تلخیص
Objective: To evaluate outcome of single stage ossicular reconstruction in patients with
chronic otitis media.
Methods: We assessed thirty-three patients with chronic otitis media who underwent either
tympanomastoidectomy or tympanoplasty together with ossicular reconstruction by incus
transposition. All had audiotympanometry before and after operation. Air Bone Gap (ABG)
and Speech Reception Threshold (SRT) were also calculated pre and postoperatively.
Results: The mean preoperative ABG was 47.27±6.39 dB while mean postoperative ABG
was 13.91±7.96 dB (p<0.05). The mean preoperative SRT was 58.06±6.60 dB while mean
postoperative SRT was 24.27±7.78 dB (p<0.05). Postoperative ABG was less than 20 dB in
25 (75.8%) patients and it was more than 20 dB in 8 (24.2%) patients.
Conclusions: Single stage ossicular reconstruction by incus transposition can lead to
improvement of hearing levels of patients with chronic otitis media. Reconstructing the
ossicular chain by incus transposition at the time of middle ear surgery has an important role
in reducing patients' hospitalization and related costs. (Rawal Med J 2007;32:179-182).
Key words: Otitis media, ossiculoplasty, hearing loss, incus transposition
Yalda Jabbari-Moghaddam. (2007) Results of single stage ossicular reconstruction by incus transposition in patients with chronic otitis media, , Volume 32, Issue 2.
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