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Long-term outcomes of ossiculoplasty using bone cement
B Demir1, A Binnetoglu2, A Sahin1
1Department of Otorhinolaryngology - Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey.
The Journal of Laryngology and Otology
|July 5, 2019
Summary
Bone cement ossiculoplasty effectively repairs incudostapedial-joint defects, significantly improving hearing outcomes. This reliable surgical technique shows no adverse effects in long-term evaluations.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Audiology
Background:
- Chronic otitis media frequently causes incudostapedial-joint defects.
- Ossiculoplasty aims to restore hearing by reconstructing middle ear ossicles.
- Bone cement offers a potential material for ossicular reconstruction.
Purpose of the Study:
- To evaluate the long-term efficacy of ossiculoplasty using bone cement.
- To assess hearing improvements after incudostapedial rebridging with bone cement.
- To determine the safety and reliability of bone cement in this surgical application.
Main Methods:
- Retrospective evaluation of 40 patients undergoing incudostapedial rebridging ossiculoplasty with bone cement.
- Analysis of pre-operative and post-operative audiograms.
- Calculation of bone conduction, air conduction, and air-bone gaps.
Main Results:
- Significant reduction in air conduction (12.30 dB) and bone conduction (4.30 dB).
- Mean air-bone gap decreased from 27.65 dB to 19.65 dB.
- No adverse reactions or complications were reported during follow-up.
Conclusions:
- Bone cement is a reliable material for repairing incudostapedial-joint defects.
- Ossiculoplasty with bone cement leads to significant hearing improvement.
- The technique is safe and effective for long-term use.
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