Otology

Vol. 44: Issue 6 - December 2024

Factors influencing audiologic outcomes in ossiculoplasty for chronic otitis media: a prospective multicentre study

Authors

Gianluca Fadda , Federico Merlino , Giovanni Cavallo , Simone Moglio , Giuseppe Magliulo , Giannicola Iannella , Antonio Greco , Annalisa Pace , Andrea De Vito , Giovanni Cammaroto , Salvatore Ronsivalle , Milena Di Luca , Federica Parisi , Antonio Frisina , Pietro Canzi , Salvatore Ferlito , Antonino Maniaci

Key words: chronic otitis media, ossiculoplasty, hearing outcomes, cholesteatoma, ear surgery
DOI: 10.14639/0392-100X-N2973
Publication Date: 2024-12-19

Abstract

Objective. Chronic otitis media (COM) is a prevalent condition affecting auditory function. Ossiculoplasty is a known treatment strategy, but its effectiveness concerning the presence of cholesteatoma has not been extensively studied.
Methods. We conducted a multicentre study involving 153 patients diagnosed with COM without cholesteatoma (ncCOM) and with cholesteatoma (cCOM). Patients underwent ossiculoplasty, and postoperative hearing outcomes were analysed.
Results. After patient selection, 133 participants were included. Postoperatively, significant improvements in hearing function were observed in both groups, substantiating the role of ossiculoplasty in treatment of COM. However, different outcomes were noted between ncCOM and cCOM. Patients with cCOM demonstrated a slightly lesser degree of hearing improvement post-surgery compared to their ncCOM counterparts.
Conclusions. Our findings confirm ossiculoplasty as a standard and effective treatment strategy for COM. The presence of cholesteatoma may influence the effectiveness of surgery, underscoring the need for individualised surgical planning. Future research should focus on confirming these results and more comprehensively exploring the impact of cholesteatoma on surgical outcomes.

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Authors

Gianluca Fadda - Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy. These authors share the first authorship.

Federico Merlino - Otolaryngology Service, ASP ENNA, Enna, Italy. These authors share the first authorship

Giovanni Cavallo - Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy

Simone Moglio - Department of Otolaryngology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Italy

Giuseppe Magliulo - Department of ’Organi di Senso’, University ”Sapienza”, Rome, Italy

Giannicola Iannella - Department of ’Organi di Senso’, University ”Sapienza”, Rome, Italy

Antonio Greco - Department of ’Organi di Senso’, University ”Sapienza”, Rome, Italy

Annalisa Pace - Department of ’Organi di Senso’, University ”Sapienza”, Rome, Italy

Andrea De Vito - Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy

Giovanni Cammaroto - Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy

Salvatore Ronsivalle - Department of Pathology, Hospital ”Gravina e Santo Pietro”, Caltagirone, Italy

Milena Di Luca - Department of Pathology, Hospital ”Gravina e Santo Pietro”, Caltagirone, Italy

Federica Parisi - Department of Medical and Surgical Sciences and Advanced Technologies ’’GF Ingrassia’’ ENT Section, University of Catania, Catania, Italy

Antonio Frisina - Otorhinolaryngology Unit, Department of Surgical Specialties, Vicenza Civil Hospital, Vicenza, Italy

Pietro Canzi - Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy

Salvatore Ferlito - Department of Medical and Surgical Sciences and Advanced Technologies ’’GF Ingrassia’’ ENT Section, University of Catania, Catania, Italy

Antonino Maniaci - Faculty of Medicine and Surgery, University of Enna ”Kore”, Enna, Italy. Corresponding author - tnmaniaci29@gmail.com

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Copyright

Copyright (c) 2024 Società Italiana di Otorinolaringoiatria e chirurgia cervico facciale

How to Cite
Fadda, G., Merlino, F., Cavallo, G., Moglio, S., Magliulo, G., Iannella, G., Greco, A., Pace, A., De Vito, A., Cammaroto, G., Ronsivalle, S., Di Luca, M., Parisi, F., Frisina, A., Canzi, P., Ferlito, S., & Maniaci, A. (2024). Factors influencing audiologic outcomes in ossiculoplasty for chronic otitis media: a prospective multicentre study. ACTA Otorhinolaryngologica Italica, 44(6), 400–411. https://doi.org/10.14639/0392-100X-N2973
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