OBJECTIVES: To investigate long-term hearing outcomes after ossiculoplasty. STUDY DESIGN: Retrospective study. SETTING: Tertiary referral center. PATIENTS: One hundred ninety-nine patients who underwent ossiculoplasty between 1989 and 2001 by the same surgeon and were followed for more than 5 years. METHODS: Postoperative hearing outcomes were considered successful if the postoperative air-bone gap was within 20 dB. The outcomes after 6 months and 5 years were analyzed. RESULTS: The overall rate of successful outcomes was 61.3% after 6 months and 54.3% after 5 years. There was a significant difference between 6 months and 5 years (p < 0.05). The significant deterioration of long-term hearing outcomes was found in malleus-present ears, ears with cholesteatoma/atelectasis, adults, and ears treated by one-stage operation. The reasons for long-term unsuccessful outcomes were adhesion or retraction of the ear drum in 13 ears (54.2%). CONCLUSION: The hearing outcomes after ossiculoplasty showed significant deterioration on long-term follow-up. Innovative approaches to the management of cholesteatoma/atelectasis are necessary to improve and stabilize long-term hearing outcomes.
OBJECTIVES: To investigate long-term hearing outcomes after ossiculoplasty. STUDY DESIGN: Retrospective study. SETTING: Tertiary referral center. PATIENTS: One hundred ninety-nine patients who underwent ossiculoplasty between 1989 and 2001 by the same surgeon and were followed for more than 5 years. METHODS: Postoperative hearing outcomes were considered successful if the postoperative air-bone gap was within 20 dB. The outcomes after 6 months and 5 years were analyzed. RESULTS: The overall rate of successful outcomes was 61.3% after 6 months and 54.3% after 5 years. There was a significant difference between 6 months and 5 years (p < 0.05). The significant deterioration of long-term hearing outcomes was found in malleus-present ears, ears with cholesteatoma/atelectasis, adults, and ears treated by one-stage operation. The reasons for long-term unsuccessful outcomes were adhesion or retraction of the ear drum in 13 ears (54.2%). CONCLUSION: The hearing outcomes after ossiculoplasty showed significant deterioration on long-term follow-up. Innovative approaches to the management of cholesteatoma/atelectasis are necessary to improve and stabilize long-term hearing outcomes.
Authors: Aaran T Lewis; Douglas Backous; Byung Yoon Choi; Rafael Jaramillo; Kelvin Kong; Thomas Lenarz; Jaydip Ray; Alok Thakar; Krister Järbrink; Myrthe K S Hol Journal: Eur Arch Otorhinolaryngol Date: 2022-06-22 Impact factor: 2.503