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Eur Arch Otorhinolaryngol 2022 Jun 22. Epub 2022 Jun 22.

Department of Otorhinolaryngology, Donders Centre for Neurosciences, Radboud University Medical Center, Nijmegen, The Netherlands.

Purpose: To map healthcare utilized by subjects with chronic otitis media, with or without cholesteatoma and perform a cost analysis to determine key drivers of healthcare expenditure.

Methods: A registry study of 656 adult subjects with chronic otitis media that underwent a middle ear surgery between 2014 and 2018. Healthcare contacts related to all publicly funded specialist ENT care, audiological care and primary care for a disease of the ear and mastoid process were extracted. Read More

Acta Otolaryngol 2022 Mar-Apr;142(3-4):259-264. Epub 2022 Mar 17.

Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea.

Background: We devised a surgical technique called 'atticosinuplasty' (AS) for the treatment of early-stage cholesteatoma.

Objective: This study analyzed the adequacy and applicability of AS compared to canal wall-up mastoidectomy (CWU) in patients treated for early-stage cholesteatoma.

Materials And Methods: A total of 187 patients with either AS ( = 89) or CWU ( = 98) were compared in terms of postoperative hearing outcome, recurrence and re-operation rate, and radiologic outcome. Read More

Otol Neurotol 2022 04;43(4):e467-e474

School of Biomedical Engineering, Dalhousie University.

Hypothesis: Optical clearing agents (OCAs) can render cartilage tympanoplasty grafts sufficiently transparent to permit visualization of middle ear structures in an operated ear using optical coherence tomography (OCT) imaging.

Methods: Pieces of human tragal cartilage were treated with glycerol, a commonly used OCA. A reference reflector was imaged with OCT through the tympanoplasty as it cleared and the optical attenuation of the graft was measured. Read More

Am J Otolaryngol 2022 Mar-Apr;43(2):103370. Epub 2022 Jan 11.

Department of Mental Health and Public Medicine - ENT Unit, L. University of Campania "L. Vanvitelli", Naples, Italy. Electronic address:

Eur Arch Otorhinolaryngol 2022 Jan 24. Epub 2022 Jan 24.

Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Purpose: We assessed overall hearing outcome after tympanoplasty type III in chronically infected ears with cholesteatoma (CH) and without cholesteatoma: otitis media chronica mesotympanalis, tympanosclerosis, and adhesive process (COM_T_AP).

Methods: 303 surgeries were evaluated: 229 CH-group and 74 COM_T_AP-group. Air-bone gaps (PTA-ABG) with pure-tone averages (PTA-4) at four frequencies (0. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Nov;35(11):981-987

Department of Otolaryngology，Peking University Third Hospital，Beijing，100191，China.

To study the effect of retaining the manubrium of malleus and tensor tympani muscle tendon （TT） on postoperative hearing reconstruction in tympanoplasty. Ninety-seven patients underwent tympanoplasty and ossiculoplasty in Peking University Third Hospital from January 2012 to December 2017, their postoperative results of audiometry were analyzed and compared with the preoperative results. The patients were divided into two groups according to retaining the manubrium of malleus and TT or not during the operation. Read More

Front Surg 2021 6;8:740935. Epub 2021 Oct 6.

ENT Department, Sorbonne University, AP-HP, GHU Pitié-Salpêtrière, GRC Robot and Surgery's Innovation, Paris, France.

Endoscopy during middle ear surgery is advantageous for better exploration of middle ear structures. However, using an endoscope has some weaknesses as surgical gestures are performed with one hand. This may trouble surgeons accustomed to using two-handed surgery, and may affect accuracy. Read More

Eur Arch Otorhinolaryngol 2021 Dec 5;278(12):5099-5103. Epub 2021 Oct 5.

Department of Otorhinolaryngology Head and Neck Surgery, University Hospital of Modena, Largo del Pozzo, 71, Modena, Italy.

Introduction: Labyrinthine fistula is one of the most frequent complications of cholesteatoma (CHO), occurring in about 8% of cases in the literature. In about 90% of cases, it is located at the level of the lateral semicircular canal, and its clinical manifestation includes vertigo, nystagmus and positive Hennebert and Tullio signs. The management of lateral semicircular canal fistula (LSCF) secondary to CHO classically requires a retroauricular access by performing a canal wall-up (CWU) or canal wall-down (CWD) mastoidectomy. Read More

Otol Neurotol 2022 01;43(1):80-89

Department of Otorhinolaryngology, The Jikei University School of Medicine, Minato-Ku, Tokyo, Japan.

Objectives: Recurrent middle-ear infection can lead to ossicular fixation, adversely affecting post-tympanoplasty hearing outcomes. Preoperative prediction of ossicular fixation remains challenging. We aimed to investigate potential predictors of ossicular fixation in patients with chronic otitis media. Read More

Indian J Otolaryngol Head Neck Surg 2021 Sep 18;73(3):360-365. Epub 2021 May 18.

Department of Otorhinolaryngology, SMS Medical College, Jaipur, 302004 Rajasthan India.

Introduction: Various ossicular reconstruction materials and techniques have been described in literature using autologous ossicle, cortical bone, autologous cartilage, synthetic materials and implants like total/partial ossicular replacement prosthesis (TORP/PORP) etc., but it has always been a topic of controversy in terms of the efficacy, longevity and complications of the material or method used.

Material And Methods: This is a prospective, interventional, comparative, double-blind randomized control study which was done at a tertiary care center to compare outcomes of conventional and carved conchal cartilage (vertical strut) type III Tympanoplasty in terms of graft uptake and hearing gain. Read More

PLoS One 2021 29;16(7):e0252812. Epub 2021 Jul 29.

Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.

Purpose: Ossiculoplasty outcome parameter staging (OOPS) and middle ear risk index (MERI) are the most commonly used indices for predicting prognosis of patients with chronic otitis media (COM). This study aimed to verify the efficiency of OOPS and MERI scores in predicting outcomes of patients with COM who underwent tympanoplasty.

Methods: We retrospectively reviewed the data of patients who underwent tympanoplasty (n = 526). Read More

J Int Adv Otol 2021 Jul;17(4):282-287

Department of Otorhinolaryngology, Head and Neck Surgery, Spitalstrasse, Luzern, Switzerland.

Background: The objective of our study was to ascertain the functional results in terms of air bone gap (ABG) closure over 4 frequencies (0.5, 1, 2, 3 kHz) in patients with chronic otitis media (COM) that underwent tympanoplasty in the presence of a mobile stapes superstructure, and in particular excluding those cases in which the malleus was used in the reconstruction.

Methods: A retrospective review of our database between January 1, 2006 and June 1, 2018 identified all cases that underwent one of 3 reconstructive options: the classic Type III tympanoplasty in an open-cavity setting; the "stapes augmentation" (SA) type reconstruction where the stapes superstructure is augmented to the drum by an interposing partial ossiculoplasty of either autologous bone, cartilage, or prosthetic material; and the use of a total articular replacement prosthesis (TORP) from the stapes footplate to the drum in the presence of an intact superstructure. Read More

J Otol 2021 Jul 9;16(3):178-184. Epub 2021 Jan 9.

Otorhinolaryngology and Neurotology, Instituto Nacional de Rehabilitación, Mexico City, Mexico.

Objective: To review the published literature related to the different obliteration and reconstruction techniques in the management of the canal wall down mastoidectomy.

Methods: A PubMed (Medline) and LILACS databases as well as crossed references search was performed with the following Mesh terms: "cholesteatoma", "cholesteatoma-middle ear", "otitis media", "otitis media, suppurative", "mastoiditis", "mastoidectomy", "canal wall down mastoidectomy", "radical mastoidectomy", "mastoid obliteration" and crossed references. Inclusion criteria were adult patients subject to mastoid cavity obliteration and posterior canal wall reconstruction. Read More

HNO 2021 Oct 14;69(10):797-802. Epub 2021 Jun 14.

Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum des Saarlandes (UKS), Kirrberger Straße, Gebäude 6, 66421, Homburg/Saar, Deutschland.

The term "endoscopic ossiculoplasty" refers to surgical methods with the intention to reconstruct the ossicular chain using endoscopic vision. Apart from malformations and injuries, inflammatory processes cause the majority of indications for ossicular reconstruction. This article offers a commented overview of current literature and preliminary personal experience. Read More

Eur Ann Otorhinolaryngol Head Neck Dis 2022 Jan 26;139(1):17-20. Epub 2021 May 26.

Rouen University Hospital, Department of Otorhinolaryngology-Head and Neck Surgery, 76000 Rouen, France.

Objectives: The main goal of the present study was to assess hearing outcome for malleus removal in cholesteatoma surgery compared to a group with malleus conservation. The secondary aim was to compare the auditory involvement of the stapes between the two groups.

Material And Methods: A single-center observational study included adult patients operated on by ossiculoplasty for acquired cholesteatoma between 2015 and 2019. Read More

BMC Med Educ 2021 May 18;21(1):284. Epub 2021 May 18.

Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service d'ORL, d'otoneurochirurgie et de chirurgie cervico-faciale, 165 Chemin du Grand Revoyet, F-69495, Pierre-Bénite cedex, France.

Background: The ongoing COVID-19 pandemic has disrupted the surgical training of residents. There is a real concern that trainees will not be able to meet their training requirements. Low-fidelity surgical simulation appears to be an alternative for surgical training. Read More

Pan Afr Med J 2021 18;38:187. Epub 2021 Feb 18.

Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire Mohammed VI d'Oujda, Oujda, Maroc.

The purpose of this study was to evaluate the functional outcomes of ossiculoplasties. We conducted a retrospective study, in the department of ear, nose and throat (ENT) and congestive cardiac failure (CCF) at the University Hospital Mohammed VI, in Oujda, from October 2018 to March 2020. Out of 45 patients with secondary otitis, 30 had gone ossiculoplasty using endoscopic transmeatal approach. Read More

Am J Case Rep 2021 May 12;22:e929933. Epub 2021 May 12.

Oto-Rhino-Laryngosurgery Clinic, Institute of Physiology and Pathology of Hearing, Kajetany/Warsaw, Poland.

BACKGROUND Here we present a case of Vibrant Soundbridge implantation in a 13-year-old girl with bilateral aural atresia of the external ear canal. In this instance, we attached the device's floating mass transducer (FMT) to a mobilizable complex of the incus and malleus, which functionally connected to the short process of the incus. CASE REPORT The article presents a case study of a patient with a congenital defect of the middle and external ear and conductive hearing loss, who was referred for middle ear implantation. Read More

Iran J Otorhinolaryngol 2021 Mar;33(115):65-70

Department Of Otolaryngology , Head and Neck Surgery, Government Medical College, Patiala, India.

Introduction: The ossicles of the middle ear are affected by the erosive effect of pathology in chronic otitis media. Ossicular reparation can be done via autologous incus or with alloplastic materials. Glass ionomer cement (GIC) is simple to use and saves considerable operative time and expenses especially in developing countries where costly ossicular prosthesis are not affordable for the majority of the patients. Read More

Am J Otolaryngol 2021 Sep-Oct;42(5):103062. Epub 2021 Apr 17.

Department of Otolaryngology, Head and Neck Surgery, Friedrich-Alexander University Erlangen-Nuremberg (FAU), Erlangen, Germany.

Objectives: The aim of our study was to perform a comparative analysis in our cases with titanium partial clip ossiculoplasty in terms of audiometric outcome and extrusion rates as well as to review the literature for relevant information on this surgical issue.

Materials And Methods: The records of all patients who had undergone primary partial ossiculoplasty with the implantation of a CliP® Partial Prosthesis Dresden Type (CPPDT, group A) or a CliP Partial FlexiBAL® (CPF, Group B, both Heinz Kurz GmbH, Dusslingen, Germany) between 2012 and 2020 were studied retrospectively.

Results: 274 patients made up our study sample (148 men, 126 women, male to female ratio: 1. Read More

Otol Neurotol 2021 09;42(8):e1042-e1048

Ear Science Institute Australia, Subiaco WA.

Objective: Conductive hearing loss (CHL) commonly arises in patients with spontaneous dehiscence of the tegmen of the temporal bone with meningoencephalocele (SME). The aim of this study was to further investigate 1) the potential mechanisms for CHL in this setting; 2) hearing outcomes following surgery to address SME, and 3) the possible causes of persistent CHL following surgery.

Study Design: Retrospective case review. Read More

Otol Neurotol 2021 08;42(7):e881-e886

Ipswich Hospital NHS Trust, Ipswich, UK.

Objective: To present the results of a 15-year longitudinal study in a pediatric and adult population with secondary obliteration of troublesome mastoid cavities.

Study Design: Prospective longitudinal study.

Patients: Children (≤16 yrs) and adults who had obliteration surgery (228 ears) between 2000 and 2017. Read More

PLoS One 2021 11;16(3):e0248421. Epub 2021 Mar 11.

Audiology and Speech Pathology Center, Chang Gung Memorial Hospital, Chiayi, Taiwan.

Postoperative hearing improvement is one of the main expectations for patients receiving tympanoplasty. The capacity to predict postoperative hearing may help to counsel a patient properly and avoid untoward expectations. It is difficult to predict postoperative hearing without knowing the disease process in the middle ear, which can only be assessed intraoperatively. Read More

Exp Ther Med 2021 Mar 25;21(3):260. Epub 2021 Jan 25.

Department of ENT&HNS, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Middle ear problems are addressed using tympanoplasty, which requires a mobile tympanic membrane and secure sound-conducting mechanism. The present is a long-term, retrospective, non-controlled study on the results of ossiculoplasty using bioceramic implants of autochthonous origin and which defined the statistical relevant factors that could influence the rate of implant rejection. In a cohort of 108 patients ossiculoplasties with bioceramic implants were performed and patients were followed up clinically for a period of minimum 7 years. Read More

Int Arch Otorhinolaryngol 2021 Jan 24;25(1):e12-e17. Epub 2020 Apr 24.

Department of Audiology, University of Palermo, Palermo, PA, Italy.

 Retraction pocket is a condition in which the eardrum lies deeper within the middle ear. Its management has no consensus in literature.  To assess the role of mastoidectomy in the management of retraction pockets added to a tympanoplasty. Read More

J Laryngol Otol 2021 Mar 1;135(3):273-275. Epub 2021 Feb 1.

Department of ENT Surgery, Lister Hospital, Coreys Mill Ln, Stevenage SG1 4AB, East and North Hertfordshire NHS Trust, UK.

Objective: Microscopic surgery is currently considered the 'gold standard' for middle-ear, mastoid and lateral skull base surgery. The coronavirus disease 2019 pandemic has made microscopic surgery more challenging to perform. This work aimed to demonstrate the feasibility of the Vitom 3D system, which integrates a high-definition (4K) view and three-dimensional technology for ear surgery, within the context of the pandemic. Read More

Ann Otol Rhinol Laryngol 2021 Sep 29;130(9):1010-1015. Epub 2021 Jan 29.

Section of Otolaryngology-Head and Neck Surgery, University of Chicago, Chicago, IL, USA.

Objective: Surgery on the ossicular chain may impact its underlying mechanical properties. This study aims to investigate comparative differences in frequency-specific hearing outcomes for ossiculoplasty versus stapedotomy.

Methods: A retrospective chart review was conducted on subjects who underwent ossiculoplasty with partial ossicular replacement prosthesis (PORP) or laser stapedotomy with self-crimping nitinol/fluoroplastic piston, and achieved closure of postoperative pure tone average air-bone gap (PTA-ABG) ≤ 15 dB. Read More

Otol Neurotol 2020 12;41(10):1369-1378

Section of Otolaryngology-Head & Neck Surgery, The University of Chicago, Chicago, Illinois.

Objective: To assess the usefulness of numeric grading scales of middle ear risk in predicting ossiculoplasty hearing outcomes.

Study Design: Retrospective review.

Setting: Tertiary care, academic medical center. Read More

Vestn Otorinolaringol 2020 ;85(6):116-118

National Medical Research Center of Children's Health of the Ministry of Health of Russia, Moscow, Russia.

Nowadays, endoscopic transcanal otosurgery with confident steps is becoming a practice. Obviously, any new method of intervention needs to be repeatedly tested by the surgeon before it is used on the patient. This is why dissection work is so important and popular. Read More

Otol Neurotol 2021 02;42(2):e177-e185

ARC Centre of Excellence for Electromaterial Science, Intelligent Polymer Research Institute, University of Wollongong, Wollongong, Australia.

Introduction: Long term results of ossiculoplasty surgery are considered poor with displacement and extrusion amongst the common reasons for failure. Application of 3Dimensional (3D) printing may help overcome some of these barriers, however digital methods to attain accurate 3D morphological studies of ossicular anatomy are lacking, exacerbated by the limitation of resolution of clinical imaging.

Methods: 20 human cadaveric temporal bones were assessed using micro computed tomography (CT) imaging to demonstrate the lowest resolution required for accurate 3D reconstruction. Read More