Authors: M Tayyar Kalcioglu Mehmet Tan Jelle Fleerakkers
Publish Date: 2013/01/03
Volume: 270, Issue: 11, Pages: 2849-2855
Abstract
Bone cement is a good and cheap option for some ossicular chain problems such as incudostapedial rebridging The purpose of this retrospective study is to evaluate the audiologic results after reconstruction of three different types of ossicular chain defects using bone cement Group 1 consists of 42 patients who underwent an ossiculoplasty using bone cement between the damaged long process of the incus and an intact stapes superstructure Group 2 consists of 46 patients in which incus interposition between malleus and stapes superstructure was performed using bone cement to fix the interposed incus For group 3 consisting of 32 patients who had a present malleus a defective long process of the incus and a missing stapes superstructure a reshaped incus was placed between the stapes footplate and the malleus and bone cement was again used as a fixator Preoperative and postoperative puretone audiometric findings were obtained and hearing differences were assessed The mean preoperative and postoperative airbone gaps were 348 and 156 35 and 184 and 434 and 198 for groups 1 2 and 3 respectively There was a significant improvement in hearing outcomes in all the groups when comparing preoperative and postoperative mean airbone gaps p 0001 The postoperative airbone gap was ≤20 dB in 76 of patients in group 1 64 of patients in group 2 and 46 of patients in group 3 Bone cement is an effective and cheap option for some ossicular chain problems such as incudostapedial rebridging It may also be used to fix the interposed incus to the stapes superstructure and/or malleus to avert displacementThis article was partly presented at the 33th Congress of Turkish Otorhinolaryngology and Head and Neck Surgery and 2nd Joint Meeting of Turkish and German Societies of Otorhinolaryngology and Head and Neck Surgery Antalya Turkey October 26–30 2011
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