Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-26T23:46:04.182Z Has data issue: false hasContentIssue false
  • English
  • Français

Autologous ossiculoplasty following temporal bone fracture

Published online by Cambridge University Press:  01 May 2008

K-C Wu ,
M-T Shu  and
C-C Yang
K-C Wu
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Mackay Memorial Hospital, Taipei, Taiwan
M-T Shu*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Mackay Memorial Hospital, Taipei, Taiwan
C-C Yang
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Mackay Memorial Hospital, Taipei, Taiwan
*
Address for correspondence: Dr Min-Tsan Shu, Department of Otolaryngology-Head and Neck surgery, Mackay Memorial Hospital, 92 Chung-Shan N Road, Sec 2, Taipei 10499, Taiwan. Fax: +886 2 25433642 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

This study aimed to investigate the outcomes of autologous ossiculoplasty following temporal bone fracture.

Methods:

We analysed 10 patients who underwent autologous ossiculoplasty following temporal bone fracture from 1993 to 2006. Average results for air conduction, bone conduction and air–bone gap were calculated, using both a three- and a four-frequency average, in order to evaluate the effect of the operation.

Results:

The average follow-up time was 24.4 months. Dislocation of the incus was the most common operative finding. The average three- and four-frequency post-operative air–bone gaps were 12.0 dB (standard deviation 8.3) and 13.8 dB (standard deviation 7.7), respectively. The average air–bone gap improvements were 24.5 dB (standard deviation 13.8) and 24.4 dB (standard deviation 12.1), respectively. Eighty per cent (eight of 10) of the patients had socially acceptable hearing in the operated ear. However, only 50 per cent achieved closure of the air–bone gap to within 10 dB.

Conclusion:

Methods of maximising the stability of the reconstructed ossicular chain should be further studied.

Keywords

Middle Ear OssiclesConductive DeafnessTraumaOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 1 , January 2009 , pp. 50 - 53
Copyright
Copyright © JLO (1984) Limited 2008

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

1 Darrouzet, V, Duclos, JY, Liguoro, D, Truilhe, Y, De Bonfils, C, Bebear, JP. Management of facial paralysis resulting from temporal bone fractures: our experience in 115 cases. Otolaryngol Head Neck Surg 2001;125:77–84CrossRefGoogle ScholarPubMed
2 Brodie, HA, Thompson, TC. Management of complications from 820 temporal bone fractures. Am J Otol 1997;18:188–97Google ScholarPubMed
3 Miman, MC, Aydın, NE, Öncel, S, Ozturan, O, Erdem, T. Autoclaving the ossicles provides safe autografts in cholesteatoma. Auris Nasus Larynx 2002;29:133–9CrossRefGoogle ScholarPubMed
4 Ng, SK, Yip, WW, Suen, M, Abdullah, VJ, van Hasselt, CA. Autograft ossiculoplasty in cholesteatoma surgery: is it feasible? Laryngoscope 2003;113:843–7CrossRefGoogle ScholarPubMed
5 Farrior, JB, Nichols, SW. Long-term results using ossicular grafts. Am J Otol 1996;17:386–92Google ScholarPubMed
6 Hammond, VT. Ossicular lesions. J Laryngol Otol 1980;94:117–22CrossRefGoogle ScholarPubMed
7 McGuirt, WF Jr, Stool, SE. Temporal bone fractures in children: a review with emphasis on long-term sequelae. Clin Pediatr (Phila) 1992;31:12–18CrossRefGoogle ScholarPubMed
8 Meriot, P, Veillon, F, Garcia, JF, Nonent, M, Jezequel, J, Bourjat, P et al. CT appearances of ossicular injuries. Radiographics 1997;17:1445–54CrossRefGoogle ScholarPubMed
9 Tos, M. Prognosis of hearing loss in temporal bone fractures. J Laryngol Otol 1971;85:1147–59CrossRefGoogle ScholarPubMed
10 Ogasawara, M, Tsuiki, T, Murai, K, Aigami, T, Kanai, T, Odashima, Y. Clinical views of cases with discontinuity of the ossicular chain. Nippon Jibiinkoka Gakkai Kaiho 1993;96:1395–403CrossRefGoogle ScholarPubMed
11 Nosan, DK, Benecke, JE Jr, Murr, AH. Current perspective on temporal bone trauma. Otolaryngol Head Neck Surg 1997;117:67–71CrossRefGoogle ScholarPubMed
12 Mills, R, Starritt, N. Management of incus dislocation by physiological repositioning of the incus. J Laryngol Otol 2002;116:589–92CrossRefGoogle ScholarPubMed
13 Javia, LR, Ruckenstein, MJ. Ossiculoplasty. Otolaryngol Clin North Am 2006;39:1177–89CrossRefGoogle ScholarPubMed
14 Zenner, HP, Stegmaier, A, Lehner, R, Baumann, I, Zimmermann, R. Open tubingen titanium prostheses for ossiculoplasty: a prospective clinical trial. Otol Neurotol 2001;22:582–9CrossRefGoogle ScholarPubMed
15 Dornhoffer, JL, Gardner, E. Prognostic factors in ossiculoplasty: a statistical staging system. Otol Neurotol 2001; 22:299–304CrossRefGoogle ScholarPubMed