Section: 
Science articles
Science articlesA comparison of autograft and titanium prostheses for primary ossiculoplasty in modified radical mastoidectomy
V. F. Semenov (1), F. V. Semenov (1), M. A. Velichko (1)
(1) Kuban State Medical University Ministry of Health of Russia, Krasnodar, 350063, Russia
UDK: 616.284-002.2:616.284.7-002.3-089.874:616.285-089.87
DOI: https://doi.org/10.18692/1810-4800-2019-3-49-53
ABSTRACT
The objective of our study was to analyze and compare the outcomes of primary ossiculoplasty from the viewpoint of hearing improvement using an anvil autograft and titanium prostheses in the patients with active chronic otitis media after a modified radical mastoidectomy. We have analyzed the results of tympanoplasty with ossiculoplasty in 60 patients with chronic atticoantral suppurative otitis media with a damaged chain of auditory bones. The patients were divided into two equal groups. The first group underwent ossiculoplasty with an anvil autograft, and in the second group a titanium prosthesis was installed. We have assessed the otomycroscopy findings and pure tone audiometry indicators in the postsurgical period, one hour after the surgery. The inter-group comparison in 3 and 6 months revealed no significant difference in air conduction, however, intra-group air conduction gain was significant in both groups. These results attest the comparable improvement of hearing after ossiculoplasty both with autografts and with titanium prostheses and suggest that titanium prostheses may become a good alternative in protracted chronic otitis media when it is impossible to use autografts.
Publication date:
18.06.2019
Keywords:
chronic tubo-tympanal otitis media, ossiculoplasty, titanium prosthesis, autografts. For citation:
Semenov V. F., Semenov F. V., Velichko M. A. A comparison of autograft and titanium prostheses for primary ossiculoplasty in modified radical mastoidectomy. Rossiiskaya otorinolaringologiya. 2019;18(3):49–53. https://doi.org/ 10.18692/1810-4800-2019-3-49-53