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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2017; 21(03): 239-242
DOI: 10.1055/s-0036-1592417
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Relation between Ossicular Erosion and Destruction of Facial and Lateral Semicircular Canals in Chronic Otitis Media

Suphi Bulğurcu
1   Department of Otorhinolaryngology, Başkale State Hospital, Van, Turkey
,
İlker Burak Arslan
2   Department of Otorhinolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey
,
Bünyamin Dikilitaş
2   Department of Otorhinolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey
,
İbrahim Çukurova
2   Department of Otorhinolaryngology, Tepecik Training and Research Hospital, Izmir, Turkey
› Author Affiliations
Further Information

Publication History

19 June 2016

14 August 2016

Publication Date:
14 September 2016 (online)

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Abstract

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.

Keywords

ear ossicles - facial nerve - otitis
 

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