European Archives of Oto-Rhino-Laryngology

, Volume 276, Issue 5, pp 1301–1305 | Cite as

Ossicular chain erosion in chronic otitis media patients with cholesteatoma or granulation tissue or without those: analysis of 915 cases

  • Mustafa Akarcay
  • M. Tayyar KalciogluEmail author
  • Ozan Tuysuz
  • Emine Timurlenk
  • Hasan Guclu



The aim of this study was to evaluate the ossicular chain erosions (OCE) in chronic otitis media patients with cholesteatoma (COM-C) or without cholesteatoma (COM).

Materials and methods

The OCE and preoperative hearing levels of a total of 915 patients were evaluated retrospectively. Patients were divided into three groups. Of the 915 patients, 615 (67.2%) had COM, 234 (25.6%) had COM-C, and 66 (7.2%) had chronic otitis media with granulation tissue (COM-G).


OCE was found in 291 (31.8%) of 915 patients. OCE was found in 192 (82%) of 234 patients with COM-C, 21 (31.8%) of 66 patients with COM-G, and 78 (12.7%) of 615 patients with COM.


The most commonly seen OCE was incus erosion, followed by stapes and malleus erosions. The results of this study show that there are more OCE in the COM-C group than in the COM-G and COM groups. To our knowledge, this study has the widest patient population in the literature focused on the OCE relation with COM, COM-C, and COM-G and its effect on the preoperative hearing level.


Ossicle Erosion Chronic otitis media Incus Stapes Malleus 



We thank to Assoc. Prof. Oguz Kayiran to his effort for statistical analysis.


This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. This study was presented in 9th Cochlear Implant, otology-neurotology Congress (National) 7–10 December, 2017, Antalya, Turkey and 31th Politzer Society Meeting, 21–24 February, 2018, Las Palmas de Gran Canaria, Spain.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

Statement of human rights

The study has been approved by the Ethical Committee of the University Hospital and has been performed according to the ethical standards of the Helsinki Declaration. Because of it was a retrospective study, formal consent was not required. We declare that all authors have contributed to, read and approved the final manuscript for submission.

Ethical approval

This study was retrospectively data analysis study and it did not need to informed consent. This retrospective study was performed after approval of local ethic committee.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology, Head and Neck SurgeryIstanbul Bilim UniversityIstanbulTurkey
  2. 2.Department of Otorhinolaryngology, Head and Neck SurgeryIstanbul Medeniyet University Goztepe Training and Research HospitalIstanbulTurkey
  3. 3.Department of Biostatistics and Medical InformaticsIstanbul Medeniyet UniversityIstanbulTurkey

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