Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-02T21:38:20.177Z Has data issue: false hasContentIssue false

Long-term outcomes of ossiculoplasty using bone cement

Published online by Cambridge University Press:  04 July 2019

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]

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

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

References

1Austin, DF. Ossicular reconstruction. Arch Otolaryngol 1971;94:525–35Google Scholar
2Vaishya, R, Chauhan, M, Vaish, A. Bone cement. J Clin Orthop Trauma 2013;4:157–63Google Scholar
3American Academy of Otolaryngology-Head and Neck Surgery Foundation. Committee on hearing and equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg 1995;113:186–7Google Scholar
4Ozer, E, Bayazit, YA, Kanlikama, M, Mumbuc, S, Ozen, Z. Incudostapedial rebridging ossiculoplasty with bone cement. Otol Neurotol 2002;23:643–6Google Scholar
5Celenk, F, Baglam, T, Baysal, E, Durucu, C, Karatas, ZA, Mumbuc, S et al. Management of incus long process defects: incus interposition versus incudostapedial rebridging with bone cement. J Laryngol Otol 2013;127:842–7Google Scholar
6Babu, S, Seidman, MD. Ossicular reconstruction using bone cement. Otol Neurotol 2004;25:98101Google Scholar
7Homma, K, Du, Y, Shimizu, Y, Puria, S. Ossicular resonance modes of the human middle ear for bone and air conduction. J Acoust Soc Am 2009;125:968–79Google Scholar
8Silman, S, Silverman, CA. Auditory Diagnosis: Principles and Applications. Orlando: Academic Press, 1991Google Scholar
9Baylancicek, S, Iseri, M, Topdağ, , Ustundag, E, Ozturk, M, Polat, S et al. Ossicular reconstruction for incus long-process defects: bone cement or partial ossicular replacement prosthesis. Otolaryngol Head Neck Surg 2014;151:468–72Google Scholar
10Kum, RO, Kulacoglu, S. Effects of glass ionomer cement on facial nerve: a clinical and histopathologic evaluation. Acta Otolaryngol 2017;137:814– 17Google Scholar
11Bayazit, YA, Ozer, E, Kanlikama, M, Durmaz, T, Yilmaz, M. Bone cement ossiculoplasty: incus to stapes versus malleus to stapes cement bridge. Otol Neurotol 2005;26:364–7Google Scholar
12Reusche, E, Pilz, P, Oberascher, G, Lindner, B, Egensperger, R, Gloeckner, K et al. Subacute fatal aluminum encephalopathy after reconstructive otoneurosurgery: a case report. Hum Pathol 2001;32:1136–40Google Scholar
13Gérard, JM, De Bie, G, Franceschi, D, Deggouj, N, Gersdorff, M. Ossiculoplasty with hydroxyapatite bone cement: our reconstruction philosophy. Eur Arch Otorhinolaryngol 2015;272:1629–35Google Scholar
14Pitiot, V, Hermann, R, Tringali, S, Dubreuil, C, Truy, E. Revision stapes surgery for lysis of the long process of the incus: comparing hydroxyapatite bone cement versus malleovestibulopexy and total ossicular replacement prosthesis. Eur Arch Otorhinolaryngol 2016;273:2515–21Google Scholar
15Galy-Bernadoy, C, Akkari, M, Mathiolon, C, Mondain, M, Uziel, A, Venail, F. Comparison of early hearing outcomes of type 2 ossiculoplasty using hydroxyapatite bone cement versus other materials. Eur Ann Otorhinolaryngol Head Neck Dis 2014;131:289–92Google Scholar