caa a22 4500 606184341 CHVBK 20210128100825.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00405-014-3445-0 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3445-0 Surgery of isolated malleus fixation due to tympanosclerosis [Elektronische Daten] [Erdal Sakalli, Cengiz Celikyurt, Burak Guler, Sultan Biskin, Hasan Tansuker, Selcuk Erdurak] The aim of the present study was to describe our surgical approach for isolated malleus fixation in patients with tympanosclerosis and to analyze the postoperative results. A total of 30 patients presented with isolated malleus fixation were operated. The fixation was reached via canalplasty. Fixated areas were cleaned without damaging the ossicle. Pre- and postoperative audiometric results were evaluated for each patient. Improvement of the pure-tone average (PTA) by at least 10dB and an air-bone gap (ABG) of less than 20dB after 12months of follow-up was accepted to indicate success. The recovery of the postoperative PTA and ABG measurements was significant. Pre- and postoperative PTA was 48.00±11.86 and 24.90±12.45dB, respectively (p<0.001). According to PTA measurements, 40-50dB recovery was achieved in four (13.3%) patients, 31-40dB in six (20%) patients, 21-30dB in ten (33.3%) patients, and 11-20dB in five (16.6%) patients, with a total success rate of 25/30 (83.2%). Pre- and postoperative ABG levels were 38.95±9.92 and 16.10±7.79dB (p<0.001), respectively. The ABG level was between 0 and 10dB for 8 (26.6%) patients, and 11-20dB for 16 (53.3%), with a total success rate of 24/30 (80%). In cases of isolated malleus fixation with tympanosclerosis, performing a canalplasty to clean the sclerotic plaques without damaging the normal anatomy of the ossicle system using a diamond burr is a safe surgical option that provides significant recovery in hearing levels. Springer-Verlag Berlin Heidelberg, 2014 Tympanosclerosis nationallicence Malleus nationallicence Fixation nationallicence Hearing loss nationallicence Mobilization nationallicence Sakalli Erdal Department of Otorhinolaryngology, Safa Private Hospital, Istanbul, Turkey aut Celikyurt Cengiz Department of Otorhinolaryngology, Safa Private Hospital, Istanbul, Turkey aut Guler Burak Department of Otorhinolaryngology, Safa Private Hospital, Istanbul, Turkey aut Biskin Sultan Department of Otorhinolaryngology, Bulent Ecevit University Medical Faculty, Zonguldak, Turkey aut Tansuker Hasan Department of Otorhinolaryngology, Devrek State Hospital, Zonguldak, Turkey aut Erdurak Selcuk Department of Otorhinolaryngology, Hisar Intercontinental Private Hospital, Istanbul, Turkey aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/12(2015-12-01), 3663-3667 0937-4477 272:12<3663 2015 272 405 https://doi.org/10.1007/s00405-014-3445-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3445-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sakalli Erdal Department of Otorhinolaryngology, Safa Private Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Celikyurt Cengiz Department of Otorhinolaryngology, Safa Private Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Guler Burak Department of Otorhinolaryngology, Safa Private Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Biskin Sultan Department of Otorhinolaryngology, Bulent Ecevit University Medical Faculty, Zonguldak, Turkey aut NATIONALLICENCE 700 1- Tansuker Hasan Department of Otorhinolaryngology, Devrek State Hospital, Zonguldak, Turkey aut NATIONALLICENCE 700 1- Erdurak Selcuk Department of Otorhinolaryngology, Hisar Intercontinental Private Hospital, Istanbul, Turkey aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/12(2015-12-01), 3663-3667 0937-4477 272:12<3663 2015 272 405