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ORIGINAL ARTICLE
Year : 2021  |  Volume : 5  |  Issue : 1  |  Page : 18-23

A prospective cohort study on ossicular reconstruction using autologous incus or cartilage in chronic otitis media


Department of Otorhinolaryngology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidiyapeeth (Deemed to be University), Puducherry, India

Correspondence Address:
Prof. P Karthikeyan
Department of Otorhinolaryngology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidiyapeeth (Deemed To Be University), Puducherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aiao.aiao_11_20

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Background: Loss of hearing resulting from ossicular discontinuity is prevalent, with chronic otitis media being the primary causative factor. Aim and Objectives: The study aimed at evaluating the potential of autologous incus and cartilage in restoring hearing as well as identifying predictors of ossiculoplasty outcomes. Methodology: Patients with autologous incus constituted Group I (n = 52) and patients with autologous cartilage constituted Group II (n = 48). Reliability of pre-operative predictors such as pure-tone average, air-bone gap, and middle ear risk index (MERI) scores in anticipating hearing associated outcomes of ossiculoplasty was investigated. Inferential statistics were employed. Results: Group I patients displayed better postoperative outcomes in terms of pure-tone audiometry than Group II counterparts (P = 0.0035). Age (P = 0.044), MERI (P = 0.021) and gender (P = 0.046) proved to be reliable indicators. Conclusion: Autologous incus can be explored as a competent ossiculoplasty material in developing countries.


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