KẾT QUẢ BƯỚC ĐẦU CỦA PHẪU THUẬT VIÊM TAI DÍNH CÓ CHỈNH HÌNH XƯƠNG CON BẰNG VẬT LIỆU TỰ THÂN

Abstract

This study described 23 patients (23 ears) who underwent surgery for adhesive otitis media with ossicular chain reconstruction using autologous materials and tympanic membrane repair with auricular cartilage–perichondrium grafts. The mean follow-up was 22.2 ± 13.2 months. Preoperatively, the most common symptoms were hearing loss (91.3%), tinnitus (78.3%), and otorrhea (43.5%). Postoperatively, otorrhea resolved in all patients, tinnitus improved, and hearing loss was markedly improved in 38% and partially improved in 33.3% of patients. The mean preoperative pure-tone average (PTA air conduction) and air-bone gap (ABG) were 47.34 ± 16.8 dB and 32.14 ± 10.11 dB, respectively. Postoperatively, the ABG improved by 6.91 ± 9.37 dB (p < 0.01) to a mean of 25.23 ± 10.35 dB, the PTA reached 41.14 ± 16.56 dB, while bone conduction thresholds remained unchanged. No serious complications or recurrence of adhesion were observed. Surgery with autologous materials proved safe and effective, alleviating functional symptoms, reconstructing sound conduction, and improving hearing outcomes.