Ossicular reconstruction using bone cement.
OBJECTIVE
The objective of this study was to describe our results of ossicular reconstruction using bone cement.


METHODS
We conducted a retrospective review of 264 patients with chronic suppurative otitis media operated on since 1999.


METHODS
Academic tertiary referral center.


METHODS
: Two hundred sixty-four patients with chronic suppurative otitis media underwent mastoidectomy with tympanoplasty. Eighty patients had incudostapedial disarticulation secondary to infection and or cholesteatoma and were reconstructed using an incus interposition graft (n = 31), a partial ossicular prosthesis (POP; n = 31), or more recently, bone source (n = 18). This study evaluates the results of the ossiculoplasties using bone source.


METHODS
Ossicular discontinuity was repaired using bone cement.


METHODS
Audiometric studies pre- and postintervention were compared. One to 3 years of follow up are provided.


RESULTS
Preoperative air-bone gaps ranged from 18 dB to 60 dB and averaged 33 dB. Postoperative air-bone gaps ranged from 1 to 24 dB and averaged 10 dB. No patients have experienced any increase in their persistent conductive hearing loss. The pre-/postoperative hearing loss comparisons showed statistically significant hearing improvement. There were no complications.


CONCLUSIONS
The use of POPs and incus interposition grafts is fraught with the possibility of migration and resultant recurrent conductive hearing loss. Using bone cement to reconstruct the ossicular chain restores the integrity of the ossicular chain in the most natural of ways. This reconstruction technique provides an excellent alternative to currently accepted methods and should be considered for incus-stapes disarticulation. There has been no dissolution of the bone source and the results have persisted thus far.
Babu
Seilesh
S
Providence Hospital, Southfield, Michigan, USA.
Seidman
Michael D
MD
D000293:Adolescent; D000328:Adult; D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use*; D002648:Child; D002908:Chronic Disease; D004429:Ear Ossicles / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010035:Otitis Media, Suppurative / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome
D001843:Bone Cements