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Updated: Jun 21, 2026
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Techniques of Endoscopic Ossiculoplasty
Published on: January 26, 2024
Incudostapedial rebridging ossiculoplasty with bone cement
Tekin Baglam1, Erkan Karatas, Cengiz Durucu
1Gaziantep University, Department of Otolaryngology-Head Neck Surgery, Gaziantep, Turkey. tekinbaglam@yahoo.com
Summary
Ionomeric bone cement effectively repairs incus-stapes discontinuity, offering reliable and cost-effective ossicular reconstruction. This method provides satisfactory hearing results for selected patients with ossicular discontinuity.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Audiology
Background:
- Ossicular discontinuity impairs hearing.
- Effective reconstruction methods are crucial for hearing restoration.
Purpose of the Study:
- To evaluate hearing outcomes of ionomeric bone cement for incus-stapes discontinuity repair.
- Assess the reliability and efficacy of this surgical technique.
Main Methods:
- Retrospective case series of 136 patients undergoing incudostapedial rebridging ossiculoplasty with ionomeric bone cement.
- Audiologic results (air-bone gap, pure-tone average) were compared preoperatively and postoperatively.
- One-year follow-up was conducted.
Main Results:
- 81.6% of patients achieved a postoperative air-bone gap < 20 dB after one year.
- Significant improvements in pure-tone averages (52.82 dB to 32.81 dB) and air-bone gaps (35.83 dB to 16.54 dB) were observed (P<0.01).
- No middle ear complications related to bone cement were reported.
Conclusions:
- Incudostapedial rebridging ossiculoplasty using ionomeric bone cement is a reliable ossicular reconstruction technique.
- This method is cost-effective and yields satisfactory hearing results in select patients.
- The study supports its use in managing incus-stapes discontinuity.
