Comparative study of new autologous material, bone‐cartilage composite graft, for ossiculoplasty with Polycel<sup>®</sup> and Titanium

Kong, Ji Sun; Jeong, Chang Yeong; Shim, Myung Joo; Kim, Woo Jin; Yeo, Sang Won; Park, Shi Nae

doi:10.1111/coa.12987

Cited by 12 publications

(17 citation statements)

References 11 publications

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“…However, the reportedstudy had a limitation in its rationale on theeffect of MEPM as the conditions were not controlled. Previous clinical studies without gelfoam during overlay tympanoplasty or ossiculoplasty demonstrated excellentsurgical results, which guided us to perform a more scientific and clinical study to demonstrate the effect of MEPM 3,17 . Our study is the first prospective randomized case-control study to investigatethe effects of middle ear packing using AGS in terms of surgical results and healing processes in humans.…”

Section: Discussionmentioning

confidence: 95%

Effect of Middle Ear Gelfoam on Hearing and Healing Process after Tympanoplasty: A Prospective Randomized Case-Control Study

Han¹,

Han²,

AlAhmari³

et al. 2020

Preprint

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Introduction: This prospective randomized case-control study was performed to compare the surgical outcomes of our swing-door overlay tympanoplasty with or without absorbable gelatine sponge (AGS, gelfoam) packing in the middle ear cavity, according to the surgical procedure. Subjects and Methods: Fifty-seven patients who underwent swing-door overlay tympanoplasty by a single surgeon were enrolled in the study. The data of 30 patients of the gelfoam-packing group (GPG) and 27 patients of the non-gelfoam-packing group (NGPG) were prospectively collected and compared. Results: Closure of the tympanic membrane was found to be successful in all patients at postoperative 3 months evaluation. NGPG showed a statistically better healing process compared to GPG; earlier epithelialization and less fascia edema in NGPG than in GPG (P<0.05). The air-bone gap (ABG) measured at postoperative 1 and 2 months was smaller in NGPG than GPG, although there were no statistical differences. Conclusion: Swing-door overlay tympanoplasty showed good surgical outcomes in terms of graft uptake rate regardless of AGS packing. However, this study revealed earlier healing process and faster recovery of ABG in NGPG, thereby indicating that the gelfoam in the middle ear may interfere with both hearing recovery and the healing process of neodrum. Non-gelfoam packing in the middle ear cavity appeared to be superior to gelfoam packing in swing-door overlay tympanoplasty.

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Section: Discussionmentioning

confidence: 95%

Effect of Middle Ear Gelfoam on Hearing and Healing Process after Tympanoplasty: A Prospective Randomized Case-Control Study

Han¹,

Han²,

AlAhmari³

et al. 2020

Preprint

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“…The literature indicates that autologous cartilage, bone, vinylacryl, polyethylene, gold, plastipore, hydroxyapatite, bioglass, and titanium may be used to restore the continuity of sound transmission in the middle ear (6). Prosthetic materials used in otologic surgeries are expected to have biocompatibility, durability, good sound transmittance, accessibility and to be easy to use (6,11). Today, although titanium and synthetic polycel prostheses are mostly used this issue remains controversial and indeed, none of them are considered perfect materials (12).…”

Section: Discussionmentioning

confidence: 99%

“…Today, although titanium and synthetic polycel prostheses are mostly used this issue remains controversial and indeed, none of them are considered perfect materials (12). Extrusion rates of allograft materials vary between 3% and 15% in the literature (6,9,(12)(13)(14). However, because bioengineering is developing, the studies in this area are promising.…”

Section: Discussionmentioning

confidence: 99%

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A Novel Method of Hybrid Ossiculoplasty: Ionomer Bone Cement Coated Mastoid Cortical Bone

Temirbekov¹,

Çelikyurt²

2022

tr-ent

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“…), titanium and hydroxyapatite (HAP) prosthesis are the most commonly used materials in ossiculoplasty. (2) Bone cement was developed in the 1970s and started to use in dental practice. It has good biocompatibility and present new bone formation on applied ossicles.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Cartilage Strip and Bone Cement in Ossiculoplasty

Gouda¹,

Mohammad²,

Mohammad³

et al. 2019

Zagazig University Medical Journal

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Background and aim: Complete disruption of the ossicular chain can result in up to 60 dB hearing loss. Hearing restoration surgery comprises ear drum repair and ossicular chain reconstruction in ears housing defective ossicles. The aim of this study was to assess cartilage strip and bone cement in ossiculoplasty. Patients and methods: This is a prospective, cross sectional study and was carried out on 36 patients (27 females and 9 males) with chronic suppurative otitis media, their age ranged from 12 to 38 years. Patient were subjected to complete history taking, complete ENT examination, preoperative audiological evaluation, high resolution computed tomography "HRCT" and complete laboratory investigations. All patients were operated by tympanomastoidectomy for eradication of middle ear pathology (21 cases underwent canal wall up technique while 15 cases underwent canal wall down technique), Then reconstruction of the ossicular chain was done by cartilage strip and bone cement (30cases between malleus to stapes while 6 cases between incus to stapes). Postoperative assessment done by pure tone audiometry & tympanometry 3 & 6 months postoperatively. Results: Regarding improvement in hearing 83.3% of our patient were improved while the remaining 16.7% were not. The result of pure tone audiometry & typanometry were significantly improved (p=0.0008). Graft taken occur in 83.3% of cases. Conclusions: The usage of bone cement with a cartilage strip is a simple and effective method for ossicular reconstruction and associated with significant improvement in conductive hearing loss.

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Comparative study of new autologous material, bone‐cartilage composite graft, for ossiculoplasty with Polycel^® and Titanium

Abstract: We propose that the BCCG technique is a useful alternative method for ossiculoplasty, with proper patient selection.

Cited by 12 publications

References 11 publications

Effect of Middle Ear Gelfoam on Hearing and Healing Process after Tympanoplasty: A Prospective Randomized Case-Control Study

Effect of Middle Ear Gelfoam on Hearing and Healing Process after Tympanoplasty: A Prospective Randomized Case-Control Study

A Novel Method of Hybrid Ossiculoplasty: Ionomer Bone Cement Coated Mastoid Cortical Bone

Assessment of Cartilage Strip and Bone Cement in Ossiculoplasty

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Comparative study of new autologous material, bone‐cartilage composite graft, for ossiculoplasty with Polycel® and Titanium

Abstract: We propose that the BCCG technique is a useful alternative method for ossiculoplasty, with proper patient selection.

Cited by 12 publications

References 11 publications

Effect of Middle Ear Gelfoam on Hearing and Healing Process after Tympanoplasty: A Prospective Randomized Case-Control Study

Effect of Middle Ear Gelfoam on Hearing and Healing Process after Tympanoplasty: A Prospective Randomized Case-Control Study

A Novel Method of Hybrid Ossiculoplasty: Ionomer Bone Cement Coated Mastoid Cortical Bone

Assessment of Cartilage Strip and Bone Cement in Ossiculoplasty

Contact Info

Product

Resources

About

Comparative study of new autologous material, bone‐cartilage composite graft, for ossiculoplasty with Polycel^® and Titanium