| Autor: |
Mobashir, Mohamed Kamal, Askar, Sherif Mohammad, Mohammad Amer, Hazem Saeed, Ali Ahmed, Mohamed Owidat |
| Předmět: |
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| Zdroj: |
Zagazig University Medical Journal; 2022 Supplement, Vol. 28, p236-240, 5p |
| Abstrakt: |
Background: There has been renewed interest in the use of cartilage for middleear reconstructions. There have been concerns regarding weakening of cartilage struts, from histological studies involving explants; as a result, cartilage struts for ossiculoplasty have not gained popularity. On the other hand, cartilage tympanoplasty is now an established procedure for tympanic membrane and attic reconstruction. The perceived benefit of cartilage tympanoplasty is to prevent retraction pockets at the grafted site. Our study aims to assess the cartilage as sound transmitter in ossiculoplasty by using two different techniques. Methods: A randomized controlled trial was carried out on 18 patients at ENT Department, Zagazig University Hospitals, from Aug. 2018 to Aug. 2019 suffering from chronic suppurative otitis media with ossicular discontinuity “erosion” with or without cholesteatoma and presented by otorrhoea and hearing loss. There were randomly divided into 2 groups with nine patients in each group. Group (A) included patients who undergo the Single Cartilage Block Ossiculoplasty and Group (B) included the patients underwent the Double Cartilage Block Ossiculoplasty. Results: There is statistically significant difference between the studied groups regarding Hearing outcome. Eight cases (88.9%) out of nine with SCB group versus only three out of eight cases (37.5%) with DCB shows successful outcome with ABG <20 dB With p-value: <0.05. Conclusions: The single cartilage block technique is a simple and effective method for ossicular reconstruction and associated with significant improvement in PTA-ABG in those with conductive hearing loss. Especially in patients with intact stapes super structure. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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