525 results match your criteria Middle Ear Ossiculoplasty


[Our first experience with endoscopic ear surgery].

Vestn Otorinolaringol 2020 ;85(1):88-93

Hospital 'Neftyanik', Tyumen, Russia, 625000.

Introduction: For the last decades endoscopic ear surgery has become a common practice. Advantages of the endoscopic technique in middle ear surgery are high definition and magnification of the endoscope with a modern camera and the ability to 'look around the corner' with the angled scope.

Material And Methods: From March 2017 to November 2019 in NSRC PHOI named after Dmitry Rogachev in the Department of Oncology and Pediatric Surgery 53 patients (81 surgeries) have undergone endoscopic-assisted ear surgery: 3 biopsies for middle ear neoplasm with the transcanal endoscopic approach, 1 endoscopic tympanoplasty for attic retraction pocket with cholesteatoma, 2 endoscopic removal of middle ear tumors (including 1 combined approach) and 32 endoscopic myringoplasties, 22 canal wall down mastoidectomies for extensive middle ear and mastoid cholesteatoma, 21 second-look surgery with ossiculoplasty with overall good outcome. Read More

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http://dx.doi.org/10.17116/otorino20208501188DOI Listing
January 2020

Safety of tympanoplasty and ossiculoplasty performed by otorhinolaryngology trainees.

J Laryngol Otol 2020 Mar;134(3):213-218

King Abdullah Ear Specialist Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Objective: This study aimed to examine the impact of trainee involvement in performing tympanoplasty or tympano-ossiculoplasty on outcomes.

Methods: A retrospective analysis was performed of a prospective database of all patients undergoing tympanoplasty and tympano-ossiculoplasty in a single centre during a three-year period. Patients were divided into three primary surgeon groups: consultants, fellows and residents. Read More

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http://dx.doi.org/10.1017/S0022215120000584DOI Listing

The effect of preserved stapedial superstructure on hearing improvement.

Otolaryngol Pol 2019 Nov;74(1):1-5

Department of Otolaryngology Collegium Medicum of Jagiellonian University in Cracow. Poland.

Introduction: Ossiculoplasty can be carried out in a number of ways, depending on the anatomical and functional conditions encountered during otosurgery and the experience of a given centre. The extent of damage to the ossicular chain determines the reconstruction method.

Aim: The objective of the study was to analyse treatment effects in terms of postoperative hearing improvement in patients with chronic otitis media, with a particular emphasis on stapedial superstructure preservation. Read More

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http://dx.doi.org/10.5604/01.3001.0013.5954DOI Listing
November 2019

Comprehensive hearing care network for early identification and intervention in children with congenital and late-onset/acquired hearing loss: 8 years' experience in Miyazaki.

Int J Pediatr Otorhinolaryngol 2020 Apr 16;131:109881. Epub 2020 Jan 16.

Miyazaki University Hospital Hearing Care Center, Miyazaki, Japan; Department of Otorhinolaryngology-Head and Neck Surgery, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan. Electronic address:

Objective: In 2010, we established the Miyazaki Comprehensive Hearing Care Network (MCHCN) for early identification and intervention in children with congenital and late-onset/acquired hearing loss with the cooperation of related administrative bodies in Miyazaki prefecture. The central roles of the MCHCN program are played by the Hearing Care Center (HCC) at the University of Miyazaki Hospital established in 2010 to facilitate audiological diagnoses, hearing aid interventions, and educational efforts, as well as linkage with the Department of Otolaryngology for surgical interventions. Herein, we aimed to present the main outcomes of the MCHCN program organized by the HCC at the University of Miyazaki Hospital. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.109881DOI Listing

Mechanical Energy Dissipation Through the Ossicular Chain and Inner Ear Using Laser Doppler Vibrometer Measurement of Round Window Velocity.

Otol Neurotol 2020 Mar;41(3):e387-e391

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Brooke Army Medical Center, San Antonio, Texas.

Hypothesis: Round window velocity measurements should correlate closely with vibration measurements taken at proximal points along an intact chain over a set frequency range. These round window vibration measurements should be similar to the vibration measurements taken of the ossicles if mechanical energy is conserved through the vestibular organ.

Background: To date there has not been a study which compares vibratory velocity measurements through an intact ossicular chain to the level of the round window. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002509DOI Listing
March 2020
1.598 Impact Factor

The Goat Model for Exclusive Two Handed Endoscopic Middle Ear Surgery Training: A Novel Technique.

Indian J Otolaryngol Head Neck Surg 2019 Nov 4;71(Suppl 2):1478-1484. Epub 2019 Jan 4.

ENT Consultant, Sushrut ENT Hospital and Dr. Khan's Creations, Pune, India.

With the popularity of exclusive transcanal endoscopic ear surgery, the need for a suitable and affordable surgical training model has grown. To develop an ex vivo animal model for exclusive endoscopic ear surgery. In an experimental study, we studied goat middle ear anatomy in 8 specimens to assess the similarity with the human middle ear as a model for two handed endoscopic ear surgery with endoscope holders. Read More

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http://dx.doi.org/10.1007/s12070-018-1563-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6841912PMC
November 2019

Does tranexamic acid improve intra-operative visualisation in endoscopic ear surgery? A double-blind, randomised, controlled trial.

J Laryngol Otol 2019 Dec 13;133(12):1033-1037. Epub 2019 Nov 13.

Department of Otorhinolaryngology and Head Neck Surgery, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, India.

Objective: To assess the effect of tranexamic acid on intra-operative bleeding and surgical field visualisation.

Methods: Fifty patients undergoing various endoscopic ear surgical procedures, including endoscopic tympanoplasty, endoscopic atticotomy or mastoidectomy, endoscopic ossiculoplasty, and endoscopic stapedotomy, were randomly assigned to: a study group that received tranexamic acid or a control group which received normal saline. The intra-operative bleeding and operative field visualisation was graded using the Das and Mitra endoscopic ear surgery bleeding and field visibility score, which was separately analysed for the external auditory canal and the middle ear. Read More

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http://dx.doi.org/10.1017/S0022215119002317DOI Listing
December 2019

Transcanal Endoscopic Ear Surgery for Congenital Middle Ear Anomalies.

Otol Neurotol 2019 12;40(10):1299-1305

Department of Otolaryngology, Head and Neck Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.

Objective: To demonstrate the efficacy of transcanal endoscopic ear surgery (TEES) for congenital middle ear anomalies.

Study Design: Retrospective case review.

Setting: Tertiary referral center. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002393DOI Listing
December 2019

Pediatric ossiculoplasty: optimizing outcomes.

Curr Opin Otolaryngol Head Neck Surg 2019 Dec;27(6):489-494

Department of Otolaryngology.

Purpose Of Review: Despite years of research, pediatric ossiculoplasty remains a challenging surgery with numerous variables factoring into successful outcomes. The aim of this review is to summarize recent publications on surgical technique, timing, and reconstruction materials.

Recent Findings: The cause behind ossicular discontinuity does not seem to play a role in hearing results after ossiculoplasty; however, revision surgery is associated with worsening outcomes. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000590DOI Listing
December 2019

Scanning Electron Microscopy in the Evaluation of Defects to the Ossicular Chain in the Course of Chronic Otitis Media.

Ear Nose Throat J 2019 Sep 29:145561319873913. Epub 2019 Sep 29.

Department of Otolaryngology, Head and Neck Surgery, Jagiellonian University Medical College, Kraków, Poland.

Objective: Chronic otitis media is a heterogeneous disorder. Chronic suppurative otitis media with cholesteatoma and, to a lesser extent, chronic otitis media with granulation lead to the destruction of bone structures within the middle ear. Bone loss may appear in the prominence of the horizontal semicircular canals and the bony canal of the facial nerve. Read More

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http://dx.doi.org/10.1177/0145561319873913DOI Listing
September 2019
2 Reads

Utilization of incus with bone cement for total ossicular reconstruction.

Acta Otolaryngol 2019 Nov 27;139(11):1044-1048. Epub 2019 Aug 27.

Department of Otorhinolaryngology, Faculty of Medicine, Recep Tayyip Erdogan University , Rize , Turkey.

Total ossicular chain reconstructions are performed to connect mobile stapes footplate and tympanic membrane. Data on the use of incus for total ossicular reconstruction is quite limited in the literature. The main objective of this study is to describe a novel surgical method that utilizes incus with bone cement to stabilize the ossicular chain for total ossicular reconstruction. Read More

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http://dx.doi.org/10.1080/00016489.2019.1655168DOI Listing
November 2019

A new device for real-time peroperative monitoring of ossicular chain reconstruction during middle ear surgery.

J Clin Monit Comput 2019 Jul 27. Epub 2019 Jul 27.

ENT Department, Faculty of Medicine, University Hospital of Nancy, University of Lorraine, Nancy, France.

To limit functional surgical failure and reduce the rate of revision surgery in case of surgical ossicular chain reconstruction, a piezoelectric device was developed for assessment of ossicular chain vibrations during the middle ear surgery. The device resembled a pen and consisted of a reusable main body and a disposable sensitive head including piezoelectric polymer sensor. Almost all of components of the device were made of polymer for light weight and for acoustic impedance matching to the middle ear system. Read More

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http://dx.doi.org/10.1007/s10877-019-00364-2DOI Listing
July 2019
7 Reads

Endoscopic approach in second stage ossicular chain reconstruction.

Am J Otolaryngol 2019 Sep - Oct;40(5):735-742. Epub 2019 Jul 3.

Department of 'Organi di Senso', University "Sapienza", Rome, Italy.

Purpose: Today limited studies regarding surgical and hearing outcomes in patients undergoing the totally endoscopic ossicular chain reconstruction has been published. The aim of this study is to show the different materials and endoscopic technique used in our experience to perform a second stage endoscopic ossiculoplasty.

Materials And Methods: Patients underwent to second stage endoscopic ossiculoplasty has been enrolled in the study. Read More

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http://dx.doi.org/10.1016/j.amjoto.2019.07.004DOI Listing
February 2020
4 Reads

Endaural Laser-Assisted Single-Stage Inside-Out Cholesteatoma Surgery (LASIC) to Treat Advanced Congenital Cholesteatoma.

Otol Neurotol 2019 08;40(7):927-935

Department of Otorhinolaryngology-Head and Neck Surgery, CHA University College of Medicine, Seongnam, Gyeonggi-do, Republic of Korea.

Objectives: Investigation of endaural laser-assisted single-stage inside-out cholesteatoma surgery (LASIC) to treat advanced congenital cholesteatoma (ACC) by a modified staging system based on ossicle status.

Study Design: A retrospective case review.

Setting: A university hospital otology referral clinic. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002299DOI Listing

Updates in Pediatric Cholesteatoma: Minimizing Intervention While Maximizing Outcomes.

Otolaryngol Clin North Am 2019 Oct 5;52(5):813-823. Epub 2019 Jul 5.

Division of Pediatric Otolaryngology, Lucile Packard Children's Hospital at Stanford, Department of Otolaryngology, Stanford University School of Medicine, Palo Alto, CA 94304, USA. Electronic address:

Advances in pediatric otology have provided new tools to diagnose and manage complex otologic disease. Diffusion-weighted MRI provides the surgeon with a tool to detect recurrent or residual cholesteatoma that may obviate a second look surgery. Surgical trends move toward less invasive surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00306665193010
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http://dx.doi.org/10.1016/j.otc.2019.05.003DOI Listing
October 2019
17 Reads

[Single-stage open tympanoplasty in the form of tympanosclerosis with fixation of the stapes].

Vestn Otorinolaringol 2019 ;84(2):23-28

St.-Petersburg scientific research Institute of ear, throat, nose and speech, Bronnitskaya 9, St.-Petersburg, Russia, 190013.

We used several variants of one-stage tympanoplasty, including our own method, according to which, in the absence of an anvil and malleus after mobilisation of the stapes, ossiculoplasty with partial or complete ossicular prosthesis and myringoplasty simultaneously preventively created a support (neo-malleus) in the thickness of the neotympanic membrane. To assess the effectiveness of different variants of single-stage tympanoplasty, the long-term functional results were compared in terms of 6 to 12 months after the intervention with preoperative indicators. Standard methods of statistical estimation with calculation of descriptive statistics and methods of statistical hypothesis testing based on nonparametric Wilcoxon criterion for related samples were used. Read More

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http://dx.doi.org/10.17116/otorino20198402123DOI Listing
August 2019
6 Reads

Collagen Allografts Compared With Autologous Tissue in Tympanoplasty.

Otol Neurotol 2019 07;40(6):767-771

Department of Otolaryngology, University of Colorado School of Medicine.

Objective: There are no direct comparisons between the success of collagen allografts versus traditional autografts for tympanic membrane (TM) repair. We sought to compare success rates in a large series of patients undergoing tympanoplasty using collagen allografts versus autologous tissues.

Study Design: Retrospective review. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002254DOI Listing
July 2019
3 Reads

Tympanomastoidectomy for Cholesteatoma in Children: Audiometric Results.

Ann Otol Rhinol Laryngol 2019 Oct 29;128(10):956-962. Epub 2019 May 29.

1 Department of Otolaryngology-Head and Neck Surgery, Rabin Medical Center, Beilinson Hospital, Petach Tikva, Israel.

Objectives: The aim of this study was to investigate the audiometric outcomes of tympanomastoidectomy in children with cholesteatoma and to evaluate factors that may affect outcomes.

Methods: A retrospective cohort study was conducted. All pediatric patients diagnosed with cholesteatoma who underwent primary canal wall-up tympanomastoidectomy with or without ossicular reconstruction from 2009 to 2016 at a tertiary university-affiliated pediatric medical center were included. Read More

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http://dx.doi.org/10.1177/0003489419853312DOI Listing
October 2019
6 Reads

Comparison of total and partial ossicular replacement prostheses in patients with an intact stapes suprastructure.

Laryngoscope 2020 Mar 11;130(3):768-775. Epub 2019 May 11.

Department of OtoRhinoLaryngology, Head and Neck Surgery "Otto Körner", Rostock University Medical Center, Rostock, Germany.

Objectives: To compare the results of ossiculoplasty with two different partial ossicular replacement prostheses (PORP) to ossiculoplasty with a total ossicular replacement prosthesis (TORP) in patients with an intact stapes suprastructure.

Methods: All patients required primary or revision surgery for chronic middle ear disease and ossicular reconstruction with either a PORP or a TORP, as well as a with an intact stapes suprastructure. In total, 141 patients receiving classic tympanoplasty with PORP (N = 92), ossiculoplasty with PORP with ball joint (N = 22), or TORP (N = 27) between January 2011 and March 2017 were included in this study. Read More

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http://dx.doi.org/10.1002/lary.28060DOI Listing
March 2020
12 Reads

Short-Term Hearing Prognosis of Ossiculoplasty in Pars Flaccida Cholesteatoma Using the EAONO/JOS Staging System.

J Int Adv Otol 2019 Apr;15(1):2-7

Department of Otolaryngology-Head and Neck Surgery, Hokkaido University, School of Medicine and Graduate School of Medicine, Hokkaido, Japan.

Objectives: The aim of the present study was to investigate the prognostic factors for short-term hearing outcomes of ossiculoplasty for primary pars flaccida cholesteatoma according to the European Academy of Otology and Neurotology/Japanese Otological Society (EAONO/JOS) and 2015 JOS staging systems.

Materials And Methods: A total of 34 patients with primary pars flaccida cholesteatoma who underwent one-stage tympanomastoidectomy with partial ossicular reconstruction using double cartilage block were included in the study. The postoperative pure-tone average air-bone gap (PTA-ABG) was calculated, and two criteria of successful hearing outcomes were defined as ≤10 and ≤20 dB. Read More

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http://dx.doi.org/10.5152/iao.2019.5983DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483445PMC
April 2019
4 Reads

Wideband Tympanmetry Results of Bone Cement Ossiculoplasty.

Am J Otolaryngol 2019 Jul - Aug;40(4):512-519. Epub 2019 Apr 12.

Department of Otorhinolaryngology, Hacettepe University, Ankara, Turkey.

Objective: We aim to investigate hearing sensitivity and wideband tympanometry results in bone cement ossiculoplasty cases in present study.

Study Design: A prospective study.

Setting: Ossiculoplasty patients were grouped according to the anatomical location of bone cement application by surgery note. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01960709193007
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http://dx.doi.org/10.1016/j.amjoto.2019.04.009DOI Listing
December 2019
5 Reads

[A multi-center retrospective study of ossiculoplasty surgery under oto-endoscope in 45 cases of conductive hearing loss with intact tympanic membrane].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Apr;54(4):257-261

Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.

To explore the efficacy of ossiculoplasty surgery under oto-endoscope in patients of conductive hearing loss with intact tympanic membrane. A retrospective study was conducted. The clinical data of 45 patients with conductive hearing loss who had undergone simple ossiculoplasty surgery between October 2015 and December 2017 from five hospitals in China (West China Hospital of Sichuan University, General Hospital of the People's Liberation Army, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Xijing Hospital, Fourth Military Medical University and Shenzhen Sixth People's Hospital) were collected. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2019.04.004DOI Listing
April 2019
23 Reads

Biological and Physicochemical Assessment of Middle Ear Prosthesis.

Polymers (Basel) 2019 Jan 6;11(1). Epub 2019 Jan 6.

University of Gdansk, Intercollegiate Faculty of Biotechnology UG-GUMed, Department of Biotechnology, Laboratory of Biologically Active Compounds, 80-307 Gdansk, Poland.

Polymers modified with bioactive nanoparticles are a promising solution for patients who need a tissue replacement. Modern implants, thanks to bioactive and bactericidal functions, facilitate the healing and regeneration process of the replaced tissue. The aim of this study was to assess whether silver nanoparticles (AgNPs) could support antibacterial function without cytotoxic effect and deterioration of biostability. Read More

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http://dx.doi.org/10.3390/polym11010079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402019PMC
January 2019
12 Reads

Hearing Outcomes Following Type 3 Tympanoplasty With Stapes Columella Grafting in Canal Wall Down Mastoidectomy.

Ann Otol Rhinol Laryngol 2019 Aug 2;128(8):736-741. Epub 2019 Apr 2.

4 New York Eye and Ear Infirmary of Mount Sinai, New York, New York, USA.

Objectives: To analyze hearing outcomes following Type 3 tympanoplasty with stapes columella grafting after canal wall down mastoidectomy and determine disease recurrence rates in patients undergoing this procedure.

Methods: This retrospective cohort analysis examines patients undergoing Type 3 tympanoplasty with stapes columella grafting following canal wall down mastoidectomy for cholesteatoma at a tertiary care center from 2005 to 2015. Patient charts were reviewed for demographic data, diagnosis, and operative details. Read More

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http://dx.doi.org/10.1177/0003489419841400DOI Listing
August 2019
7 Reads

Does The Type of Ossicular Chain Lesion Affect Outcomes in Chronic Suppurative Otitis Media Without Cholesteatoma?

J Int Adv Otol 2019 Apr;15(1):28-33

Department of Otorhinolaryngology - Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Budapest, Hungary.

Objectives: We evaluated the pattern of ossicular chain (OC) lesion in chronic suppurative otitis media (CSOM) without cholesteatoma and its impact on outcomes in primary and revision surgeries.

Materials And Methods: This was a retrospective chart review. Patients who underwent tympanoplasty due to CSOM with OC defect between 2010 and 2015 were included in the study. Read More

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http://dx.doi.org/10.5152/iao.2019.5554DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483423PMC
April 2019
2 Reads

Endoscopic Type 1 Tympanoplasty in Chronic Otitis Media: Comparative Study with a Postauricular Microscopic Approach.

Otolaryngol Head Neck Surg 2019 08 26;161(2):315-323. Epub 2019 Mar 26.

1 Department of Otolaryngology, Saitama Medical Center, Saitama Medical University, Kawagoe-shi, Japan.

Objective: To compare surgical outcomes after tympanoplasty without ossiculoplasty for chronic otitis media between transcanal endoscopic ear surgery (TEES) and postauricular microscopic ear surgery (PAMES).

Study Design: Case-control study.

Setting: Tertiary care university hospital. Read More

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http://dx.doi.org/10.1177/0194599819838778DOI Listing
August 2019
6 Reads

Total and partial ossiculoplasty in children: Audiological results and predictive factors.

Eur Ann Otorhinolaryngol Head Neck Dis 2019 Jun 14;136(3):161-164. Epub 2019 Mar 14.

Service d'ORL et de chirurgie cervico-faciale, CHRU Bretonneau, faculté de médecine, université de Tours, 2, boulevard Tonnellé, 37000 Tours, France; Inserm U930 "Imagerie et Cerveau", faculté de médecine, 10 Bd Tonnellé, 37000 Tours, France. Electronic address:

Objective: To assess ossiculoplasty results in children and screen for predictive factors of efficacy.

Patients And Methods: Seventy five children undergoing ossiculoplasty between 2001 and 2014 in a pediatric ENT department were included. The following data were collected and analyzed: demographic data, surgical indication, history of tympanoplasty, contralateral ear status (healthy, affected), preoperative hearing thresholds, surgical technique, intraoperative findings, and ossicular chain status at eardrum opening. Read More

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http://dx.doi.org/10.1016/j.anorl.2019.02.012DOI Listing
June 2019
1 Read

Association of Tympanostomy Tubes With Future Risk of Advanced Ear Surgery-A Population Study.

Otol Neurotol 2019 04;40(4):478-484

Department of Otolaryngology, Kingston Health Sciences Centre.

Objective: To investigate future surgery for chronic ear disease in children who underwent tympanostomy tube (TT) placement, compared with non-surgically treated patients and healthy controls.

Study Design: Retrospective population-based cohort study.

Setting: All hospitals in the Canadian province of Ontario. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002145DOI Listing
April 2019
3 Reads

Association between occurrence of ossicular chain defect and osteoprotegerin gene expression in patients with chronic otitis media.

Eur Arch Otorhinolaryngol 2019 May 4;276(5):1321-1325. Epub 2019 Mar 4.

Department of Medical Genetic, Marmara University School of Medicine, Pendik, Istanbul, Turkey.

Objective: Chronic otitis media (COM) is an important debilitating public problem causing hearing loss due to irreversible resorption of the ossicular chain. Activation of osteoprotegerin (OPG) during an acute attack of COM prevents bone resorption.The aim of the study was to investigate the role of OPG gene expression level on ossicular chain resorption in chronic otitis media. Read More

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http://dx.doi.org/10.1007/s00405-019-05366-zDOI Listing
May 2019
32 Reads

Medical and Audiological Indications for Implantable Auditory Devices.

Otolaryngol Clin North Am 2019 Apr;52(2):195-210

Department of Otolaryngology, Long Island Jewish Medical Center, Hearing and Speech Center, Northwell Health, 430 Lakeville Road, New Hyde Park, NY 11042, USA.

Implantable auditory devices (IADs) are a viable hearing restoration option for patients with hearing loss. Conditions such as chronic otitis externa, congenital aural atresia, and chronic otitis media can be treated with a variety of implants. Progressive disease are also amenable to restoration with IADs, providing stabilized hearing. Read More

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http://dx.doi.org/10.1016/j.otc.2018.11.001DOI Listing
April 2019
15 Reads

Assessment of Otolaryngology Residency Training Program in Iran: Perspectives of Faculty Members and Recently Graduated Medical Students.

Iran J Otorhinolaryngol 2019 Jan;31(102):25-33

School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Introduction: There is limited evidence regarding the quality of otolaryngology residency programs in Iran. Regarding this, the present study aimed to assess some aspects of otolaryngology residency program in the field of otology in Iran based on the perspectives of faculty members and graduates.

Materials And Methods: This study was conducted on 105 recent graduates and 30 faculty members and/or program directors in otolaryngology using two self-administered questionnaires. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6368981PMC
January 2019
30 Reads

Long-Term Hearing Outcomes following Total Ossicular Reconstruction with Titanium Prostheses.

Otolaryngol Head Neck Surg 2019 07 19;161(1):123-129. Epub 2019 Feb 19.

4 New York Eye and Ear Infirmary at Mount Sinai, New York, New York, USA.

Objective: (1) Characterize a large cohort of patients undergoing total ossicular chain reconstruction with titanium prosthesis. (2) Analyze long-term hearing outcomes of the same cohort.

Study Design: Case series with chart review. Read More

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http://dx.doi.org/10.1177/0194599819831284DOI Listing
July 2019
1 Read

Isolated Traumatic Fracture of the Malleus Handle Causing Hearing Fluctuation.

Otol Neurotol 2019 03;40(3):e244-e247

Faculty of Medicine and Health Sciences, Macquarie University.

Introduction: Handle of malleus fracture is a rare condition with <100 cases having been reported. The clinical presentation is conductive hearing loss following a history of trauma, typically, during manipulation of the external auditory canal. The diagnosis of the condition is clinical and radiological. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002111DOI Listing

Partial Ossiculoplasty: Malafronte's Double Cartilage Block Versus Incus.

Otol Neurotol 2019 03;40(3):344-350

ENT Department A.O.R.N. "S.G., Moscati," Avellino, Italy.

Objectives: To describe the outcomes of Malafronte's double cartilage block (mDCB) and incus autograft protheses, and to determine which prosthesis gives better and lasting hearing results.

Study Design: Prospective study.

Setting: ENT Department of AORN "S. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002137DOI Listing
March 2019
8 Reads

The benefit of trans-attic endoscopic control of ossicular prosthesis after cholesteatoma surgery.

Laryngoscope 2019 12 30;129(12):2754-2759. Epub 2019 Jan 30.

ENT Department, Hamad Medical Corporation, Doha, Qatar.

Objective: To show the efficiency of using transmastoid atticotomy (TMA) endoscopy on the outcome of ossiculoplasty in patients with cholesteatoma. TMA is often performed as part of the surgical management of patients with middle ear cholesteatoma extending to the epitympanum. TMA can also be used as an access for endoscopic view to confirm the right alignment and stability of the ossicular prosthesis because the reconstruction of the tympanic membrane will obscure the visualization of the prosthesis. Read More

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http://doi.wiley.com/10.1002/lary.27848
Publisher Site
http://dx.doi.org/10.1002/lary.27848DOI Listing
December 2019
20 Reads
2.032 Impact Factor

Fracture of the Incus Caused by Digital Manipulation of the Ear Canal and its Diagnosis Using Wideband Acoustic Immittance.

Otol Neurotol 2019 02;40(2):e115-e118

Department of Otolaryngology, Massachusetts Eye and Ear, Boston, Massachusetts.

Objective: To describe the first reported case of a fracture of the long process of the incus due to digital manipulation of the ear canal and to discuss diagnostic markers for ossicular fractures.

Patient: A 46-year-old woman with incessant clicking and crunching in her left ear, and hearing loss after digital manipulation of the ear canal.

Intervention: Diagnostic evaluation and therapeutic ossiculoplasty. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002103DOI Listing
February 2019
39 Reads

Traumatic incudomalleolar disarticulation.

J Clin Neurosci 2019 Apr 2;62:242-243. Epub 2019 Jan 2.

Division of Neuroradiology, Department of Radiology, Beth Israel Deaconess Medical Center, Boston, MA, United States. Electronic address:

Traumatic head injuries can be associated with ossicular chain disruption. Especially in the setting of temporal bone fractures, proper alignment of the ossicular chain has to be insured. Loss of normal ossicular alignment is associated with conductive hearing loss. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09675868183202
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http://dx.doi.org/10.1016/j.jocn.2018.12.017DOI Listing
April 2019
30 Reads

Surgical treatment of chronic ear disease in remote or resource-constrained environments.

J Laryngol Otol 2018 Dec 19:1-10. Epub 2018 Dec 19.

ENT Department,Brighton and Sussex University Hospitals NHS Trust,UK.

Background: Surgery for chronic suppurative otitis media performed in low- and middle-income countries creates specific challenges. This paper describes the equipment and a variety of techniques that we find best suited to these conditions. These have been used over many years in remote areas of Nepal. Read More

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http://dx.doi.org/10.1017/S0022215118002165DOI Listing
December 2018
7 Reads

[The application of cartilage in middle ear surgery].

Authors:
Y X Zhao L S Yu

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Dec;32(24):1912-1916

The aim of this study is to review the application, techniques and procedures of cartilage in the middle ear surgery. Cartilage offers the advantage of higher mechanical stability in tympanoplasty, which is the most common procedure in the middle ear surgery, thus apply to much complicated situation especially for tubal dysfunction and adhesive processes. There are many variations on the shape, size, thickness and technical matters of the cartilage grafts. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.24.017DOI Listing
December 2018
8 Reads

Ossicular chain reconstruction in chronic otitis media: hearing results and analysis of prognostic factors.

Braz J Otorhinolaryngol 2020 Jan - Feb;86(1):49-55. Epub 2018 Oct 18.

Hospital Governador Celso Ramos, Departamento de Otorrinolaringologia, Florianópolis, SC, Brazil.

Introduction: The goal of ossiculoplasty is to improve hearing and the success of this procedure depends on several factors.

Objective: Analyze the hearing results in patients with chronic otitis media undergoing ossicular chain reconstruction, as well as predictive factors for successful surgery.

Methods: Charts of patients undergoing ossiculoplasty between 2006 and 2016 were reviewed. Read More

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http://dx.doi.org/10.1016/j.bjorl.2018.09.005DOI Listing
April 2020
11 Reads

Long-term Outcomes of Ossiculoplasty With and Without an Intact Malleus.

Otol Neurotol 2019 01;40(1):73-78

Division of Otology and Neurotology, Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Objective: To compare long-term hearing outcomes following ossiculoplasty with cartilage tympanoplasty with (M) and without (M) the malleus present.

Study Design: Retrospective chart review.

Setting: Tertiary referral center. Read More

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http://dx.doi.org/10.1097/MAO.0000000000002050DOI Listing
January 2019
32 Reads

Feasibility Study of a Mechanical Real-Time Feedback System for Optimizing the Sound Transfer in the Reconstructed Middle Ear.

Otol Neurotol 2018 12;39(10):e907-e920

Carl Gustav Carus Faculty of Medicine, Clinic and Policlinic for Otorhinolaryngology, Head and Neck Surgery, Technische Universität Dresden, Dresden, Germany.

Objective: To evaluate electromechanical excitation as an alternative excitation mode for middle ear transfer function (METF) measurements as well as real-time feedback in prosthetic ossicular reconstruction.

Method: In eight human cadaveric temporal bones, the ossicular chain was excited using acoustic and mechanical (floating mass transducer, FMT) stimulation to determine the METF. After disconnecting the ossicular chain and reconstruction with partial or total prosthesis the METFs were measured again. Read More

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http://Insights.ovid.com/crossref?an=00129492-201812000-0000
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http://dx.doi.org/10.1097/MAO.0000000000002029DOI Listing
December 2018
9 Reads

Nationwide survey of congenital cholesteatoma using staging and classification criteria for middle ear cholesteatoma proposed by the Japan Otological Society.

Auris Nasus Larynx 2019 Jun 8;46(3):346-352. Epub 2018 Nov 8.

Department of Otolaryngology, Jikei University School of Medicine, Tokyo, Japan.

Objective: This study was undertaken to determine the characteristics of congenital cholesteatoma (CC) in Japan, via a nationwide survey using staging and classification criteria for middle ear cholesteatoma, as proposed by the Japan Otological Society (JOS).

Methods: A nationwide survey regarding middle ear cholesteatoma treated in 2015 was performed. There were 1787 registrations from 74 facilities, among which, CC accounted for 12. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03858146183064
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http://dx.doi.org/10.1016/j.anl.2018.10.015DOI Listing
June 2019
42 Reads

Pilot Study Assessing the Feasibility and Clinical Outcomes of Office-Based Ossiculoplasty.

Authors:
Nael Shoman

Ann Otol Rhinol Laryngol 2019 Jan 20;128(1):50-55. Epub 2018 Oct 20.

1 Division of Otolaryngology Head & Neck Surgery, Dalhousie University, University Avenue Halifax, Halifax, NS, Canada.

Objectives:: The aim of this study was to assess the feasibility and safety of ossiculoplasty under local anesthesia in an office setting without sedation.

Methods:: Between May 2017 and November 2017, patients who presented with conductive hearing loss and known isolated ossicular discontinuities were offered ossiculoplasty under local anesthesia. Inclusion criteria included age ⩾ 18 years, adequate transcanal access, and the ability to lie supine for up to 45 minutes. Read More

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http://dx.doi.org/10.1177/0003489418806922DOI Listing
January 2019
35 Reads

Superiority of Second Stage Ossiculoplasty.

Otol Neurotol 2018 12;39(10):1271-1276

Department of Otolaryngology-Head & Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Objective: To compare hearing results of single stage ossiculoplasty with second stage ossiculoplasty, and to provide a proper indication of operation options (single stage or second stage ossiculoplasty) according to patients' clinical conditions.

Study Design: Retrospective case review study.

Setting: Tertiary referral center. Read More

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http://Insights.ovid.com/crossref?an=00129492-900000000-9659
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http://dx.doi.org/10.1097/MAO.0000000000002009DOI Listing
December 2018
21 Reads

Anatomical and functional results of ossiculoplasty using titanium prosthesis.

Acta Otorhinolaryngol Ital 2018 Aug;38(4):377-383

AP-HP, Pitié-Salpêtrière Hospital, Otology, Auditory Implants and Skull Base Surgery Department, Paris, France.

Titanium ossicular chain replacement prosthesis is often used for rehabilitation of the columellar effect in otologic surgeries. This retrospective study aims to analyse the anatomical and functional results of surgeries in which a titanium prosthesis was used. Two hundred and eighty procedures in 256 patients operated on in a tertiary referral center were analysed. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146578PMC
http://dx.doi.org/10.14639/0392-100X-1700DOI Listing
August 2018
7 Reads

Unilateral congenital malformations of middle ear with intact external ear: a review of 64 cases.

Eur Arch Otorhinolaryngol 2018 Oct 24;275(10):2467-2472. Epub 2018 Aug 24.

Department of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital, Beijing, 100853, People's Republic of China.

Objective: To describe the operative findings and surgical results of unilateral congenital middle ear malformations with intact external ear.

Methods: A retrospective review was performed on 64 patients with unilateral congenital middle ear malformations and intact external ear who underwent exploratory tympanotomy from 2011 to 2016. Demographic data, clinical data, high-resolution computed tomography findings, audiometric data and intraoperative findings were collected. Read More

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http://dx.doi.org/10.1007/s00405-018-5099-9DOI Listing
October 2018
29 Reads

Mastoid obliteration, scutum plasty, and ossiculoplasty without staging after canal-wall-up attico-mastoidectomy in adults.

Ear Nose Throat J 2018 Jun;97(6):E18-E23

Department of Otolaryngology-Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Section 2, Cheng-Kung Rd., Taipei 114, Taiwan, Republic of China.

In a retrospective chart review, we evaluated the surgical and hearing results of a single-stage procedure consisting of a canal-wall-up attico-mastoidectomy, mastoid cavity obliteration, scutum plasty, and ossiculoplasty. A total of 77 patients treated between March 2003 and January 2011 with postoperative follow-up of at least 60 months were enrolled. Preoperative and postoperative pure-tone average (PTA) and air-bone gap (ABG) were assessed and compared 1 and 5 years after surgery. Read More

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June 2018
6 Reads
0.881 Impact Factor

Short and Long-Term Outcomes of Titanium Clip Ossiculoplasty.

Otol Neurotol 2018 07;39(6):e453-e460

Department of Otolaryngology-Head and Neck Surgery, The Bill Wilkerson Center for Otolaryngology & Communication Sciences, Vanderbilt University, Nashville, Tennessee.

Objective: To report short (∼4 mo) and long-term (>12 mo) audiometric outcomes following ossiculoplasty using a titanium clip partial ossicular reconstruction prosthesis.

Methods: Case series at a single tertiary referral center reviewing 130 pediatric and adult patients with conductive hearing loss (CHL) secondary to chronic otitis media (n = 121, 93%) or traumatic ossicular disruption (n = 9, 7%) who underwent partial ossiculoplasty from January 2005 to December 2015 with the CliP prosthesis.

Results: At both short and long-term follow-up, postoperative air-bone gap (ABG) was significantly improved (18 dB HL, IQ range 13-26, p < 0. Read More

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http://dx.doi.org/10.1097/MAO.0000000000001795DOI Listing
July 2018
10 Reads

Canal wall-down procedure with soft posterior meatal wall reconstruction in acquired cholesteatoma: focus on postoperative middle ear status.

Acta Otolaryngol 2018 Aug 8;138(8):695-700. Epub 2018 Mar 8.

b Department of Otolaryngology Head and Neck Surgery , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences , Okayama City , Okayama , Japan.

Objectives: We reviewed surgical results of canal wall-down tympanoplasty (CWDT) with soft posterior meatal wall reconstruction (SWR) for acquired cholesteatoma (AC), and identified factors associated with surgical outcomes.

Methods: Results from 119 ears with AC (pars flaccida, n = 99; pars tensa, n = 20) that underwent CWDT with SWR were retrospectively reviewed. We defined postoperative balloon-like retraction (PBR) with web formation, which needed reoperation to clean accumulated cerumen, as postoperative deep retraction pocket (PDRP). Read More

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http://dx.doi.org/10.1080/00016489.2018.1439593DOI Listing
August 2018
17 Reads