Incudostapedial rebridging ossiculoplasty with bone cement.
OBJECTIVE
The purpose of this study is to evaluate hearing results of our experience with ionomeric bone cement repair of ossicular discontinuity between incus and stapes.


METHODS
Case series with chart review.


METHODS
Tertiary referral center.


METHODS
One hundred thirty-six patients who underwent incudostapedial rebridging ossiculoplasty with ionomeric bone cement were included in the study. Preoperative and postoperative audiologic results of incudostapedial rebridging ossiculoplasty with bone cement were evaluated. One year of follow-up is provided.


RESULTS
The postoperative air-bone gap was less than 20 dB in 81.6 percent after one year. The mean preoperative and postoperative pure-tone avarages of the patients were 52.82+/-5.59 and 32.81+/-7.18 dB, respectively (P<0.01). The mean preoperative and postoperative air-bone gaps were 35.83+/-4.73 and 16.54+/-5.01, respectively (P<0.01). There were no statistically significant differences among the hearing results of different types of surgeries (P>0.05). No complications in the middle ear related to bone cements were encountered.


CONCLUSIONS
Incudostapedial rebridging ossiculoplasty with ionomeric bone cement is a reliable method for ossicular reconstruction that is cost effective and offers satisfactory hearing results in selected patients.
Baglam
Tekin
T
Gaziantep University, Department of Otolaryngology-Head Neck Surgery, Gaziantep, Turkey. tekinbaglam@yahoo.com
Karatas
Erkan
E
Durucu
Cengiz
C
Kilic
Ali
A
Ozer
Enver
E
Mumbuc
Semih
S
Kanlikama
Muzaffer
M
D000293:Adolescent; D000328:Adult; D001301:Audiometry, Pure-Tone; D001309:Auditory Threshold; D001843:Bone Cements / Q000627:therapeutic use*; D004429:Ear Ossicles / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006320:Hearing Tests / Q000379:methods; D006785:Hospitals, University; D006801:Humans; D007188:Incus / Q000601:surgery*; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D019933:Ossicular Replacement / Q000379:methods*; D013506:Otologic Surgical Procedures / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D013201:Stapes Surgery; D016896:Treatment Outcome; D014433:Tympanoplasty / Q000379:methods
D001843:Bone Cements