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The effect of age on ossiculoplasty results: A retrospective evaluation of 60 cases
1Private Şanmed Hospital, Department of Otorhinolaryngology - Head and Neck Surgery, Şanlıurfa, Turkey.
Insights
Pediatric patients undergoing ossiculoplasty achieved better hearing outcomes compared to adults. Early surgical intervention in children may lead to improved ossiculoplasty results.
Area of Science:
- Otolaryngology
- Surgical Outcomes
- Pediatric Audiology
Background:
- Ossiculoplasty is a surgical procedure to restore hearing by reconstructing or replacing the ossicles.
- Limited research exists on ossiculoplasty outcomes specifically in pediatric populations.
- The influence of patient age on ossiculoplasty success remains largely unexplored.
Purpose of the Study:
- To investigate the impact of age on the results of ossiculoplasty.
- To compare hearing outcomes between pediatric and adult patients undergoing ossiculoplasty.
Main Methods:
- Retrospective clinical study involving 60 patients (9-57 years old) who underwent ossiculoplasty.
- Patients were divided into two groups: pediatric (<18 years) and adult (≥18 years).
- Air-bone gap was measured preoperatively and at 3 and 12 weeks postoperatively for comparison.
Main Results:
- No significant difference in preoperative air-bone gaps between pediatric and adult groups.
- Pediatric group (Group A) showed statistically significant greater air-bone gap gain at 3 and 12 weeks postoperatively compared to the adult group (Group B).
- Presence of malleus correlated with better hearing gain in both groups at 3 months; stapes suprastructure presence did not significantly impact outcomes.
Conclusions:
- Ossiculoplasty outcomes are superior in the pediatric age group.
- Recommends prompt surgical intervention for ossiculoplasty in children to optimize hearing results.
Objective:
There are only a few studies evaluating ossiculoplasty results in the pediatric age group. Although the effect of different factors on the results of ossiculoplasty is investigated, the effect of age on ossiculoplasty results is not known. In this study, the effect of age on ossiculoplasty results has been investigated.
Methods:
This retrospective clinical study was performed in 60 patients (30 female, 30 male; mean age 15.5±14.3 years, range 9-57 years) who underwent ossiculoplasty. The cases were divided into two groups according to their age. Group A consisted of pediatric cases younger than 18 years of age and group B consisted of adult subjects (>18 years). The comparison of the groups was made by taking into consideration the air-bone gap in the 3rd and 12th weeks of the pre- and postoperative period.
Results:
There was no statistically significant difference between preoperative air-bone gaps of the groups (p=0.086). In the third postoperative month, the air-bone gap gain of group A was statistically significantly higher than group B (p=0.0001). The air-bone gap gain of group A was significantly higher than group B in the postoperative 12th month (p=0.026). The air-bone gap gain of the patients with malleus in group A and group B was higher in the postoperative 3rd month than in the patients without malleus (all p values <0.05). There was no statistically significant difference between the air-bone gap gain in patients with the stapes suprastructure and the air-bone gap gain of the patients without stapes suprastructure in group A and group B in the postoperative 3rd month (p values >0.05).
Conclusion:
The results of ossiculoplasty were found better in the pediatric age group. We think that ossiculoplasty should be carried out without delay in the pediatric age group.
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