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Surgery of the ‘only hearing ear’ with chronic ear disease

  • Mario Sanna (a1), Coyle M. Shea (a2), Roberto Gamoletti (a1) and Alessandra Russo (a1)

Abstract

The management of chronic ear disease affecting the only hearing ear is a controversial subject. The relative scarcity of literature on the subject prompted us to prepare a questionnaire which was sent to European and American otologists and to review 19 cases operated at the ENT Clinic of the University of Parma, Italy, and 16 cases operated at The Baptist Memorial Hospital, Memphis, U.S.A. Surgery of cholesteatoma involving the only hearing ear is advised by all the interviewed otologists without exception, even in the presence of a labyrinthine fistula. The cases from the University of Parma were managed as follows: a classic modified radical mastoidectomy was performed in 10 cases, a staged intact canal wall tympanoplasty was done in four cases, an open tympanoplasty in three and a radical mastoidectomy in the remaining two cases. The cases from The Baptist Memorial Hospital were managed with an intact canal wall tympanoplasty (ICWT) in nine and with an open procedure in seven cases. All the otologists interviewed agreed that surgery of the only hearing ear requires particular attention and experience, and should be performed with extreme care by a very experienced surgeon.

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Corresponding author

Clinica Otorinolaringoiatrica 2°, Ospedale Maggiore, Via Gramsci 14, 43100 Parma, Italy.

References

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Althaus, S.R. (1981) Surgery on the only hearing ear. Laryngoscope, 91: 765770.
Chandler, J.R., Freeman, J. (1972) Otologic surgery in patients with one hearing ear only. Laryngoscope, 82: 848863.
Gacek, R.R. (1973) Surgery on ‘only hearing’ ears with chronic suppurative middle ear disease. Annals of Otology, Rhinology Laryngology, 82: 290296.
Sanna, M., Gamoletti, R., Taibah, A.K. (1987) Chirurgia dell‘otite cronica colesteatomatosa nell’nico orecchio udente. Proceedings of 74th Conge sso della Societa ltaliana di Otorinolaringoiatria, Milan.
Schuknecht, H.E.Gacek, R.R. (1973) Surgery on only hearing ears. Transactions of the American Academy of Ophthalmology and Otolaryngology, 77: 257266.
Tos, M., Falbe-Hansen, J. Jr. (1975) Tympanoplasty on only hearing ears. Journal of Laryngology and Otology, 89: 10571064.

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Surgery of the ‘only hearing ear’ with chronic ear disease

  • Mario Sanna (a1), Coyle M. Shea (a2), Roberto Gamoletti (a1) and Alessandra Russo (a1)

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