Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 81 Warning: fopen(/home/virtual/audiology/journal/upload/ip_log/ip_log_2024-05.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 83 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 84 Audiologic Results of Ossiculoplasty Using Malleus Footplate Assembly: The Comparison between Autologous Incus and Hydroxyapatite.
  • Home
  • E-Submission
  • Sitemap
  • Contact Us
  • Search
  • Advanced Search
Korean J Audiol Search

CLOSE

Original Article
Auditory and vestibular disorders
Korean Journal of Audiology 2011;15(3):141-146.
Audiologic Results of Ossiculoplasty Using Malleus Footplate Assembly: The Comparison between Autologous Incus and Hydroxyapatite.
Sue Jean Mun, Joo Hyun Park, Chang Myeon Song, Kyu Hee Han, Jun Ho Lee, Seung Ha Oh, Sun O Chang
Department of Otolaryngology Head & Neck Surgery, Seoul National University College of Medicine, Seoul, Korea. suno@plaza.snu.ac.kr
Abstract
BACKGROUND AND OBJECTIVES
Absence of incus is one of the most common ossicular anomalies and also frequently found in chronic otitis media or chornic otitis media with cholesteatoma. Ossiculoplasty with malleus footplate assembly (MFA) can be an excellent option in the above situations. We reviewed our procedures and evaluated the hearing results of ossiculoplasty using the MFA. SUBJECTS AND METHODS: This study retrospectively reviews a series of 32 patients who underwent MFA ossiculoplasty between September 2001 and March 2010 in an academic tertiary referral center. The autologous incus or hydroxyapatite (HA) was used as materials for reconstruction.
RESULTS
Thirteen of 32 patients (40.6%) had ossicular chain anomaly, 9 patients (28.1%) had congenital cholesteatoma and 8 patients (25.0%) had chronic otitis media with cholesteatoma and 2 patients (6.3%) had chronic otitis media. The patients with ossicular chain ano-maly showed the greatest air-bone gap (ABG) closure. Overall, postoperative ABG was 17.7+/-11.7 dB at postoperative 6 months and 19.7+/-14.3 dB at postoperative 1 year, compared with preoperative ABG of 37.9+/-9.3 dB. There was no statistical difference of ABG at postoperative 12 months, 24 months between MFA using incus (n=17) and HA (n=15)(p=0.300, and p=0.563). There was no meaningful difference of postoperative ABG between the patients with combined mastoidectomy (n=10) and those without mastoidecmoy (n=22)(p=0.555). No extrusions occurred.
CONCLUSIONS
MFA can be an effective option in the case of absent incus expecting good postoperative hearing results.
Keywords: Malleus footplate assembly;Ossiculoplasty;Ossicular prosthesis;Incus;Hydroxyapatite


REFERENCES

  1. Hashimoto S, Yamamoto Y, Satoh H, Takahashi S. Surgical treatment of 52 cases of auditory ossicular malformations. Auris Nasus Larynx 2002;29:15-8.

  2. Park K, Choung YH. Isolated congenital ossicular anomalies. Acta Otolaryngol 2009;129:419-22.

  3. Colletti V, Fiorino FG. Malleus-to-footplate prosthetic interposition: experience with 265 patients. Otolaryngol Head Neck Surg 1999;120:437-44.

  4. Austin DF. Ossicular reconstruction. Otolaryngol Clin North Am 1972;5:145-60.

  5. Wehrs RE. Homograft ossicles in tympanoplasty. Laryngoscope 1982;92:540-6.

  6. Colletti V, Fiorino FG, Sittoni V. Minisculptured ossicle grafts versus implants: long-term results. Am J Otol 1987;8:553-9.

  7. Goldenberg RA. Hydroxylapatite ossicular replacement prostheses: results in 157 consecutive cases. Laryngoscope 1992;102:1091-6.

  8. Martin TP, Weller MD, Kim DS, Smith MC. Results of primary ossiculoplasty in ears with an intact stapes superstructure and malleus handle: inflammation in the middle ear at the time of surgery does not affect hearing outcomes. Clin Otolaryngol 2009;34:218-24.

  9. Grote JJ. Reconstruction of the ossicular chain with hydroxyapatite prostheses. Am J Otol 1987;8:396-401.

  10. Mills RP. Hearing results in tympanic membrane footplate and malleus-footplate assemblies. Clin Otolaryngol Allied Sci 1995;20:522-3.

  11. Black B. Spanner malleus-stapes/footplate assembly. Laryngoscope 1994;104:775-7.

  12. Vercruysse JP, Offeciers FE, Somers T, Schatteman I, Govaerts PJ. The use of malleus allografts in ossiculoplasty. Laryngoscope 2002;112:1782-4.

  13. Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. Otolaryngol Head Neck Surg 1995;113:186-7.

  14. Kim HJ. Classification and hearing result reporting guideline in chronic otitis media surgery. Korean J Otolaryngol-Head Neck Surg 2006;49:2-6.

  15. Austin DF. Sound conduction of the diseased ear. J Laryngol Otol 1978;92:367-93.

  16. Austin DF. Acoustic mechanisms in middle ear sound transfer. Otolaryngol Clin North Am 1994;27:641-54.

  17. Bance M, Morris DP, Vanwijhe RG, Kiefte M, Funnell WR. Comparison of the mechanical performance of ossiculoplasty using a prosthetic malleus-to-stapes head with a tympanic membrane-to-stapes head assembly in a human cadaveric middle ear model. Otol Neurotol 2004;25:903-9.

  18. Smyth GD. Five-year report on partial ossicular replacement prostheses and total ossicular replacement prostheses. Otolaryngol Head Neck Surg 1982;90:343-6.

  19. Merritt K, Shafer JW, Brown SA. Implant site infection rates with porous and dense materials. J Biomed Mater Res 1979;13:101-8.

  20. Glasscock ME 3rd, Jackson CG, Knox GW. Can acquired immunodeficiency syndrome and Creutzfeldt-Jakob disease be transmitted via otologic homografts? Arch Otolaryngol Head Neck Surg 1988;114:1252-5.

  21. Goldenberg RA. Hydroxylapatite ossicular replacement prostheses: a four-year experience. Otolaryngol Head Neck Surg 1992;106:261-9.

  22. Truy E, Naiman AN, Pavillon C, Abedipour D, Lina-Granade G, Rabilloud M. Hydroxyapatite versus titanium ossiculoplasty. Otol Neurotol 2007;28:492-8.

  23. Wehrs RE. The homograft tympanic membrane after 12 years. Ann Otol Rhinol Laryngol 1982;91:533-7.

  24. Schuring AG, Lippy WH. Solving ossicular problems in tympanoplasty. Laryngoscope 1983;93:1151-4.
TOOLS
Share :
Facebook Twitter Linked In Google+
METRICS Graph View
  • 1,413 View
  • 7 Download
ABOUT
ARTICLES

Browse all articles >

ISSUES
TOPICS

Browse all articles >

AUTHOR INFORMATION
Editorial Office
The Catholic University of Korea, Institute of Biomedical Industry, 4017
222, Banpo-daero, Seocho-gu, Seoul, Republic of Korea
Tel: +82-2-3784-8551    Fax: +82-0505-115-8551    E-mail: jao@smileml.com                

Copyright © 2024 by The Korean Audiological Society and Korean Otological Society. All rights reserved.

Developed in M2PI

Close layer
prev next