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Audiological results of endoscopic surgical repair of the long process of incus

World Journal of Otorhinolaryngology-Head and Neck Surgery 2017年第3期3卷 148-152页

作者： badi aldosari Jean-Marc Thomassin Department of Otolaryngology-Head and Neck Surgery King Saud UniversityRiyadhSaudi Arabia Department of Otolaryngology-Head and Neck Surgery La Timone University HospitalAix-Marseille UniversityMarseilleFrance

Objective:The purpose of this study is to evaluate our experience with endoscopic repair of ossicular discontinuity at the incudostapedial joint,with or without an intact stapes suprastructure,and present our hearing *** classify results based on the causative pathology,the type of ossiculoplasty,and type of *** demonstrate the ability to endoscopically place a total ossicular replacement prosthesis (TORP),measuring 4.25 mm,between the stapes footplate and the incus remnant to reestablish ossicular ***:This was a retrospective case series conducted in tertiary referral center (Hopital de la Timone) Marseille,France.25 patients underwent incudostapedial rebridging ossiculoplasty between 2009 and *** cases of chronic otitis media and 10 otosclerosis revisions were included in the *** different materials were used in ossiculoplasty,hydroxyapatite cement,incus remnant,and partial/total ossicular replacement *** results were evaluated before and after *** month follow-up data is ***:The mean postoperative air-bone gap was 15 dB (5-25 dB).Hearing results were better inotosclerosis *** cement produced an air-bone gap of 5 dB,TORP placed under the incus produced a 12 dB gap,and TORP placed under the malleus resulted in a 12 dB gap and one deaf *** cases of chronic otitis media,the residual air-bone gap was 17 dB with PORP,12 dB with TORP,and 20 dB with incus ***:The hydroxyapatite cement is effective in the reconstruction of ossicular discontinuity but the high price limits its *** placed under the incus is a reliable and stable method of ossicular reconstruction that is cost effective and offers satisfactory hearing results in selected patients.

关键词： Endoscopic ear surgery Ossiculoplasty Incus Ossiculoplasty outcomes

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