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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.
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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

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