title: Synchronous ossiculoplasty with titanium prosthesis during canal wall down surgery for advanced cholesteatoma: anatomical and hearing outcomes.
abstract: OBJECTIVE
  To analyse patients with cholesteatoma undergoing canal wall down mastoidectomy together with ossicular reconstruction with a titanium prosthesis, in order to identify factors associated with hearing outcomes.
  
  
  METHODS
  Retrospective review of 97 cases undergoing single-stage surgical management.
  
  
  METHODS
  All patients underwent canal wall down mastoidectomy. Kurz titanium ossicular prostheses were used for ossicular chain reconstruction. Pre-operative and post-operative air conduction and bone conduction hearing thresholds were obtained at 500, 1000, 2000 and 3000 Hz.
  
  
  RESULTS
  The mean pure tone average improved from 46.02 ± 14.54 dB pre-operatively to 29.32 ± 14.64 dB post-operatively, for both total and partial ossicular replacement prosthesis groups combined. The mean air-bone gap improved from 30.38 ± 11.12 dB pre-operatively to 15.62 ± 9.65 dB post-operatively, for both groups combined.
  
  
  CONCLUSIONS
  Reconstruction with a titanium prosthesis offers good functional results when performed during canal wall down surgery for advanced cholesteatoma, as a single-stage procedure.
authors.affiliation: Department of Otorhinolaryngology, Kocaeli University Medical Faculty, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Iseri
authors.forename: E
authors.initials: E
authors.lastname: Ustundag
authors.forename: A
authors.initials: A
authors.lastname: Ulubil
authors.forename: M
authors.initials: M
authors.lastname: Ozturk
authors.forename: O
authors.initials: O
authors.lastname: Bircan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000601:surgery*; D006314:Hearing Loss, Conductive / Q000601:surgery; D006801:Humans; D008416:Mastoid / Q000601:surgery*; D008875:Middle Aged; D009998:Ossicular Prosthesis; D019933:Ossicular Replacement / Q000295:instrumentation / Q000379:methods*; D013506:Otologic Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D014025:Titanium; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D014025:Titanium