ISSN 2667-7466 | E-ISSN 2667-7474
Original Article
Audiological Results of Total Ossicular Replacement Prosthesis with Cartilage Shoe Technique
1 Department of Otolaryngology, Head and Neck Surgery, University of Health Sciences, İzmir Bozyaka Training and Research Hospital, İzmir Turkey  
Turk Arch Otorhinolaryngol 2018; 56: 95-101
DOI: 10.5152/tao.2018.3200
Key Words: Cholesteatoma, tympanoplasty, ossicular prosthesis, cartilage
Abstract

Objective: The aim of this study was to investigate functional results of total ossicular replacement prosthesis (TORP) shaft stabilization with a cartilage shoe in chronic otitis media patients with cholesteatoma who had undergone canal wall down tympanomastoidectomy (CWDT). In addition, it was determined whether the presence of granular and edematous mucosa in middle ear altered functional outcomes.


Methods
: Sixty patients, who had undergone CWDT with the use of TORP for the reconstruction of ossicular chain, were divided into two groups. Patients with cartilage shoe were classified as Group 1 (n=30) and those without the shoe were classified as Group 2 (n=30). Patients in both groups were classified into “A” and “B” subgroups according to the middle ear risk index (MERI). Air conduction (AC) and bone conduction thresholds were evaluated preoperatively and postoperatively.


Results
: There was no statistically significant change between preoperative AC thresholds of the groups and subgroups (p>0.05). There were statistically significant differences regarding AC thresholds and air–bone gap (ABG) values between Groups 1 and 2 at the postoperative 12th month (p<0.05). Postoperative AC thresholds and ABG values of Group 1B patients with a high MERI score were statistically significant at all frequencies than those of Group 2B patients (p<0.05). When ABG values were compared, it was observed that functional results were better in Group 1B, but a statistically significant difference was observed only at 2000 Hz (p<0.01).


Conclusion
: The cartilage shoe method for titanium TORP stabilization that is used for ossicular reconstruction during CWDT has been found to have a beneficial effect on auditory outcomes. Cartilage shoe application increases positive effects on hearing outcomes, particularly if the middle ear mucosa is granular and edematous.


Cite this article as
: Kaplankıran H, Ceylan ME, Aksoy Yıldırım G, Ceylan G, Dalğıç A, Olgun L. Audiological Results of Total Ossicular Replacement Prosthesis (TORP) with Cartilage Shoe Technique. Turk Arch Otorhinolaryngol 2018; 56(2): 95-101.

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