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Related Experiment Videos

Ossiculoplasty: a UK survey.

G Dhanasekar1, H K Khan, N Malik

  • 1Department of Otolaryngology/Head & Neck Surgery, New Cross Hospital, Wolverhampton, UK. dhanasekarent@aol.com

The Journal of Laryngology and Otology
|July 20, 2006
PubMed
Summary

This study reveals ossiculoplasty is uncommon, performed by few specialists. Most surgeons use prostheses or autografts, often with tympanoplasty, performing fewer than 10 cases annually.

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Area of Science:

  • Otolaryngology
  • Surgical Practice
  • Medical Research

Background:

  • Ossiculoplasty is a surgical procedure to restore hearing by reconstructing the middle ear ossicles.
  • The prevalence and current practice patterns of ossiculoplasty in the UK were not well-documented.

Purpose of the Study:

  • To assess and quantify the current surgical practice of ossiculoplasty among otolaryngology consultants in the United Kingdom.
  • To identify the frequency, techniques, and common co-procedures associated with ossiculoplasty.

Main Methods:

  • A postal questionnaire survey was distributed to British otolaryngology consultants.
  • Data on the performance of ossiculoplasty, materials used, and surgical context were collected and analyzed.

Main Results:

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  • A response rate of 51.9% was achieved from 280 consultants, with 63.9% performing ossiculoplasty.
  • The majority (86.5%) utilized artificial prostheses, and 63.7% used autografts.
  • Ossiculoplasty was frequently performed with primary tympanoplasty (77.6%) rather than cholesteatoma surgery (46.3%), with most surgeons performing <10 cases/year.

Conclusions:

  • Ossiculoplasty is an infrequent procedure in the UK, primarily conducted by otologists with a specialized interest.
  • Current practice favors the use of prostheses and autografts, often combined with tympanoplasty.
  • This survey provides the first comprehensive overview of ossiculoplasty surgical practices in the United Kingdom.