PMID- 30540697
OWN - NLM
STAT- MEDLINE
DCOM- 20200113
LR  - 20200113
IS  - 1537-4505 (Electronic)
IS  - 1531-7129 (Linking)
VI  - 40
IP  - 1
DP  - 2019 Jan
TI  - Long-term Outcomes of Ossiculoplasty With and Without an Intact Malleus.
PG  - 73-78
LID - 10.1097/MAO.0000000000002050 [doi]
AB  - OBJECTIVE: To compare long-term hearing outcomes following ossiculoplasty with 
      cartilage tympanoplasty with (M) and without (M) the malleus present. STUDY 
      DESIGN: Retrospective chart review. SETTING: Tertiary referral center. PATIENTS: 
      One twenty-six patients (18-88 yr of age) undergoing ossiculoplasty with 
      tympanoplasty or tympanomastoidectomy using cartilage tympanic membrane grafts 
      from 1998 to 2012 with at least 5 years of documented postoperative follow-up. 
      MAIN OUTCOME MEASURES: Short-term hearing results (pure-tone average air-bone gap 
      [PTA-ABG] measured between 60 d and 1 yr after surgery), long-term hearing 
      results (PTA-ABG measured >/=5 yr after surgery), Ossiculoplasty Outcome Parameter 
      Staging (OOPS) index, and complications. RESULTS: There were 46 patients in the M 
      group and 80 in the M group. Preoperative PTA-ABG was 23.8 dB for M and 34.5 dB 
      for M (p = 0.00001). Short-term postoperative PTA-ABG was 19.3 dB for M and 
      18.5 dB for M (p = 0.727). Long-term postoperative PTA-ABG was 18.2 dB for M and 
      19.6 dB for M (p = 0.500). The OOPS index was 4.11 and 6.41 for M and M, 
      respectively, (p = 0.00001). Thirteen patients (10.3%) experienced complications. 
      CONCLUSION: Our data suggest that the malleus is not statistically significant 
      with regard to its impact on final audiometric outcome following ossiculoplasty. 
      This has implications in our clinic, particularly in our use of the OOPS index as 
      a prognostic tool, and will likely lead to its revision. These data may further 
      support the coupling theory of acoustic gain and weaken the catenary lever 
      theory.
FAU - Page, Joshua Cody
AU  - Page JC
AD  - Division of Otology and Neurotology, Department of Otolaryngology-Head and Neck 
      Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
FAU - Cox, Matthew D
AU  - Cox MD
FAU - King, DeAnne
AU  - King D
FAU - Allsopp, Tristan
AU  - Allsopp T
FAU - Dornhoffer, John L
AU  - Dornhoffer JL
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Otol Neurotol
JT  - Otology & neurotology : official publication of the American Otological Society, 
      American Neurotology Society [and] European Academy of Otology and Neurotology
JID - 100961504
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Audiometry
MH  - Female
MH  - Hearing Loss, Conductive/*surgery
MH  - Humans
MH  - Male
MH  - Malleus/*surgery
MH  - Middle Aged
MH  - Postoperative Period
MH  - Prognosis
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Tympanic Membrane/surgery
MH  - Tympanoplasty/*methods
MH  - Young Adult
EDAT- 2018/12/13 06:00
MHDA- 2020/01/14 06:00
CRDT- 2018/12/13 06:00
PHST- 2018/12/13 06:00 [entrez]
PHST- 2018/12/13 06:00 [pubmed]
PHST- 2020/01/14 06:00 [medline]
AID - 00129492-201901000-00014 [pii]
AID - 10.1097/MAO.0000000000002050 [doi]
PST - ppublish
SO  - Otol Neurotol. 2019 Jan;40(1):73-78. doi: 10.1097/MAO.0000000000002050.