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Functional Outcomes of Single-Stage Ossiculoplasty in Chronic Otitis Media With or Without Cholesteatomaopen access

Authors
Park, SeongbinLim, Kang HyeonLim, Sung JinPark, Dong HeunRah, Yoon ChanChoi, June
Issue Date
9월-2022
Publisher
AVES
Keywords
Chronic otitis media; ossiculoplasty; single-stage; titanium; polycel
Citation
JOURNAL OF INTERNATIONAL ADVANCED OTOLOGY, v.18, no.5, pp.415 - 419
Indexed
SCIE
SCOPUS
Journal Title
JOURNAL OF INTERNATIONAL ADVANCED OTOLOGY
Volume
18
Number
5
Start Page
415
End Page
419
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/145540
DOI
10.5152/iao.2022.21360
ISSN
1308-7649
Abstract
BACKGROUND: Two-stage ossiculoplasty has been widely used for hearing improvement in chronic otitis media with or without cholesteatoma. However, the outcomes of single-stage ossiculoplasty have not been fully clarified.The aim of this study is to determine whether the outcomes of single-stage ossiculoplasty are comparable with those of 2-stage ossiculoplasty in chronic otitis media with or without cholesteatoma. METHODS: Medical records of 191 cases (187 patients) who underwent single-stage ossiculoplasty from January 2011 to May 2018 at our hospital were retrospectively reviewed. RESULTS: Polycel and titanium were used in 56 and 135 cases, respectively. In chronic otitis media without cholesteatoma, the success rate of polycel and titanium partial ossicular replacement prosthesis was 80.7% and 81,6%, respectively. In chronic otitis media with cholesteatoma, the success rate of polycel and titanium partial ossicular replacement prosthesis was 63.6% and 64.6%, respectively, while that of polycel and titanium total ossicular replacement prosthesis was 45.9% and 47.8%, respectively. CONCLUSION: These results suggest that single-stage ossiculoplasty is a suitable option for recovering postoperative hearing in chronic otitis media with or without cholesteatoma. Thus, if middle ear inflammation can be sufficiently treated in the first stage, single-stage ossiculoplasty is a suitable option for chronic otitis media with or without cholesteatoma.
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