title: Ossiculoplasty: a prospective study of 80 cases.
abstract: BACKGROUND
  The use of ossicular graft material in ossicular chain reconstruction has significantly improved hearing results hearing after tympanoplasty and tympanomastoid surgery for chronic otitis media. Today, otologists have a wide array of tools from which to choose, but may find it difficult to know which middle ear implant works best.
  
  
  METHODS
  A prospective study of 80 patients who underwent ossiculoplasty was performed in the ear, nose, and throat (ENT) department at a tertiary health care facility from 2011 to 2013. Patients with chronic suppurative otitis media with an air-bone gap (ABG) of >25 dB with ossicular involvement were included in the study. Total ossicular replacement prosthesis (TORP), partial ossicular replacement prosthesis (PORP), and refashioned incus were used. Success was defined as ABG <25 dB on postoperative Day 90.
  
  
  RESULTS
  The majority patients were of middle age with moderate conductive hearing loss. Incus was the most susceptible ossicle. Overall success rate in this study was 80.0% with an average change of 15.76 dB in ABG.
  
  
  CONCLUSIONS
  With continuing advances in our understanding of middle ear mechanics, the results of ossiculoplasty are improving and results can be very rewarding in experienced hands. Severity of preoperative ear discharge, preoperative mastoid cellularity, presence of disease, and surgical procedure proved to be significant prognostic factors. Autograft incus and PORP fared better when the malleus handle was present while TORP gave better results when the malleus handle was eroded.
authors.affiliation: Department of Otorhinolaryngology, Government Medical College, Aurangabad , India.
authors.forename: Shrinivas Shripatrao
authors.initials: SS
authors.lastname: Chavan
authors.affiliation: Department of Otorhinolaryngology, Government Medical College, Aurangabad , India.
authors.forename: Prateek V
authors.initials: PV
authors.lastname: Jain
authors.affiliation: Department of Otorhinolaryngology, Government Medical College, Aurangabad , India.
authors.forename: Jeevan N
authors.initials: JN
authors.lastname: Vedi
authors.affiliation: Department of Otorhinolaryngology, Government Medical College, Aurangabad , India.
authors.forename: Dharmendra Kumar
authors.initials: DK
authors.lastname: Rai
authors.affiliation: Department of Otorhinolaryngology, Government Medical College, Aurangabad , India.
authors.forename: Himayat
authors.initials: H
authors.lastname: Kadri
keywords: Chronic suppurative otitis media; Ossicular involvement.; Ossiculoplasty