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Titolo:
Hearing results of ossiculoplasty in Austin-Kartush group A patients
Autore:
Iurato, S; Marioni, G; Onofri, M;
Indirizzi:
Univ Bari, Dept Ophthalmol & Otalaryngol, I-70121 Bari, Italy Univ Bari Bari Italy I-70121 hthalmol & Otalaryngol, I-70121 Bari, Italy Univ Udine, Dept Otolaryngol Head & Neck Surg, I-33100 Udine, Italy Univ Udine Udine Italy I-33100 ol Head & Neck Surg, I-33100 Udine, Italy
Titolo Testata:
OTOLOGY & NEUROTOLOGY
fascicolo: 2, volume: 22, anno: 2001,
pagine: 140 - 144
SICI:
1531-7129(200103)22:2<140:HROOIA>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
MIDDLE-EAR SURGERY; TYMPANOPLASTY; RECONSTRUCTION; INTERPOSITION; EXPERIENCE; PROSTHESES; MALLEUS; CEMENT; BONE;
Keywords:
osssiculoplasty; tympanaplasty; myringoplasty;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Iurato, S Policlin Bari, Sect Otol Audiol & Bioacoust, Dept Ophthalmol & Otolaryngol, I-70124 Bari, Italy Policlin Bari Bari Italy I-70124 laryngol, I-70124 Bari, Italy
Citazione:
S. Iurato et al., "Hearing results of ossiculoplasty in Austin-Kartush group A patients", OTOL NEURO, 22(2), 2001, pp. 140-144

Abstract

Objective: To compare hearing results in patients who underwent ossiculoplasty for Austin-Kartush group A impairments (incus erosion, malleus handle present, stapes superstructure present) with the results in patients with an intact ossicular chain who required only myringoplasty. The literature onhearing results of ossiculoplasty with different types of prostheses and different techniques is reviewed. Patients and Study Design: This study retrospectively reviews a series of 181 consecutive ossiculoplasties and 204 consecutive myringoplasties. Setting: The study was carried out partly at a private practice and partlyin an academic tertiary referral center. Main Outcome Measures: This study complies with levels 1 and 2 of the guidelines recommended by the American Academy of Otolaryngology - Head and Neck Surgery (1995). Results: When success was defined as a postoperative air-bone gap within 10 dB, the success rate was higher for myringoplasty (81%) than for ossiculoplasty (55%). When success was defined as a postoperative air-bone gap within 20 dB, the success rate was 97% in myringoplasties and 85% in ossiculoplasties. There was no significant deterioration over time of the mean postoperative air-bone gap for any frequency. Conclusion: Cumulative data from several authors show that similar to 50% of patients undergoing partial ossiculoplasty have a postoperative air-bonegap of 0 to 10 dB, and 80% have a postoperative air-bone gap of 0 to 20 dB, Equally good results may be achieved with autograft (no difference was found between interposition of the incus or the head of the malleus), homograft, or alloplastic partial prostheses. With alloplastic total prostheses, 36% of patients have a postoperative air-bone gap of 0 to 10 dB, and 74% have a postoperative air-bone gap of 0 to 20 dB.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/02/20 alle ore 00:22:45