SITE AND RATE OF OSSICULAR CHAIN EROSION IN PATIENTS UNDERWENT TYMPANOMASTOID SURGERY

ABDULLAH RABEEA ALKHALIL

ABDULLAH RABEEA ALKHALIL Lecturer, Surgery Department- College of Medicine,/ University of Duhok, Duhok, Kurdistan region, Iraq

Keywords: Chronic suppurative otitis media, Erosion ossicular chain, Middle ear

Abstract

https://doi.org/10.31386/dmj.2024.18.1.7

Background: Chronic suppurative otitis media (CSOM) is a common problem affecting middle ear and it’s commonly presented with chronic ear discharge and decreased hearing. Hearing problem in CSOM is primarily caused perforated tympanic membrane and in some cases by the presence of erosion of the ossicular chain.

The study aimed to show the rate and site of ossicular chain erosion in patients with chronic suppurative otitis media underwent tympanomastoid surgery.

Patient and methods: a cross sectional study conducted on 87 patients performed tympanomastoid surgery for chronic middle ear infection where their ossicular status has been assessed intraoperatively.

Results: our study shows that 40% of the operated ears has at least a single bone erosion and the Incus bone was the most affected ossicle while the Malleus was the least one 54% and 14% respectively. No statistically significant difference was seen between bone erosion and gender as well as the side of operation.

Conclusion: ossicular erosion is a common problem affecting patient with chronic suppurative otitis media and the surgeons should be aware about this pathology and they should have the proper skill to correct such problem.

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References

1. Wiatr A, Job K, Składzień J, Wiatr M. Chronic suppurative otitis media with cholesteatoma and chronic otitis media with granulation by scanning electron microscopy based on analysis of 140 patients. Otolaryngol Pol. 2021 Feb 2;75(3):1-5.
2. Restuti RD, Sriyana AA, Priyono H, et al. Chronic suppurative otitis media and immunocompromised status in paediatric patients. Med J Malaysia. 2022 Sep;77(5):619-621.
3. Wiatr M, Skladzien J, Strek P, Przeklasa-Muszynska A, Wiatr A. Chronic Otitis Media with Granulation Is a Poor Prognostic Factor for Hearing Improvement and Development of Intracranial Complications. J Int Adv Otol. 2019 Apr;15(1):12-17.
4. Wiatr A, Swiezy K, Skladzien J, Wiatr M. Scanning Electron Microscopy in the Evaluation of Defects to the Ossicular Chain in the Course of Chronic Otitis Media. Ear Nose Throat J. 2021 Jun;100(5):NP248-NP255.
5. Kuczkowski J, Brzoznowski W, Nowicki T. Bone Damage in Chronic Otitis Media. Ear Nose Throat J. 2022 Aug;101(7):428-429.
6. Jayakumar CL, Inbaraj LR, Pinto GJ. Pre-operative Indicators of Ossicular Necrosis in Tubotympanic CSOM. Indian J Otolaryngol Head Neck Surg. 2016 Dec;68(4):462-467.
7. Blom EF, Gunning MN, Kleinrensink NJ, et al. Influence of Ossicular Chain Damage on Hearing After Chronic Otitis Media and Cholesteatoma Surgery: A Systematic Review and Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2015 Nov;141(11):974-82.
8. Varshney S, Nangia A, Bist SS, Singh RK, Gupta N, Bhagat S. Ossicular chain status in chronic suppurative otitis media in adults. Indian J Otolaryngol Head Neck Surg. 2010 Oct; 62(4): 421-6.
9. Singh P, Jain S, Methwani D, et al. Study of Correlation of Pre-Operative Findings with Intra-Operative Ossicular Status in Patients with Chronic Otitis Media. Iran J Otorhinolaryngol. 2018 Sep;30(100):273-281.
10. Wang HM, Lin JC, Lee KW, et al. Analysis of mastoid findings at surgery to treat middle ear cholesteatoma. Arch Otolaryngol Head Neck Surg. 2006 Dec;132(12):1307-10.
11. De Vos C, Gersdorff M, Gérard JM. Prognostic factors in ossiculoplasty. Otol Neurotol. 2007 Jan;28(1):61-7.
12. Afolabi OA, Salaudeen AG, Ologe FE, Nwabuisi C, Nwawolo CC. Pattern of bacterial isolates in the middle ear discharge of patients with chronic suppurative otitis media in a tertiary hospital in North central Nigeria. Afr Health Sci. 2012 Sep;12(3):362-7.
13. Larem A, Abu Rajab Altamimi Z, Aljariri AA, et al. Reliability of high-resolution CT scan in diagnosis of ossicular tympanosclerosis. Laryngoscope Investig Otolaryngol. 2021 May 27;6(3):540-548.
14. Haidar H, Sheikh R, Larem A, et al. Ossicular chain erosion in chronic suppurative otitis media. Otolaryngol (Sunnyvale). 2015;5(203):2.
15. Albera R, Canale A, Piumetto E, Lacilla M, Dagna F. Ossicular chain lesions in cholesteatoma. Acta Otorhinolaryngol Ital. 2012 Oct;32(5):309-13.
16. Anwar KH, Said MO, Zada BA, Din G, Khan IA. Cholesteatoma and the Destruction of Middle Ear and Mastoid Cavities in Ottorhoea. Pak J Med Health Sci. 2012;6:51-4.