A Study of Outcome of Ossicuplasty using Autologous Cartilage and Refashioned Incus in Patients of CSOM

Background: Chronic suppurative otitis media (CSOM) is a persistent inflammation of the middle ear cleft, leading to ossicular erosion and hearing loss. Ossiculoplasty aims to reconstruct the ossicular chain to restore hearing. This study compares the outcomes of ossiculoplasty using autologous cartilage versus refashioned incus in patients with CSOM. Methods: A prospective study was conducted on 100 patients diagnosed with CSOM requiring ossiculoplasty. Patients were divided into two groups: Group A (n=50) received autologous cartilage grafts, and Group B (n=50) received refashioned incus. Preoperative and postoperative audiometric evaluations were performed to assess hearing improvement over a 6-month follow-up period. Results: Both groups showed significant postoperative hearing improvement. Group A had an average air-bone gap (ABG) reduction of 20 dB, while Group B showed an average reduction of 18 dB. The difference between the groups was not statistically significant (p > 0.05). Graft uptake rates were comparable in both groups, with minimal complications observed. Conclusion: Ossiculoplasty using either autologous cartilage or refashioned incus provides significant hearing improvement in CSOM patients. Both materials are effective and safe, with no significant difference in outcomes. Selection of the graft material can be based on surgeon preference and intraoperative findings.