Effect of ossicular chain reconstruction without mastoidectomy on hearing in patients with chronic otitis media
10.16066/j.1672-7002.2016.09.007
- VernacularTitle:不做乳突切开的听骨链重建术对慢性中耳炎患者听力重建效果评价
- Author:
Chunlin LI
;
Litao ZHANG
;
Shixiong TANG
;
Tianbin OUYANG
;
Jianhua ZHANG
;
Xing CHEN
;
Ji LI
;
Ying LUO
;
Chunping YANG
;
Ying YANG
- Publication Type:Journal Article
- Keywords:
Mastoid;
Cholesteatoma,Middle Ear;
Otitis Media;
Clinical Protocols
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2016;23(9):518-520
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate a better surgical treatment for chronic otitis media.METHODS 106 patients with chronic otitis media were collected from hospital. We assessed effectss of ossicular chain reconstruction without incision of mastoid (method 1) and ossicular chain reconstruction with incision of mastoid (method 2).We compared therapeutic effect, complication, and surgical treatment between these two groups. Furthermore, we performed stratification analysis by normal or abnormal function of stapes, Eustachian and tendon of tensor tympani, using logistic regression model. RESULTS The improvement of hearing by method 1 and 2 were 85.71%, 68.00% (P=0.0296). The recovery rate of drying ear were 92.86%, 88.00% (P=0.3931). The proportion of continued tinnitus were 10.71%, 18.00% (P=2827). There were 85.71% and 36.00% samples with numeric pain score from 1 to 3 (P<0.0001). There were 89.29%, 24.00% samples with operation hour <2.0 hour (P<0.0001). For those patients with normal function of stapes, Eustachian and tendon of tensor tympani, the OR of method 1 were 2.91, 3.08 and 3.33 For those patients with abnormal function, the OR was 3.27, 2.89 and 1.33. CONCLUSION Ossicular chain reconstruction without incision of mastoid is a suitable surgical treatment for chronic chronic otitis media,it could improve hearing more effectively with entire debridement of the focus and shorter operation time.
