Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-29T06:04:11.492Z Has data issue: false hasContentIssue false
  • English
  • Français

Autograft ossicle selection in cholesteatomatous ear disease: histopathological considerations

Published online by Cambridge University Press:  29 June 2007

V. Rupa ,
H. Krishnaswami  and
A. Job
V. Rupa*
Affiliation:
Department of Otolaryngology, Christian Medical College and Hospital, Vellore, India.
H. Krishnaswami
Affiliation:
Department of Otolaryngology, Christian Medical College and Hospital, Vellore, India.
A. Job
Affiliation:
Department of Otolaryngology, Christian Medical College and Hospital, Vellore, India.
*
Address for correspondence: Dr. V. Rupa, M.S., D.L.O., Department of ENT, Christian Medical College and Hospital, Vellore-623004, India.
Get access Rights & Permissions [Opens in a new window]

Abstract

In order to determine whether selection of autograft ossicles in cholesteatomatous ear disease should be based on upon their apperance under the surgical operating microscope, we studied the histopathological features of 113 such ossicles. We attempted to correlate the extent of erosion of the ossicle, as noted under the surgical operating microscope, with their histopathological apperance. There were 60 mallei and 53 incudes. Seventy-nine ossicles were eroded and 34 were intact. The commonest abnormality noted was erosion of the long process of the incus (75 per cent). Both intact and eroded ossicles had similar histological features. There was no evidence of intra-ossicular cholesteatoma. The results suggest that the extent of erosion of these ossicles as seen under the surgical operating microscope should in no wasy prejudice their use as autografts when required.

Keywords

CholesteatomaEar ossiclesHistopathology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 9 , September 1997 , pp. 807 - 809
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Glasscock, M. E. (1976) Ossicular chain reconstruction. Laryngoscope 86: 211–221.CrossRefGoogle ScholarPubMed
Glasscock, M. E., Jackson, C. J., Knox, G. W. (1988) Can acquired immunodeficiency syndrome and Creutzfeldt-Jakob disease be transmitted via otologic homografts? Archives of Otolaryngology – Head and Neck Surgery 114: 1252.CrossRefGoogle ScholarPubMed
Hall, A., Rytzner, C. (1957) Stapedectomy and autotrans-plantation of ossicles. Acta Otolaryngologica 47: 318–324.CrossRefGoogle Scholar
Hall, A., Rytzner, C. (1960) Viability of autotransplanted ossicles. Acta Otolaryngologica 158: (Suppl) 335.CrossRefGoogle Scholar
Hiranandani, L. H., Deshpande, C. K. (1971) Infections of the middle ear cleft. In Histopathological Study of the Middle Ear Cleft and Its Clinical Applications. (Hiranandani, L. H., Deshpande, C. K., eds.), Butterworths, London, pp 6–36.Google Scholar
Kerr, A. G., Smyth, G. D. L. (1971) The fate of transplanted ossicles. Journal of Laryngology and Otology 85: 337–347.CrossRefGoogle ScholarPubMed
Lang, J., Kerr, A. G., Smyth, G. D. L. (1986) Long-term viability of transplanted ossicles. Journal of Laryngology and Otology 103: 741–747.CrossRefGoogle Scholar
Lang, J., Kerr, A. G., Smyth, G. D. L. (1989) Transplanted ossicles after two decades. Journal of Laryngology and Otology 103: 471–472.CrossRefGoogle ScholarPubMed
Mair, I. W., Pedersen, S., Laukli, E. (1989) Audiometric results of TORP and PORP middle ear reconstruction. Annals of Otology, Rhinology and Laryngology 98: 429–433.CrossRefGoogle ScholarPubMed
Sade, J. (1972) Epithelial invasion of intraossicular spaces. Journal of Laryngology and Otology 86: 15–21.CrossRefGoogle ScholarPubMed
Seifi, A. E., Fouad, B. (1992) Autograft ossiculoplasty in cholesteatoma. ORL 54, 324–327.CrossRefGoogle ScholarPubMed
Subotic, R., Femenic, B. (1991) Histological changes of incus with cholesteatoma in the attic. Acta Otolaryngologica 111: 358–361.CrossRefGoogle ScholarPubMed
Wake, M., Robinson, J. M., Sheehan, A. L., Bazerbachi, S., Codling, B. W. (1992) The histology of ‘stored’ autologous ossicles. Journal of Laryngology and Otology 106: 17–20.CrossRefGoogle ScholarPubMed