Abstract
Background: The ossicular chain, consisting of the malleus, incus, and stapes, transmits sound to the inner ear through their articulations. Ossicular damage may occur following infection, trauma, or congenital anomalies. Various materials have been used for ossiculoplasty.
Objectives: to investigate the clinical characteristics, morphological patterns of ossicular lesions, and the outcomes of ossiculoplasty.
Subjects and Methods: Forty patients with 43 operated ears underwent ossiculoplasty at Hue University of Medicine and Pharmacy Hospital between March 2023 and March 2025.
Results:
The mean age was 44.12 ± 16.27 years. The main presenting symptom was hearing loss. The mean preoperative air conduction threshold was 66.86 ± 20.10 dB and the mean air–bone gap (ABG) was 40.52 ± 11.49 dB. The incus was involved in all patients. Autologous materials were predominantly used; titanium was used in one case. Postoperatively, the mean air conduction threshold was 46.76 ± 17.21 dB at 3 months and 41.69 ± 16.43 dB at 6 months. The mean ABG was 23.99 ± 7.94 dB at 3 months and 21.97 ± 7.83 dB at 6 months. After 6 months, 35 patients achieved an ABG ≤ 25 dB.
Conclusion: Ossiculoplasty yielded favorable outcomes and can be further applied in future practice.
| Published | 2026-09-28 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | Vol. 16 No. 5 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.5.718 | |
| Keywords | endoscopic ossiculoplasty, chronic otitis media, cholesteatoma. |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
Young A, Ng M. Ossiculoplasty. StatPearls [Internet]: StatPearls Publishing; 2025.
Yung M. Materials for Ossicular Chain Reconstruction. In: Hildmann HS, Holger, editor. Middle Ear Surgery Berlin, Heidelberg: Springer; 2006. p. 55–61.
Cao MT. Nghiên cứu đặc điểm lâm sàng viêm tai giữa mạn tổn thương xương con và đánh giá kết quả phẫu thuật tạo hình xương con: Đại học Y Hà Nội; 2008.
Hồ LHN, Phạm TT, Châu CH, Nguyễn TP. Phẫu thuật nội soi tạo hình tai giữa và hiệu quả của trụ gốm thay thế xương con tại Bệnh viện Tai Mũi Họng Cần Thơ. Bệnh viện Tai Mũi Họng Cần Thơ; 2020.
Nguyen N, Ta QL. The New Staging System for Computed Tomography Evaluation of Chronic Otitis Media and Mastoiditis. Indian Journal of Otology. 2022;28(3):216–22.
Ngô NL. Tính thiếu hụt sức nghe. Thính học ứng dụng. Hà Nội: Nhà xuất bản Y học; 2014. p. 27 - 38.
Berenholz L, John B, William L. Total Ossiculoplasty: Advantages of Two-Point Stabilization Technique. International Journal of Otolaryngology. 2012:9.
Glasscock III ME, Gulya AJ. Anatomy of the Ear and Temporal Bone. In: Glasscock MEIG, Aina Julianna, editor. Glasscock-Shambaugh: Surgery of the Ear. 5th ed. Hamilton, Ontario; London: BC Decker Inc.; 2003. p. 44–5, 68-70.
Yung M. Cartilage tympanoplasty: literature review. The Journal of Laryngology & Otology. 2008;122(7):663–72.
Adams ME, El-Kashlan HK. Tympanoplasty and Ossiculoplasty. In: Flint PWF, Howard W.; Haughey, Bruce H.; Lesperance, Marci M.; Lund, Valerie J.; Robbins, K. Thomas; Thomas, J. Regan, editor. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia: Elsevier; 2021. p. 2162–5.