Ossiculoplasty’s Impact on Hearing Outcomes of Chronic Otitis Media: A Prospective Multicentre Study| ACTA Otorhinolaryngologica Italica
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Published: 2024-12-16

Ossiculoplasty’s Impact on Hearing Outcomes of Chronic Otitis Media: A Prospective Multicentre Study

Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, 10043 Orbassano, Italy.
Otolaryngology service, ASP ENNA, 94100 Enna, Italy.
Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, 10043 Orbassano, Italy.
Otolaryngology service, ASP ENNA, 94100 Enna, Italy.
Department of 'Organi di Senso', University "Sapienza", Viale dell'Università, 33, 00185 Rome, Italy.
Department of 'Organi di Senso', University "Sapienza", Viale dell'Università, 33, 00185 Rome, Italy.
Department of 'Organi di Senso', University "Sapienza", Viale dell'Università, 33, 00185 Rome, Italy.
Department of 'Organi di Senso', University "Sapienza", Viale dell'Università, 33, 00185 Rome, Italy.
Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, 47121 Forlì, Italy.
Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, 47121 Forlì, Italy.
Department of Pathology, Hospital "Gravina e Santo Pietro", 95041, Caltagirone, Italy.
Department of Pathology, Hospital "Gravina e Santo Pietro", 95041, Caltagirone, Italy.
Department of Medical and Surgical Sciences and Advanced Technologies ''GF Ingrassia'' ENT Section, University of Catania, 95123, Catania, Italy.
Otorhinolaryngology Unit, Department of Surgical Specialties, Vicenza Civil Hospital, 36100 Vicenza, Italy.
Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy.
Department of Medical and Surgical Sciences and Advanced Technologies ''GF Ingrassia'' ENT Section, University of Catania, 95123, Catania, Italy.
University of Enna
Chronic Otitis Media, Ossiculoplasty, Hearing Outcomes, ncCOM, cCOM.

Abstract

Objective: Chronic Otitis Media (COM) is a prevalent condition affecting auditory function. Ossiculoplasty is a known treatment strategy, but its effectiveness concerning the presence of cholesteatoma has not been extensively studied.

Methods: We conducted a multicentre study involving 153 patients diagnosed with ncCOM and cCOM. Patients underwent ossiculoplasty, and their postoperative hearing outcomes were analyzed.

Results: After patient selection, 133 participants were included. Postoperatively, significant improvements in hearing function were observed in both patient groups, substantiating ossiculoplasty's role in COM treatment. However, differential outcomes were noted between ncCOM and cCOM patients. Patients with cCOM demonstrated a slightly lesser degree of hearing improvement post-surgery compared to their ncCOM counterparts.

Conclusions: Our findings affirm ossiculoplasty as a standard and effective treatment strategy for COM. The presence of cholesteatoma may influence the surgery's effectiveness, underscoring the need for individualized surgical planning. Future research should focus on confirming these results and exploring the impact of cholesteatoma on surgical outcomes more comprehensively.

Affiliations

Gianluca Fadda

Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, 10043 Orbassano, Italy.

Federico Merlino

Otolaryngology service, ASP ENNA, 94100 Enna, Italy.

Giovanni Cavallo

Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, 10043 Orbassano, Italy.

Simone Moglio

Otolaryngology service, ASP ENNA, 94100 Enna, Italy.

Giuseppe Magliulo

Department of 'Organi di Senso', University "Sapienza", Viale dell'Università, 33, 00185 Rome, Italy.

Giannicola Iannella

Department of 'Organi di Senso', University "Sapienza", Viale dell'Università, 33, 00185 Rome, Italy.

Antonio Greco

Department of 'Organi di Senso', University "Sapienza", Viale dell'Università, 33, 00185 Rome, Italy.

Annalisa Pace

Department of 'Organi di Senso', University "Sapienza", Viale dell'Università, 33, 00185 Rome, Italy.

Andrea De Vito

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, 47121 Forlì, Italy.

Giovanni Cammaroto

Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, 47121 Forlì, Italy.

Salvatore Ronsivalle

Department of Pathology, Hospital "Gravina e Santo Pietro", 95041, Caltagirone, Italy.

Milena Di Luca

Department of Pathology, Hospital "Gravina e Santo Pietro", 95041, Caltagirone, Italy.

Federica Maria Parisi

Department of Medical and Surgical Sciences and Advanced Technologies ''GF Ingrassia'' ENT Section, University of Catania, 95123, Catania, Italy.

Antonio Frisina

Otorhinolaryngology Unit, Department of Surgical Specialties, Vicenza Civil Hospital, 36100 Vicenza, Italy.

Pietro Canzi

Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy.

Salvatore Ferlito

Department of Medical and Surgical Sciences and Advanced Technologies ''GF Ingrassia'' ENT Section, University of Catania, 95123, Catania, Italy.

Antonino Maniaci

University of Enna

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© Società Italiana di Otorinolaringoiatria e chirurgia cervico facciale , 2024

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