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13.02.2019 | Otology | Ausgabe 5/2019

European Archives of Oto-Rhino-Laryngology 5/2019

Ossicular chain erosion in chronic otitis media patients with cholesteatoma or granulation tissue or without those: analysis of 915 cases

Zeitschrift:
European Archives of Oto-Rhino-Laryngology > Ausgabe 5/2019
Autoren:
Mustafa Akarcay, M. Tayyar Kalcioglu, Ozan Tuysuz, Emine Timurlenk, Hasan Guclu
Wichtige Hinweise

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Abstract

Purpose

The aim of this study was to evaluate the ossicular chain erosions (OCE) in chronic otitis media patients with cholesteatoma (COM-C) or without cholesteatoma (COM).

Materials and methods

The OCE and preoperative hearing levels of a total of 915 patients were evaluated retrospectively. Patients were divided into three groups. Of the 915 patients, 615 (67.2%) had COM, 234 (25.6%) had COM-C, and 66 (7.2%) had chronic otitis media with granulation tissue (COM-G).

Results

OCE was found in 291 (31.8%) of 915 patients. OCE was found in 192 (82%) of 234 patients with COM-C, 21 (31.8%) of 66 patients with COM-G, and 78 (12.7%) of 615 patients with COM.

Conclusion

The most commonly seen OCE was incus erosion, followed by stapes and malleus erosions. The results of this study show that there are more OCE in the COM-C group than in the COM-G and COM groups. To our knowledge, this study has the widest patient population in the literature focused on the OCE relation with COM, COM-C, and COM-G and its effect on the preoperative hearing level.

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