Ossiculoplasty using Autologous Reshaped Incus and Teflon PORP: A Comparative Study

Main Article Content

Ankit Choudhary
Sayan Hazra
Arindam Das
Aryabrata Dubey
Mridul Janweja
Arunabha Sengupta

Abstract

Introduction


Autologous reshaped Incus and Teflon partial ossicular replacement prosthesis (PORP) are commonly used for ossicular chain reconstruction. The present study attempts to assess the post-operative outcome with these two prostheses.


Materials and Methods 


A Randomized prospective study was conducted in Tertiary referral care hospital to determine which material, among autologous reshaped Incus and Teflon partial ossicular replacement prosthesis (PORP) gives better postoperative hearing result in Ossiculoplasty.


Patients presenting at outpatients’ department with the clinical diagnosis of chronic otitis media with perforation or retraction. The study population consisted of a total of 50 patients. Ossiculoplasty with reshaped Incus or PORP was performed after Canal Wall Up mastoidectomy. Hearing results were measured by Air-Bone gap in PTA after 6 months of surgery.


Results 


Selecting the criteria <20 dB ABG as success when Stapes superstructure is present, Incus has 64.29% success rate, whereas PORP has 31.81% success. Extrusion rate of different prosthesis shows PORP has 18.18% extrusion whereas autologous Incus has lower (7.14%) extrusion rate.


Conclusion 


Among these two ossiculoplasty materials, autologous Incus gives better postoperative hearing gain and lower extrusion rate.

Article Details

How to Cite
1.
Choudhary A, Hazra S, Das A, Dubey A, Janweja M, Sengupta A. Ossiculoplasty using Autologous Reshaped Incus and Teflon PORP: A Comparative Study. BJOHNS [Internet]. 2019Aug.31 [cited 2024Nov.5];27(2):129-34. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/239
Section
Main article
Author Biographies

Ankit Choudhary, IPGMER, KOLKATA

SR(ENT), IPGMER, KOLKATA

Sayan Hazra, IPGMER, KOLKATA

SR(ENT), IPGMER, KOLKATA

Arindam Das, IPGMER, KOLKATA

RMO(ENT), IPGMER, KOLKATA

Aryabrata Dubey, IPGMER, KOLKATA

PGT(ENT), IPGMER, KOLKATA

Mridul Janweja, IPGMER, KOLKATA

PGT(ENT), IPGMER, KOLKATA

Arunabha Sengupta, IPGMER, KOLKATA

HOD (ENT), IPGMER, KOLKATA

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