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Comparison of the application of artificial ossicles and autologous ossicles in the reconstruction of a damaged ossicular chain

Published online by Cambridge University Press:  02 November 2018

L Zhao ,
J Li  and
S Gong
L Zhao
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, China
J Li
Affiliation:
Department of Otolaryngology, Beijing Electric Power Hospital, China
S Gong*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, China
*
Author for correspondence: Prof Shusheng Gong, Department of Otolaryngology, Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, PR China E-mail: gongss1962@163.com
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Abstract

Objective

To evaluate the therapeutic effect that the titanium partial ossicular reconstruction prosthesis and autologous ossicles have on hearing loss after reconstruction of a damaged ossicular chain.

Methods

Forty-two medical records of treatments carried out from 2013 to 2015 for ossicular chain damage with facial nerve paralysis due to temporal bone fractures were reviewed. The study assessed: causes of damage, pre-operative pure tone audiometry findings, types of intra-operative ossicular chain damage, intra-operative ossicular chain repair methods (titanium partial ossicular reconstruction prosthesis or autologous ossicles) and post-operative pure tone audiometry results.

Results

The titanium partial ossicular reconstruction prosthesis was used in 26 cases; the average air–bone gap was 32.3 ± 5.3 dB pre-operatively and 12.8 ± 5.3 dB post-operatively. Autologous ossicles were used in 16 cases; the average air–bone gap was 33.4 ± 4.5 dB pre-operatively and 17.8 ± 7.8 dB post-operatively.

Conclusion

Ossicular chain reconstruction is an effective way of improving hearing in patients with ossicular chain damage. The results suggest that repair with either the titanium partial ossicular reconstruction prosthesis or autologous ossicles can improve hearing following ossicular chain injury with facial nerve paralysis caused by a temporal bone fracture.

Keywords

TitaniumPORPHearing Loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 10 , October 2018 , pp. 885 - 890
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Prof S Gong takes responsibility for the integrity of the content of the paper

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