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Long-term outcomes of ossiculoplasty using bone cement

Published online by Cambridge University Press:  04 July 2019

B Demir ,
A Binnetoglu ,
A Sahin ,
U Derinsu  and
Ç Batman
B Demir*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey
A Binnetoglu
Affiliation:
St. Elizabeth's Medical Center, Boston, Massachusetts, USA
A Sahin
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey
U Derinsu
Affiliation:
Department of Audiology, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey
Ç Batman
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey
*
Author for correspondence: Dr Berat Demir, Department of Otorhinolaryngology – Head and Neck Surgery, Pendik Training and Research Hospital, Marmara UniversityMedical Faculty, Mimar Sinan Caddesi No. 41, Fevzi Cakmak Mahallesi, Ust Kaynarca-Pendik, 34899 Istanbul, Turkey E-mail: [email protected]
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Abstract

Objective

This study aimed to evaluate the long-term results of ossiculoplasty using bone cement.

Method

Forty patients (24 females and 16 males; mean age: 34.1 ± 11.8 years; range, 9–54 years) with chronic otitis media with perforation but without cholesteatoma who had undergone incudostapedial rebridging ossiculoplasty using bone cement were evaluated retrospectively. Pre-operative and post-operative audiograms were evaluated. Bone conduction, air conduction and air–bone gaps were calculated according to international guidelines.

Results

There was a mean reduction in pre-operative and post-operative air conduction (12.30 ± 11.98 dB), and this result was significant (p = 0.0001). There was a mean reduction in pre-operative and post-operative bone conduction (4.30 ± 6.69 dB), and this result was significant (p < 0.0001). The pre-operative air–bone gap was 27.65 dB and decreased to 19.65 dB during follow-up (p = 0.0001). No adverse reactions or complications were observed.

Conclusion

Bone cement is reliable for the repair of incudostapedial-joint defects.

Keywords

Bone CementIncusOssicular Replacement
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 8 , August 2019 , pp. 658 - 661
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr B Demir takes responsibility for the integrity of the content of the paper

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