Ossicular Chain Reconstruction Using Glass Ionomer Cement: Cement Alone and Cement with a Titanium Prosthesis Having a Helical Coil.

Cement ossiculoplasty and endoskeletal ossicular chain reconstruction using glass ionomer cement (GIC) are innovative techniques for restoring middle ear function after ossicular discontinuity. GIC is highlighted for its use with these techniques and biocompatibility, stability, and ability to bond with ossicles and titanium prostheses to help accomplish long-term, successful reconstructions and hearing outcomes. Fundamental principles of the methods that are described are: (1) attempt to replicate native anatomy as close as possible during ossicular chain reconstruction, (2) reduce extrusion rates; and (3) optimize long-term hearing outcomes. Detailed descriptions of the authors' surgical techniques when using GIC are included.