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Endoscopic ossiculoplasty in traumatic conductive hearing loss with intact tympanic membrane: a five-year experience

Published online by Cambridge University Press:  30 November 2023

Mohammed Abdelbadie Salem ,
Noha Ahmed El-Kholy Open the ORCID record for Noha Ahmed El-Kholy [Opens in a new window] ,
Ahmed Hemdan ,
Ahmed Abdel-Fattah ElSobki ,
Mohamed Rashad Ghonim  and
Mahitab Rashad Ghoniem
Mohammed Abdelbadie Salem
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Noha Ahmed El-Kholy*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Ahmed Hemdan
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Ahmed Abdel-Fattah ElSobki
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Mohamed Rashad Ghonim
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Mahitab Rashad Ghoniem
Affiliation:
Department of Radiology, Faculty of Medicine, Mansoura University, Mansoura, Egypt
*
Corresponding author: Noha Ahmed El-Kholy; Email: nohaaelkholy@gmail.com
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Abstract

Background

Exploratory tympanotomy in cases of traumatic ossicular disruption with intact tympanic membrane is crucial for both diagnostic and therapeutic purposes. Performing this procedure using the endoscope is gaining popularity. Hence, this study aimed to demonstrate varieties of ossicular pathology and their management in our institution.

Methods

A retrospective evaluation was conducted of 136 ears in patients with traumatic ossicular disruption with an intact tympanic membrane, who underwent endoscopic exploratory tympanotomy. A proposed algorithm was followed, to incorporate different traumatic ossicular possibilities. Assessment of hearing outcomes and surgical complications was performed six months post-operatively.

Results

Incudostapedial dislocation was the most commonly encountered type of traumatic ossicular disruption (35.3 per cent). Air conduction threshold improved significantly following endoscopic ossiculoplasty, from 50.9 ± 6.35 dB pre-operatively to 22.35 ± 3.27 dB post-operatively, with successful air–bone gap closure.

Conclusion

Endoscopic ear surgery is effective in the diagnosis and management of challenging cases of post-traumatic ossicular disruption with an intact tympanic membrane.

Keywords

Endoscopic ear surgeryintact tympanic membranetraumatic ossicular disruptionossiculoplasty
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 4 , April 2024 , pp. 398 - 404
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

*

Joint first authors

Noha Ahmed El-Kholy takes responsibility for the integrity of the content of the paper

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