O. Çelik, Ü. Gök, Ş. Yalçın, N. Susaman, İ. Kaygusuz, T. Karlıdağ

Fırat University Medical Faculty Otorhinolaryngology Department

OBJECTIVES: To determine anatomic and functional success of ossiculoplasty in ears with chronic otitis media without cholesteatoma.

DESIGN: Case series by retrospective otological chart review.

PATIENTS: A consecutive sample of all patients who had ossiculoplasty using autologous ossicles or cortical bone graft performed at the otolaryngology department of F_rat University Research Hospital between 1994 and 1997. The 32 ears who had follow-up examinations for six months or longer after ossicular reconstruction are included in the analysis. 9 cases with ossicular replacement prostheses were not included in the study.

MEASURES: Preoperative and postoperative audiometric data and otoscopic findings at the final follow-up examination. Surgical success was defined as an intact graft and ossicular chain at the last postoperative examination.

RESULTS: Ossiculoplasty was performed using autologous ossicles (29 cases) or cortical bone (3 cases). All cases had intact stapes arch. In 26 cases (81%), ossiculoplasty combined with complet simple mastoidectomy. In other 6 cases, ossiculoplasty was performed without mastoidectomy. The operation resulted in an intact graft in 94% of ears and a postoperative air-bone gap less than 25 dB in 91% of ears.