Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2002
Incudostapedial rebridging ossiculoplasty with bone cement.
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Ozer Enver, Bayazit Yildirim A, Kanlikama Muzaffer, Mumbuc Semih, Ozen Zeki
Аннотация
OBJECTIVE: This study reports the authors' technique and hearing results with bone cement reconstruction of the incudostapedial chain. The technique is called incudostapedial rebridging ossiculoplasty.
STUDY DESIGN: A retrospective analysis of the hearing results of the incudostapedial rebridging ossiculoplasty was performed on 15 patients.
BACKGROUND: Recently, bone cements have been available commercially, and their use in otologic surgery is increasing. Polymaleinate glass ionomer cement is a commercially available bone cement that can be used to reconstruct a discontinuity between the incus and the stapes.
SETTING: Tertiary referral center.
PATIENTS: Disease-free or cleansed middle ear and mastoid and intact ossicular chain except for discontinuity between the long process of the incus and the head of the stapes.
INTERVENTIONS: Therapeutic.
MAIN OUTCOMES MEASURES: Functional results of incudostapedial rebridging ossiculoplasty.
RESULTS: Of 15 patients, 9 achieved a successful hearing result (an air-bone gap within 20 dB) with incudostapedial rebridging ossiculoplasty after 1 year. The mean preoperative and postoperative air-bone gaps were 32.9 and 14.3 dB, respectively.
CONCLUSIONS: Incudostapedial rebridging ossiculoplasty with bone cement is a cost-effective and safe procedure that yields good hearing results in selected patients.
STUDY DESIGN: A retrospective analysis of the hearing results of the incudostapedial rebridging ossiculoplasty was performed on 15 patients.
BACKGROUND: Recently, bone cements have been available commercially, and their use in otologic surgery is increasing. Polymaleinate glass ionomer cement is a commercially available bone cement that can be used to reconstruct a discontinuity between the incus and the stapes.
SETTING: Tertiary referral center.
PATIENTS: Disease-free or cleansed middle ear and mastoid and intact ossicular chain except for discontinuity between the long process of the incus and the head of the stapes.
INTERVENTIONS: Therapeutic.
MAIN OUTCOMES MEASURES: Functional results of incudostapedial rebridging ossiculoplasty.
RESULTS: Of 15 patients, 9 achieved a successful hearing result (an air-bone gap within 20 dB) with incudostapedial rebridging ossiculoplasty after 1 year. The mean preoperative and postoperative air-bone gaps were 32.9 and 14.3 dB, respectively.
CONCLUSIONS: Incudostapedial rebridging ossiculoplasty with bone cement is a cost-effective and safe procedure that yields good hearing results in selected patients.