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[Application of combined ossicular replacement prosthesis and total ossicular replacement prosthesis of type Ⅲ tympanoplasty].

Authors: Yajing, Wang; Yuebo, Chen; Zeheng, Qiu; Suijun, Chen; Zhigang, Zhang; Yiqing, Zheng; Maojin, Liang;

[Application of combined ossicular replacement prosthesis and total ossicular replacement prosthesis of type Ⅲ tympanoplasty].

Abstract

Objective:This study investigated the application of combined ossicular replacement prosthesis(The Kurz Omega Connector+TORP) in type Ⅲ tympanoplasty, and compared the surgical effect with traditional TORP. Methods:Twenty patients with unilateral chronic suppurative otitis media diagnosed in the Department of Otorhinolaryngology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University from January 2019 to June 2020 were included in this study.All the patients were treated with intra-auricular incision with a microscopic approach(tympanic exploration, lesion clearance+type Ⅲ tympanoplasty). According to the placement of different types of ossicular replacement prosthesis in the ossicular chain reconstruction of type Ⅲ tympanoplasty, the patients were divided into two groups: the traditional TORP group(n=10) and the combined ossicular replacement prosthesis(The Kurz Omega Connector+TORP) group(n=10). All patients underwent pure tone audiometry before and 1 year after the operation, and the average hearing threshold and air-bone conduction difference(ABG) were compared between the two groups before and after the operation. Results:The reconstruction of the ossicular chain was completed successfully in all patients. Endoscopic examination showed that the epithelialization of the operative cavity was good and the repair of the tympanic membrane recovered well one month after the operation. There was no significant difference in preoperative mean airway threshold between the combined ossicular replacement prosthesis and the traditional TORP group (74.13[41.50,80.50] dB vs 74.25[44.81,82.50] dB, P>0.05), there was no significant difference in preoperative ABG (55.63[21.50,61.25] dB vs 54.13[23.63,60.38] dB, P>0.05). After the operation, the ABG of the combined auriculus group was significantly lower than that of the traditional operation group (12.00[5.75,24.56] dB vs 34.88[14.19,46.44] dB, P<0.05). Conclusion: The combined ossicular replacement prosthesis(The Kurz Omega Connector+TORP) can increase the stability of hearing reconstruction and improve hearing in type Ⅲ tympanoplasty.

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Keywords

Ossicular Prosthesis, Ossicular Replacement, Tympanoplasty, Audiometry, Pure-Tone, Humans, Ear Ossicles

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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