Ossiculoplasty in chronic otitis media: Surgical results and prognostic factors of surgical success.
OBJECTIVE
The goal of ossiculoplasty is to improve hearing. Successful ossiculoplasty depends on several factors. This retrospective study was carried out to analyze hearing results of ossiculoplasty in ears with chronic otitis media (COM) and evaluate clinical outcomes and factors predictive of hearing improvement.


METHODS
We reviewed the results of 153 patients with COM (with cholesteatoma (COMC) and without cholesteatoma (COMWC)) who underwent ossiculoplasty between January of 2002 to December of 2011. Several potential prognostic factors were evaluated: cholesteatoma present vs absent; type of surgical procedure, state of the middle ear mucosa, state of the ossicular chain, type of prosthesis.


RESULTS
We analyzed 153 ossiculoplasties: 96 patients presented COMWC and 57 patients presented COMC. The ossiculoplasties were performed using autologous ossicles for the most part. All ossiculoplasties were carried out in one-stage surgery. In 38% of cases ossiculoplasty was combined with mastoidectomy; in the remaining 62% of cases, ossiculoplasty was performed without mastoidectomy. Ossiculoplasty was successfully achieved in 113 patients (74%). The presence of the stapes superstructure and normal mucosa were significant predictive factors of surgical success.


CONCLUSIONS
The majority of the ossiculoplasties improved hearing status satisfactorily. Multivariate analysis should be performed to investigate prognostic factors of favorable short-term hearing outcomes after ossiculoplasty. Better knowledge of these predictive factors may contribute to the surgeon's judgment and the information given to patients.
Head and Neck Surgery Department of Guimarães Hospital, Alto Ave Hospital Center, Guimarães, Portugal. Electronic address: anasousa__@hotmail.com.
Ana
A
Castro Sousa
Head and Neck Surgery Department of Guimarães Hospital, Alto Ave Hospital Center, Guimarães, Portugal.
Vânia
V
Henriques
Head and Neck Surgery Department of Guimarães Hospital, Alto Ave Hospital Center, Guimarães, Portugal.
Jorge
J
Rodrigues
Head and Neck Surgery Department of Guimarães Hospital, Alto Ave Hospital Center, Guimarães, Portugal.
Rui
R
Fonseca
D000293:Adolescent; D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D018424:Cholesteatoma, Middle Ear / Q000150:complications / Q000601:surgery; D002908:Chronic Disease; D004429:Ear Ossicles / Q000473:pathology / Q000601:surgery*; D004432:Ear, Middle / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009998:Ossicular Prosthesis; D010033:Otitis Media / Q000150:complications / Q000601:surgery*; D011379:Prognosis; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome; D014433:Tympanoplasty; D055815:Young Adult
Factores pronósticos; Osiculoplastia; Ossicular chain reconstruction; Ossiculoplasty; Prognostic factors; Reconstrucción de la cadena osicular; Resultados quirúrgicos; Surgical results