Hearing results of the total middle ear reconstruction

摘要

Objective:To evaluate the success of hearing results in total middle ear reconstruction with cartilage ossiculoplasty for the patients with old open-mastoidectomy cavities. Method: A retrospective review of 69 patients who underwent total middle ear reconstruction with cartilage ossiculoplasty was performed.Results: In this series, the successful hearing results were obtained in 61% of the patients after operation, but 93% of the ears were dry. For patients with stapes, the successful rate was 65%; for patients without stapes,it was 58%. The mean hearing gain was 10.7dB. Conclusion: Total middle ear reconstruction offers an effective treatment algorithia of hearing reconstruction for patients with old mastoidectomy cavities. 1.Stapes is important for hearing improvement; 2.Staged operation is good for hearing restoration; 3.For a large number of patients with a problematic cavitites, hearing restoration is possible by total middle ear reconstruction.