Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 5  |  Issue : 1  |  Page : 18--23

A prospective cohort study on ossicular reconstruction using autologous incus or cartilage in chronic otitis media


SM Joy, P Karthikeyan, DT Pulimootil 
 Department of Otorhinolaryngology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidiyapeeth (Deemed to be University), Puducherry, India

Correspondence Address:
Prof. P Karthikeyan
Department of Otorhinolaryngology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidiyapeeth (Deemed To Be University), Puducherry
India

Background: Loss of hearing resulting from ossicular discontinuity is prevalent, with chronic otitis media being the primary causative factor. Aim and Objectives: The study aimed at evaluating the potential of autologous incus and cartilage in restoring hearing as well as identifying predictors of ossiculoplasty outcomes. Methodology: Patients with autologous incus constituted Group I (n = 52) and patients with autologous cartilage constituted Group II (n = 48). Reliability of pre-operative predictors such as pure-tone average, air-bone gap, and middle ear risk index (MERI) scores in anticipating hearing associated outcomes of ossiculoplasty was investigated. Inferential statistics were employed. Results: Group I patients displayed better postoperative outcomes in terms of pure-tone audiometry than Group II counterparts (P = 0.0035). Age (P = 0.044), MERI (P = 0.021) and gender (P = 0.046) proved to be reliable indicators. Conclusion: Autologous incus can be explored as a competent ossiculoplasty material in developing countries.


How to cite this article:
Joy S M, Karthikeyan P, Pulimootil D T. A prospective cohort study on ossicular reconstruction using autologous incus or cartilage in chronic otitis media.Ann Indian Acad Otorhinolaryngol Head Neck Surg 2021;5:18-23


How to cite this URL:
Joy S M, Karthikeyan P, Pulimootil D T. A prospective cohort study on ossicular reconstruction using autologous incus or cartilage in chronic otitis media. Ann Indian Acad Otorhinolaryngol Head Neck Surg [serial online] 2021 [cited 2021 Nov 29 ];5:18-23
Available from: https://www.aiaohns.in/article.asp?issn=2589-3505;year=2021;volume=5;issue=1;spage=18;epage=23;aulast=Joy;type=0