by PTA-air bone gap (PTA-ABG) after 6 months of operation. Results: Selecting the criteria <20 dB ABG as success when stapes superstructure is present, cartilage has 60% success rate, incus has 73.68%, and PORP has 56.25% success. Extrusion rate of different prosthesis shows, PORP has 25%, cartilage has 20% extrusion. Incus has the lowest (5.26%) extrusion rate. Conclusion: Among the ossiculoplasty materials, autologous incus gives best postoperative hearing gain and lowest extrusion rate.


How to cite this article:
Mahanty S, Maiti AB, Naskar S, Das SK, Mandal S, Karmakar M. A comparative study of outcome of ossiculoplasty using cartilage graft, bone and different alloplasts in chronic otitis media.Indian J Otol 2015;21:144-148


How to cite this URL:
Mahanty S, Maiti AB, Naskar S, Das SK, Mandal S, Karmakar M. A comparative study of outcome of ossiculoplasty using cartilage graft, bone and different alloplasts in chronic otitis media. Indian J Otol [serial online] 2015 [cited 2019 Nov 20 ];21:144-148
Available from: http://www.indianjotol.org/article.asp?issn=0971-7749;year=2015;volume=21;issue=2;spage=144;epage=148;aulast=Mahanty;type=0