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Updated: Aug 18, 2026
Techniques of Endoscopic Ossiculoplasty
Published on: January 26, 2024
Bone cement ossiculoplasty: incus to stapes versus malleus to stapes cement bridge
Yildirim A Bayazit1, Enver Ozer, Muzaffer Kanlikama
1Department of Otolaryngology, Faculty of Medicine, University of Gaziantep, Turkey.
Objective:
In this study, our purpose was to evaluate results of our experience with bone cement repair of ossicular discontinuity between the incus and stapes and between the malleus and stapes.
Methods:
Medical records of patients who underwent surgery for chronic otitis media between March 2000 and December 2002 were evaluated retrospectively. Fifty-seven patients who underwent bone cement ossiculoplasty and had appropriate follow-up data were included in the study. Bone cement reconstruction of the ossicular chain was performed 1) from incus to stapes (I-S) in the absence of long arm or lenticular process of the incus and 2) from malleus to stapes (M-S) in the absence of the incus. The clinical data of the patients were evaluated by otoscopic examination and audiometry.
Results:
The graft take rate was 84.1%. I-S procedure was performed in 42 and M-S in 8 patients. Pre- and postoperative PTAs of all patients were compared, which showed a significant improvement in air PTA (p < 0.001) while bone PTA did not change (p > 0.05). In I-S and M-S groups, successful hearing restoration could be achieved in 78.6.1% and 87.5% of the patients, respectively. Hearing results of different aural pathologies (chronic otitis media and conductive hearing loss) and surgeries (tympanotomy and tympanoplasty with or without mastoidectomy) were not significantly different (p > 0.05).
Conclusion:
Bone cement ossiculoplasty offers cost effective and significant improvement in conductive hearing loss.
