The benefit of trans-attic endoscopic control of ossicular prosthesis after cholesteatoma surgery.
Adolescent
Adult
Aged
Child
Cholesteatoma, Middle Ear
/ diagnosis
Endoscopy
/ methods
Female
Follow-Up Studies
Hearing
/ physiology
Hearing Tests
Humans
Male
Mastoid
/ diagnostic imaging
Middle Aged
Ossicular Prosthesis
Postoperative Period
Retrospective Studies
Surgical Flaps
Treatment Outcome
Tympanoplasty
/ methods
Young Adult
Cholesteatoma
atticotomy
mastoidectomy
ossicular chain reconstruction
partial ossicular replacement prosthesis
total ossicular replacement prosthesis
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
accepted:
08
01
2019
pubmed:
31
1
2019
medline:
31
1
2020
entrez:
31
1
2019
Statut:
ppublish
Résumé
To show the efficiency of using transmastoid atticotomy (TMA) endoscopy on the outcome of ossiculoplasty in patients with cholesteatoma. TMA is often performed as part of the surgical management of patients with middle ear cholesteatoma extending to the epitympanum. TMA can also be used as an access for endoscopic view to confirm the right alignment and stability of the ossicular prosthesis because the reconstruction of the tympanic membrane will obscure the visualization of the prosthesis. A retrospective study was done at a tertiary referral institute, including 133 ears with cholesteatoma that underwent canal wall-up tympanomastoidectomy (CWU) with ossicular reconstruction using titanium prosthesis between August 2013 and August 2015. Post packing of the ear canal and position, stability, and axis of the prosthesis were checked using endoscope positioned in the attic through TMA. A postoperative pure-tone average air-bone gap (ABG) of 20 dB or less was considered as a successful hearing result. Results are compared with historical control groups. Of the 133 ears, 88 patients underwent reconstruction with partial ossicular replacement prosthesis (PORP), whereas the rest (45 patients) had total ossicular replacement prosthesis (TORP). A postoperative ABG ≤ 20 dB was obtained in 77.4% of all the patients (79.5% for PORP; 73.3% for TORP). Endoscopic assessment of the ossicular prosthesis via the attic, after repositioning of the tympanomeatal flap and packing the ear canal, decreases the risk of immediate ossiculoplasty failure and improves the functional outcome after ossicular chain reconstruction in cholesteatoma surgery. 4 Laryngoscope, 129:2754-2759, 2019.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2754-2759Informations de copyright
© 2019 The American Laryngological, Rhinological and Otological Society, Inc.
Références
Menendez-Colino LM, Bernal-Sprekelsen M, Alobid I, et al. Preliminary functional results of tympanoplasty with titanium prostheses. Otolaryngol Head Neck Surg 2004;131:747-749.
Vassbotn FS, Moller P, Silvola J. Short-term results using Kurz titanium ossicular implants. Eur Arch Otorhinolaryngol 2007;264:21-25.
Wang X, Song J, Wang H. Results of tympanoplasty with titanium prostheses. Otolaryngol Head Neck Surg 1999;121:606-609.
Schmerber S, Troussier J, Dumas G, et al. Hearing results with the titanium ossicular replacement prostheses. Eur Arch Otorhinolaryngol 2006;263:347-354.
Hales NW, Shakir FA, Saunders JE. Titanium middle-ear prostheses in staged ossiculoplasty: does mass really matter? Am J Otolaryngol Head Neck Med Surg 2007;28:164-167.
Nguyen DQ, Morel N, Dumas G, et al. Ossiculoplasty with KURZ titanium prosthesis. Ann Otolaryngol Chir Cervicofac 2005;122:187-193.
Woods O, El Fata F, Saliba I. Ossicular reconstruction: incus versus universal titanium prosthesis. Auris Nasus Larynx 2009;36:387-392.
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;113:186-187.
Meulemans J, Wuyts FL, Forton GE. Middle ear reconstruction using the titanium Kurz Variac partial ossicular replacement prosthesis: functional results. JAMA Otolaryngol Head Neck Surg 2013;139:1017-1025.
Coffey CS, Lee FS, Lambert PR. Titanium versus nontitanium prostheses in ossiculoplasty. Laryngoscope 2008;118:1650-1658.
Miester H, Walger M, Mickenhagen A, von Wedel H, Stennert E. Standard measurements of the sound transmission of middle ear implants using a mechanical middle ear model. Eur Arch Otorhinolaryngol 1999;256:122-127.
Orfao T, Julio S, Ramos JF, Dias CC, Silveira H, Santos M. Audiometric outcome comparison between titanium prosthesis and molded autologous material. Otolaryngol Head Neck Surg 2014;151:315-320.
Mardassi A, Deveze A, Sanjuan M, et al. Titanium ossicular chain replacement prostheses: prognostic factors and preliminary functional results. Eur Ann Otorhinolaryngol Head Neck Dis 2011;128:53-58.
Fong JCW, Michael P, Raut V. Titanium versus autograft ossiculoplasty. Acta Otolaryngol 2010;130:554-558.
Truy E, Naiman AN, Pavillon C, Abedipour D, Lina-Granade G, Rabilloud M. Hydroxyapatite versus titanium ossiculoplasty. Otol Neurotol 2007;28:492-498.
De Vos C, Gersdorff M, Gerard JM. Prognostic factors in ossiculoplasty. Otol Neurotol 2007;28:61-67.
Goode RL, Nishihara S. Experimental models of ossiculoplasty. Otolaryngol Clin North Am 1994;27:663-675.
Komori M, Yanagihara N, Hyodo J, Miuchi S. Position of TORP on the stapes footplate assessed with cone beam computed tomography. Otol Neurotol 2012;33:1353-1356.
Monteiro E, Das P, Daly M, Chan H, Irish J, James A. Usefulness of cone-beam computed tomography in determining the position of ossicular prostheses: a cadaveric model. Otol Neurotol 2011;32:1358-1363.
Hillman TA, Shelton C. Ossicular chain reconstruction: titanium versus plastipore. Laryngoscope 2003;113:1731-1735.
Dalchow CV, Grun D, Stupp HF. Reconstruction of the ossicular chain with titanium implants. Otolaryngol Head Neck Surg 2001;125:628-630.
Iniguez-Cuadra R, Alobid I, Bores-Domenech A, Menendez-Colino LM, Caballero-Borrego M, Bernal-Sprekelsen M. Type III tympanoplasty with titanium total ossicular replacement prosthesis: anatomic and functional results. Otol Neurotol 2010;31:409-414.
Quaranta N, Zizzi S, Quaranta A. Hearing results using titanium ossicular replacement prosthesis in intact canal wall tympanoplasty for cholesteatoma. Acta Otolaryngol 2011;131:36-40.
Baker AB, O'Connell BP, Nguyen SA, Lambert PR. Ossiculoplasty with titanium prostheses in patients with intact stapes: comparison of TORP versus PORP. Otol Neurotol 2015;36:1676-1682.
O'Connell BP, Rizk HG, Hutchinson T, Nguyen SA, Lambert PR. Long-term outcomes of titanium ossiculoplasty in chronic otitis media. Otolaryngol Head Neck Surg 2016;154:1084-1092.
Roux A, Bakhos D, Villeneuve A, et al. Does checking the placement of ossicular prostheses via the posterior tympanotomy improve hearing results after cholesteatoma surgery? Otol Neurotol 2015;36:1499-1503.