The Journal of International
Advanced Otology
Original Article

A Comparison Study of Partial Ossicular Reconstruction Prosthesis (PORP) Placement under the Malleus or Tympanic Membrane Graft in the Presence of the Malleus

1.

Department of Otorhinolaryngology, Üsküdar State Hospital, İstanbul, Turkey

2.

Clinic of Otorhinolaryngology, Seka State Hospital, Kocaeli, Turkey

3.

Department of Otorhinolaryngology, Kocaeli University School of Medicine, Kocaeli, Turkey

4.

Clinic of Otorhinolaryngology, KBB Akademi Group, Kocaeli, Turkey

J Int Adv Otol 2017; 13: 200-203
DOI: 10.5152/iao.2017.3150
Read: 2265 Downloads: 903 Published: 03 September 2019

Abstract

OBJECTIVE: The aim of this study was to compare the hearing results of embedding the partial ossicular reconstruction prosthesis (PORP) underneath the malleus with the malleus relocation technique and tympanic membrane graft in the presence of the malleus.

 

MATERIALS and METHODS: A retrospective review of patient charts and audiometric results in a tertiary referral center was conducted. In total, 83 patients who underwent intact canal tympanoplasty with mastoidectomy between 2010 and 2015 were included and divided into two different groups: malleus assembly to the stapes head (MASH) and tympanic membrane assembly to the stapes head (TASH). Pre- and postoperative audiometric results were assessed. The air-bone gap (ABG) and hearing gains were evaluated according to the groups.

 

RESULTS: In MASH, 86.1% (n=31) of the patients were received successful  surgery and the postoperative average ABG was 10.41 dB. In TASH, 82.9% (n=39) of the patients were considered successful and the postoperative ABG was 13.27 dB. According to the overall data, MASH was more statistically successful than TASH, and hearing gains at 500 Hz (p<0.036), 2000 Hz (p<0.031), and PTA (p<0.22) were statistically significant better in the MASH group.

 

CONCLUSION: Malleus relocation is a successful technique with the presence of the malleus and provides better hearing outcomes than direct placement under the tympanomeatal flap. Both malleus- and tympanomeatal flap-linked groups were successful, but the malleus-linked group showed better ABGs.

 

 

Cite this article as: Mutlu A, Todağ Ö, Topdağ M, İşeri M, Erdoğan S. A Comparison Study of Partial Ossicular Reconstruction Prosthesis (PORP) Placement under the Malleus or Tympanic Membrane Graft in the Presence of the Malleus. J Int Adv Otol 2017; 13: 200-3.

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