Outcomes review and future management of conductive hearing loss

Q3 Medicine Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI:10.1016/j.otot.2024.01.013

Sven Beckmann MD, Lukas Anschuetz MD

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Abstract

This article provides an up-to-date accounting of various surgical options and reported trends in middle ear reconstruction for conductive hearing loss with a primary focus on hearing outcomes. In general, the results after bridging tympanoplasty type II are superior to the results after type III tympanoplasty. For type III tympanoplasty most case series report more favorable hearing outcomes for partial ossicular replacement prosthesis (PORP reconstruction) as compared to total ossicular replacement prosthesis (TORP reconstruction). Endoscopic ossicular chain reconstruction yields comparable hearing outcomes with improved early hearing outcome. Long-term outcome reporting of hearing outcomes after endoscopic ossiculoplasty are needed. Surgical reconstruction of the ossicular chain enables the ear surgeon to tailor the surgical treatment individually to the patient thanks to the wide range of surgical techniques and prosthesis designs available.

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传导性听力损失的成果回顾与未来管理

本文介绍了传导性听力损失中耳重建的各种手术方案和最新趋势，主要关注听力效果。一般来说，II型桥接鼓室成形术的效果优于III型鼓室成形术。对于 III 型鼓室成形术，大多数病例系列报告称，部分听骨替代假体（PORP 重建）与全听骨替代假体（TORP 重建）相比，听力效果更佳。内窥镜听骨链重建术的听力效果与之相当，早期听力效果有所改善。需要对内窥镜听骨链重建术后的听力效果进行长期报告。由于手术技术和假体设计的多样性，耳科外科医生可以根据患者的具体情况进行手术治疗。

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来源期刊

Operative Techniques in Otolaryngology - Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.70

自引率

0.00%

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审稿时长

43 days

期刊介绍： This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.

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