A Comparative Study of Ossicular Reconstruction with TORP/PORP Versus Autologous Bone in Middle Ear Surgeries

Chronic otitis media causes considerable morbidity in the form of hearing disability to the patient. Otologists aim to achieve through their surgery a near normal neo-membrane with continuous ossicular chain and a postoperative middle ear status which functionally bears close resemblance to the norm...

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Bibliographic Details
Published in:	SN comprehensive clinical medicine Vol. 6; no. 1
Main Authors:	Telang, Rahul Ashok, Sanap, Ravi Shriram, Havaldar, Rajesh Radhakrishna, Yathati, Kireet
Format:	Journal Article
Language:	English
Published:	Cham Springer International Publishing 12-10-2024
Subjects:	Medicine Medicine & Public Health Original Paper Topical Collection on Surgery Partial ossicular replacement prosthesis Total ossicular replacement prosthesis Ossiculoplasty Chronic otitis media
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Summary:	Chronic otitis media causes considerable morbidity in the form of hearing disability to the patient. Otologists aim to achieve through their surgery a near normal neo-membrane with continuous ossicular chain and a postoperative middle ear status which functionally bears close resemblance to the normal state. The objective of this study is to compare ossicular reconstruction with TORP/PORP versus autologous bone and compare the air–bone gap before and after surgery. This study was done at a tertiary care referral center. Eighty patients of chronic otitis media were divided into two groups and patients underwent cortical mastoidectomy with ossicular reconstruction in the form of TORP/PORP in one group and autologous bone in another. In the TORP/PORP group, the mean preoperative air–bone gap was 45.4 dB which was reduced to a mean air–bone gap of 19.45 dB. In the bone ossiculoplasty group, the mean preoperative air–bone gap was 43.38 dB which was reduced to a mean air–bone gap of 21.84 dB postoperatively. This study indicated that patients who underwent reconstruction with TORP/PORP had better improvement than those who received autologous bone. The results were statistically significant. Two cases who received TORP/PORP had extrusion due to infection. The patients were followed up till 1 year postsurgery.
ISSN:	2523-8973 2523-8973
DOI:	10.1007/s42399-024-01736-9