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OBJECTIVES: To present and assess ossicular reconstruction done with biologic TORP & PROP made using conchal cartilage to improve the conductive hearing loss in patients with chronic otitis media.
METHODS : In this prospective study, 59 patients, in the age group of 13 to 58 years, with various spectrum of chronic otitis media who had undergone ossiculoplasty with prosthesis made of autologous conchal cartilage are included. All patients underwent various tympano-mastoidectomy procedures and ossicular reconstruction. Biologic ossicular reconstruction prosthesis similar to synthetic prosthesis was made using autologous conchal cartilage and Isoamyl- 2 -Cyaoacrylate bio-adhesive material. Similar to synthetic prosthetic material, this consisted of a disk and a shaft, shape and size of which varied depending on the situation and requirement.
RESULTS : All patients were followed up regularly with a mean follow-up of 2.6 years. Biologic prosthetic material was not rejected in all patients and has provided serviceable hearing in 56 patients. No patient required revision surgery for ossicular reconstruction.
CONCLUSIONS : The advantage of these prosthesis are : The donor prosthesis material is easily available in the vicinity of the surgery, the prosthesis is easy to model, can be tailored for all types middle ear ossicular situations, economical, easily reproducible, less time consuming, associated with good hearing improvement and most important of all there was no rejection of the prosthetic material. Isoamyl- 2 -Cyaoacrylate bio-adhesvie is a non-toxic substance.
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