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Tympanoplasty with an Intact Stapes Superstructure in Chronic Otitis Media

BACKGROUND: The objective of our study was to ascertain the functional results in terms of air bone gap (ABG) closure over 4 frequencies (0.5, 1, 2, 3 kHz) in patients with chronic otitis media (COM) that underwent tympanoplasty in the presence of a mobile stapes superstructure, and in particular ex...

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Autores principales: Schlemmer, Kurt, Qingsong, Liu, Linder, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Academy of Otology and Neurotology and the Politzer Society 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975382/
https://www.ncbi.nlm.nih.gov/pubmed/34309546
http://dx.doi.org/10.5152/iao.2021.9267
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author Schlemmer, Kurt
Qingsong, Liu
Linder, Thomas
author_facet Schlemmer, Kurt
Qingsong, Liu
Linder, Thomas
author_sort Schlemmer, Kurt
collection PubMed
description BACKGROUND: The objective of our study was to ascertain the functional results in terms of air bone gap (ABG) closure over 4 frequencies (0.5, 1, 2, 3 kHz) in patients with chronic otitis media (COM) that underwent tympanoplasty in the presence of a mobile stapes superstructure, and in particular excluding those cases in which the malleus was used in the reconstruction. METHODS: A retrospective review of our database between January 1, 2006 and June 1, 2018 identified all cases that underwent one of 3 reconstructive options: the classic Type III tympanoplasty in an open-cavity setting; the “stapes augmentation” (SA) type reconstruction where the stapes superstructure is augmented to the drum by an interposing partial ossiculoplasty of either autologous bone, cartilage, or prosthetic material; and the use of a total articular replacement prosthesis (TORP) from the stapes footplate to the drum in the presence of an intact superstructure. RESULTS: A total of 116 procedures in 112 patients were identified with a mean ABG reduction from 27 dB to 21 dB (P < .05). There was no significant difference in the mean post-operative ABG result between Type III (19.21 dB), TORP+ (24.90 dB), or SA (20.94 dB) reconstructions (P = .368). Overall, an ABG ≤ 20 dB or “surgical success” was achieved in 56% (n = 65) of cases. Only 20% (n = 23) of cases had “failure” or a post-operative ABG >30 dB. CONCLUSION: Tympanoplasty with an intact stapes superstructure in COM is expected to provide acceptable levels of surgical success. We did not identify any particular risk factors associated with improved outcome.
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spelling pubmed-89753822022-04-14 Tympanoplasty with an Intact Stapes Superstructure in Chronic Otitis Media Schlemmer, Kurt Qingsong, Liu Linder, Thomas J Int Adv Otol Original Article BACKGROUND: The objective of our study was to ascertain the functional results in terms of air bone gap (ABG) closure over 4 frequencies (0.5, 1, 2, 3 kHz) in patients with chronic otitis media (COM) that underwent tympanoplasty in the presence of a mobile stapes superstructure, and in particular excluding those cases in which the malleus was used in the reconstruction. METHODS: A retrospective review of our database between January 1, 2006 and June 1, 2018 identified all cases that underwent one of 3 reconstructive options: the classic Type III tympanoplasty in an open-cavity setting; the “stapes augmentation” (SA) type reconstruction where the stapes superstructure is augmented to the drum by an interposing partial ossiculoplasty of either autologous bone, cartilage, or prosthetic material; and the use of a total articular replacement prosthesis (TORP) from the stapes footplate to the drum in the presence of an intact superstructure. RESULTS: A total of 116 procedures in 112 patients were identified with a mean ABG reduction from 27 dB to 21 dB (P < .05). There was no significant difference in the mean post-operative ABG result between Type III (19.21 dB), TORP+ (24.90 dB), or SA (20.94 dB) reconstructions (P = .368). Overall, an ABG ≤ 20 dB or “surgical success” was achieved in 56% (n = 65) of cases. Only 20% (n = 23) of cases had “failure” or a post-operative ABG >30 dB. CONCLUSION: Tympanoplasty with an intact stapes superstructure in COM is expected to provide acceptable levels of surgical success. We did not identify any particular risk factors associated with improved outcome. European Academy of Otology and Neurotology and the Politzer Society 2021-07-01 /pmc/articles/PMC8975382/ /pubmed/34309546 http://dx.doi.org/10.5152/iao.2021.9267 Text en 2021 authors https://creativecommons.org/licenses/by-nc/4.0/ Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Original Article
Schlemmer, Kurt
Qingsong, Liu
Linder, Thomas
Tympanoplasty with an Intact Stapes Superstructure in Chronic Otitis Media
title Tympanoplasty with an Intact Stapes Superstructure in Chronic Otitis Media
title_full Tympanoplasty with an Intact Stapes Superstructure in Chronic Otitis Media
title_fullStr Tympanoplasty with an Intact Stapes Superstructure in Chronic Otitis Media
title_full_unstemmed Tympanoplasty with an Intact Stapes Superstructure in Chronic Otitis Media
title_short Tympanoplasty with an Intact Stapes Superstructure in Chronic Otitis Media
title_sort tympanoplasty with an intact stapes superstructure in chronic otitis media
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975382/
https://www.ncbi.nlm.nih.gov/pubmed/34309546
http://dx.doi.org/10.5152/iao.2021.9267
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