HEARING OUTCOMES FOLLOWING OSSICULAR CHAIN RECONSTRUCTION USING AUTOLOGOUS MATERIALS IN PATIENTS WITH CHRONIC OTITIS MEDIA
Main Article Content
Abstract
Objective: To evaluate hearing outcomes following ossicular chain reconstruction using autologous materials in patients with chronic otitis media. Materials and Methods: A before–and–after interventional self-controlled study was conducted on 38 patients (39 ears) with chronic otitis media who underwent ossiculoplasty using autologous materials at Bach Mai Hospital from January 2023 to September 2025. Results: Hearing loss (89.7%) and otorrhea (82.1%) were the most common presenting symptoms. Attic pathology was observed in 76.9% of ears, and cholesteatoma was present in 64.1%. The incus was the most frequently affected ossicle. Autologous reconstruction materials included bone (69.2%) and auricular cartilage (30.8%). Postoperatively, the proportion of ears achieving an air–bone gap (ABG) ≤20 dB increased from 17.9% preoperatively to 51.3% at <6 months and 72.7% at ≥6 months after surgery (p < 0.01). No significant changes in bone-conduction thresholds were observed at any tested frequency.
Conclusion: Ossicular chain reconstruction using autologous materials results in significant hearing improvement while preserving inner ear function in patients with chronic otitis media.
Keywords
Chronic otitis media, ossiculoplasty, autologous materials, pure-tone audiometry
Article Details
References
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