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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Int+Arch+Otorhinolaryngol
2017 ; 21
(3
): 239-242
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Relation between Ossicular Erosion and Destruction of Facial and Lateral
Semicircular Canals in Chronic Otitis Media
#MMPMID28680491
Bul?urcu S
; Arslan ?B
; Dikilita? B
; Çukurova ?
Int Arch Otorhinolaryngol
2017[Jul]; 21
(3
): 239-242
PMID28680491
show ga
Introduction ?Chronic otitis media can cause multiple middle ear pathogeneses.
The surgeon should be aware of relation between ossicular chain erosion and other
destructions because of the possibility of complications. Objective ?This study
aimed to investigate the rates of ossicular erosion in cases of patients with and
without facial nerve canal destruction, who had undergone mastoidectomy due to
chronic otitis media with or without cholesteatoma. Methods ?We retrospectively
analyzed three hundred twenty-seven patients who had undergone
tympanomastoidectomy between April 2008 and February 2014. We documented the
types of mastoidectomy (canal wall up, canal wall down, and radical
mastoidectomy), erosion of the malleus, incus and stapes, and the destruction of
facial and lateral semi-circular canal. Results ?Out of the 327 patients, 147
were women (44.95%) and 180 were men (55.04%) with a mean age 50.8?±?13 years
(range 8-72 years). 245 of the 327 patients (75.22%) had been operated with the
diagnosis of chronic otitis media with cholesteatoma. FNCD was present in 62 of
the 327 patients (18.96%) and 49 of these 62 (79.03%) patients had chronic otitis
media with cholesteatoma. The correlation between the presence of FNCD with LSCC
destruction and stapes erosion in chronic otitis media with cholesteatoma is
statistically significant ( p ?0.05). Conclusion ?Although incus is the most
common of destructed ossicles in chronic otitis media, facial canal destruction
is more closely related to stapes erosion.