title: Bone cement ossiculoplasty: incus to stapes versus malleus to stapes cement bridge.
abstract: 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).
  
  
  CONCLUSIONS
  Bone cement ossiculoplasty offers cost effective and significant improvement in conductive hearing loss.
authors.affiliation: Department of Otolaryngology, Faculty of Medicine, University of Gaziantep, Turkey.
authors.forename: Yildirim A
authors.initials: YA
authors.lastname: Bayazit
authors.forename: Enver
authors.initials: E
authors.lastname: Ozer
authors.forename: Muzaffer
authors.initials: M
authors.lastname: Kanlikama
authors.forename: Tuba
authors.initials: T
authors.lastname: Durmaz
authors.forename: Metin
authors.initials: M
authors.lastname: Yilmaz
mesh_terms: D000328:Adult; D001301:Audiometry, Pure-Tone; D001843:Bone Cements / Q000627:therapeutic use*; D002908:Chronic Disease; D004429:Ear Ossicles / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006085:Graft Survival; D006309:Hearing; D006801:Humans; D007188:Incus; D008297:Male; D008307:Malleus; D008875:Middle Aged; D010033:Otitis Media / Q000188:drug therapy* / Q000601:surgery*; D013506:Otologic Surgical Procedures / Q000009:adverse effects; D038781:Otoscopy; D011184:Postoperative Period; D012189:Retrospective Studies; D013199:Stapes; D014432:Tympanic Membrane / Q000637:transplantation
chemical_list: D001843:Bone Cements