Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (3): 66-70.doi: 10.6040/j.issn.1673-3770.1.2019.005

• Original Article • Previous Articles     Next Articles

Short-term effects of artificial titanium auditory ossicles in stage I mastoidectomy and tympanoplasty

Wei LIN1,2,Dongchao ZHU2,Zhibin CHEN1()   

  1. 1. Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, China
    2. Department of Otorhinolaryngology, Nanjing Liuhe District People's Hospital, Nanjing 211500, Jiangsu, China
  • Received:2019-01-01 Revised:2019-05-05 Online:2019-05-20 Published:2019-08-07
  • Contact: Zhibin CHEN E-mail:chenzhibin@jsph.org.cn

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Abstract: Objective

To explore the short-term effects of artificial titanium ossicles in stage I mastoidectomy and tympanoplasty.

Methods

From January 2013 to June 2017, 80 patients (81 ears) who underwent stage I mastoidectomy and tympanoplasty with artificial titanium ossicles were divided in two groups: the canal wall-up tympanoplasty and stage I ossicular implantation group (CWUT; 31 ears) and the canal wall-down tympanoplasty and stage I ossicular implantation group (CWDT; 50 ears). The short-term curative effects of artificial titanium ossicular implantation in these groups were observed and compared.

 Results

The average postoperative air-bone gaps (ABG) in CWUT was 18.65±9.46 dB, and the success rate of hearing reconstruction was 83.87%. The average postoperative air-bone gaps (ABG) in CWDT was 19.90±9.42 dB, and the success rate of hearing reconstruction was 62.00%. There were significant differences in the mean values of air and air-bone gaps (ABG) between the groups before and after the operation (P < 0.05). The success rates of postoperative hearing reconstruction between the groups were statistically significant (P < 0.05).

 Conclusion

The implantation of artificial titanium auditory ossicles in both CWUT and CWDT improve hearing.

Key words: Tympanoplasty, Artificial titanium ossicle, Air-bone gap

CLC Number: 

  • R764.21

Fig.1

CWUT and artificial ossicular reconstruction. The white arrow indicates the posterior wall of the external auditory canal. The yellow arrow indicates the graft fascia. The blue arrow indicates the titanium ossicle"

Fig.2

CWDT and artificial ossicular reconstruction. The white arrow indicates the roof of the tympanum. The yellow arrow indicates the graft fascia. The blue arrow indicates the titanium ossicle"

Table 1

Comparison of hearing between the groups ( x ˉ ± s ，dB)"

指标 完壁植入组（n=31） 开放植入组（n=50）
术前 术后6个月 t P 术前 术后6个月 t P
平均气导阈 58.74±10.46 38.68±11.34 11.72 ＜0.01 57.05±14.84 37.06±12.33 13.03 ＜0.01
平均骨导阈 19.58±6.44 19.71±6.76 0.33 ＞0.05 18.25±10.85 17.32±9.68 0.91 ＞0.05
ABG 39.16±10.28 18.65±9.46 11.98 ＜0.01 37.94±11.85 19.90±9.42 12.44 ＜0.01

Table 2

Improvement in mean bone mineral conductance after operation(n)"

术后气骨导差 完壁植入组 开放植入组
合计 31 50
0~10 dB（n=22） 10 12
11~20 dB（n=35） 13 22
>20 dB（n=24） 8 16
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