A multi-center retrospective study of ossiculoplasty surgery under oto-endoscope in 45 cases of conductive hearing loss with intact tympanic membrane
10.3760/cma.j.issn.1673-0860.2019.04.004
- VernacularTitle: 45例鼓膜完整的传导性聋患者耳内镜下听骨链重建手术多中心回顾分析
- Author:
Yongbo ZHENG
1
;
Zhaohui HOU
2
;
Zhaoyan WANG
3
;
Yang CHEN
4
;
Qiong YANG
5
;
Yu ZHAO
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
2. Department of Otorhinolaryngology Head and Neck Surgery, General Hospital of the People′s Liberation Army, Beijing 100853, China
3. Department of Otorhinolaryngology Head and Neck Surgery, Ninth People′s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China
4. Department of Otorhinolaryngology Head and Neck Surgery, Xijing Hospital, Airforce Military Medical University, Xi′an 710032, China
5. Department of Otorhinolaryngology Head and Neck Surgery, Shenzhen Sixth People′s Hospital (Nanshan Hospital), Shenzhen 518052, China
- Publication Type:Journal Article
- Keywords:
Endoscopic ear surgery;
Otologic surgical procedures;
Ear ossicles;
Surgery
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2019;54(4):257-261
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy of ossiculoplasty surgery under oto-endoscope in patients of conductive hearing loss with intact tympanic membrane.
Methods:A retrospective study was conducted. The clinical data of 45 patients with conductive hearing loss who had undergone simple ossiculoplasty surgery between October 2015 and December 2017 from five hospitals in China (West China Hospital of Sichuan University, General Hospital of the People′s Liberation Army, Shanghai Ninth People′s Hospital, Shanghai JiaoTong University School of Medicine, Xijing Hospital, Fourth Military Medical University and Shenzhen Sixth People′s Hospital) were collected. There were 28 males and 17 females, with the age ranging from 12 to 69 years old. The tympanic membranes of those patients were intact before surgery. The lesion only occurred in the ossicular chain from CT and intraoperative exploration. The cases of otosclerosis, tympanosclerosis, cholesteatoma of middle ear, chronic suppurative otitis media, and tumor of middle ear were excluded. The postoperative complications, hearing improvements and operation time were observed. SPSS 23.0 software was used for statistic analysis.
Results:There was neither sensorineural hearing loss nor facial paralysis after surgery in this group. Seven patients had transient mild tinnitus after surgery and gradually relieved during the follow-up period. Nine patients developed dysgeusia after surgery. Two patients developed dizziness after surgery, and the symptoms were mild and relieved during 1 week without special intervention. The air-bone gap (ABG) range of pre-operation was 22.5-45.7 dB, and the average ABG was (25.3±8.6) dB. The ABG range in the third month after surgery was 5.7-26.8 dB, and the average ABG was (9.3±8.6) dB. The mean value of ABG was significantly lower in the third month after surgery compared with that of pre-operation (t=2.31, P<0.05). The operation time of the surgeons in each research center was similar. The overall average of operation time was (43.56±18.25) min. There was no significant difference in the duration of operation between the centers (F=3.26, P>0.05).
Conclusion:The ossiculoplasty surgery under oto-endoscope has good efficacy.
