ORIGINAL ARTICLE
OSSICULOPLASTY IN HEARING LOSS TREATMENT OF PATIENTS WITH OSTEOGENESIS IMPERFECTA
,
 
,
 
Piotr H. Skarzynski 1,2,3, A,F
 
 
 
More details
Hide details
1
Otorhinolaryngology Surgery Clinic, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany
 
2
Department of Heart Failure and Cardiac Rehabilitation, Medical University of Warsaw
 
3
Institute of Sensory Organs, Kajetany
 
 
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
 
 
Publication date: 2018-03-31
 
 
J Hear Sci 2018;8(1):25-30
 
KEYWORDS
ABSTRACT
Osteogenesis imperfecta is a connective tissue disease manifested by abnormalities within organs and structures rich in collagen. Typically, symptoms arise from the osteoarticular system. Excessive brittleness of the bones causes multiple fractures. Among patients with hearing loss, osteogenesis imperfecta manifests as changes to the stapes: the legs are broken and the footplate is immobilized and thickened. Changes to the malleus and incus are rarely reported. This location is associated with difficult conditions during surgery, difficult access to the ossicles. This research presents the characteristics and hearing results of patients who have undergone ossiculoplasty as a treatment of hearing loss in osteogenesis imperfecta. Two case reports present massively altered conditions within the middle ear in patients with type III osteogenesis imperfecta – the most severe among live births, who have undergone multiple surgeries due to hearing loss, resulting in a moderate improvement in hearing.
REFERENCES (24)
1.
McKusick VA. Heritable disorders of connective tissue. V: Osteogenesis imperfecta, Journal of Chronic Diseases, 1956, 3(2): 180–202.
 
2.
Harrington J, Sochett E, Howard A. Update on the evaluation and treatment of osteogenesis imperfecta. Pediatric Clinics of North America, 2014 December; 61(6): 1243–57.
 
3.
Van Dijk F, Sillence D. Osteogenesis imperfecta: clinical diagnosis, nomenclature and severity assessment. Am J Med Genet, 2014; 164A: 1470–81.
 
4.
Shea JJ, Postma DS. Findings and long-term surgical results in the hearing loss of osteogenesis imperfecta. Arch Otolaryngol, 1982 Aug; 108(8): 467–70.
 
5.
Van der Rijt AJ, Cremers CW. Stapes surgery in osteogenesis imperfecta: results of a new series. Otol Neurotol, 2003 Sep; 24(5): 717–22.
 
6.
Kuurila K, Pynnönen S, Grénman R. Stapes surgery in osteogenesis imperfecta in Finland. Ann Otol Rhinol Laryngol, 2004 Mar; 113(3 Pt 1): 187–93.
 
7.
Swinnen FK, De Leenheer EM, Coucke PJ, Cremers CW, Dhooge IJ. Audiometric, surgical, and genetic findings in 15 ears of patients with osteogenesis imperfecta. Laryngoscope, 2009 Jun; 119(6): 1171–9. doi: 10.1002/lary.20155.
 
8.
Pedersen U, Elbrønd O. Surgical findings and results of stapedectomy in patients with osteogenesis imperfecta. J Laryngol Otol, 1979 Dec; 93(12): 1229–33.
 
9.
Cremers C, Garretsen T. Stapes surgery in osteogenesis imperfecta. Am J Otol, 1989; 10: 474–6.
 
10.
Doi K, Nishimura H, Ohta Y, Kubo T. Stapes surgery in Japanese patients with osteogenesis imperfecta. Adv Otorhinolaryngol, 2007; 65: 226–30.
 
11.
Swinnen FKR, De Leenheer EMR, Coucke PJ, Cremers CWRJ, Dhooge IJM. Stapes surgery in osteogenesis imperfecta: retrospective analysis of 34 operated ears. Audiol Neuro-otol, 2012 April; 17(3): 198–206.
 
12.
Vincent R, Wegner I, Stegeman I, Grolman W. Stapedotomy in Osteogenesis Imperfecta: a prospective study of 32 consecutive cases. Otol Neurotol, 2014 December; 35(10): 1785–9.
 
13.
Garretsen AJTM, Cremers CWRJ. Osteogenesis imperfecta type I: otological and clinical genetic aspects. Arch Otolaryngol Head Neck Surg, 1990; 116: 317–23.
 
14.
Philippon D, Laflamme N, Leboulanger N, Loundon N, Rouillon I, Garabedian EN, Denoyelle F. Hearing outcomes in functional surgery for middle ear malformations. Otol Neurotol, 2013 October; 34(8): 1417–20.
 
15.
Vincent R, Wegner I, Kamalski DM, Bittermann AJ, Grolman W. Congenital Stapes Ankylosis in Children: Surgical Findings and Results in 35 Cases. Otol Neurotol. 2016 Apr;37(4):367-73.
 
16.
Quesnel S, Benchaa T, Bernard S, Martine F, Viala P, Van Den Abbeele T, Teissier N. Congenital middle ear anomalies: anatomical and functional results of surgery. Audiol Neurootol, 2015; 20(4) :237–42.
 
17.
Schwager K. Reconstruction of middle ear malformations. Curr Top Otorhinolaryngol Head Neck Surg, 2007; 6.
 
18.
Martin C, Oletski A, Prades JM. Surgery of idiopathic malleus fixation. Otol Neurotol, 2009 Feb; 30(2): 165–9.
 
19.
Armstrong BW. Epitympanic malleus fixation: correction without disrupting the ossicular chain. Laryngoscope, 1976 Aug; 86(8): 1203–8.
 
20.
Seidman MD, Babu S. A new approach for malleus/incus fixation: no prosthesis necessary. Otol Neurotol, 2004 Sep; 25(5): 669–73.
 
21.
Nager GT, ed. Pathology of the Ear and Temporal bone. Baltimore, MD: Williams and Wilkins, 1993, 952–7.
 
22.
Park K, Choung YH. Isolated congenital ossicular anomalies. Acta Otolaryngol, 2009 Apr; 129(4): 419–22.
 
23.
Coutinho MB, Marques C, Mendes GJ, Gonçalves C, Successful bone-anchored hearing aid implantation in a patient with osteogenesis imperfecta. J Laryngol Otol, 2015 Nov; 129(11): 1133–6.
 
24.
Kontorinis G, Lenarz T, Mojallal H, Hinze AL, Schwab B. Power stapes: an alternative method for treating hearing loss in osteogenesis imperfecta? Otol Neurotol, 2011 Jun; 32(4): 589–95.
 
Journals System - logo
Scroll to top