Comparison of early hearing outcomes of type 2 ossiculoplasty using hydroxyapatite bone cement versus other materials

Galy-Bernadoy, C.; Akkari, M.; Mathiolon, C.; Mondain, M.; Uziel, Alain; Venail, F.

doi:10.1016/j.anorl.2013.03.009

Cited by 26 publications

(17 citation statements)

References 24 publications

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“…This was consistent with the findings of a study by Galy-Bernadoy et al, in which they compared the hearing outcomes of type II tympanoplasty done with various biomaterials for erosion of long process of incus. 18 In contrast to the results of air conduction, it was noted that there was no statistically significant change in bone conduction with p value > 0.05.…”

Section: Discussionmentioning

confidence: 58%

Effect of Incudostapedial Reconstruction Using Conchal Cartilage Interposition Graft on Hearing Outcome

Hameed

Alexander

Saxena

et al. 2018

Int Arch Otorhinolaryngol

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Introduction Chronic otitis media is a widely prevalent condition in developing countries and is a cause of correctable hearing loss. The most frequent ossicular chain defect found during surgery for chronic otitis media has been a discontinuity of the incudostapedial joint. This study observes the effect of incudostapedial reconstruction using conchal cartilage on the hearing of the patient. Objectives To evaluate improvement in hearing by incudostapedial reconstruction using conchal cartilage interposition graft in tympanoplasty and to identify the independent factors associated with erosion of the long process of incus among patients with chronic suppurative otitis media tubotympanic type. Methods This study was conducted in the department of ear, nose and throat (ENT) amongst 22 patients with tubotympanic-type chronic suppurative otitis media who were found to have erosion of the long process during tympanoplasty. These patients underwent incudostapedial reconstruction using conchal cartilage. Their hearing was again reassessed at 12 weeks postsurgery, and the changes were observed. Results A statistically significant improvement in air conduction by 15.14 dB was found after undergoing incudostapedial reconstruction using conchal cartilage (p < 0.001). There was no statistically significant change in bone conduction (p value > 0.05). A total of 59.1% of patients in the study had an improvement in hearing ranging from 11 to 20 dB. It was also found that 50% of the patients had a postoperative hearing of 10 to 20 dB. Conclusion Conchal cartilage interposition graft effectively improved hearing when used for the reconstruction of the incudostapedial joint during tympanoplasty in patients of chronic suppurative otitis media.

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Section: Discussionmentioning

confidence: 58%

Effect of Incudostapedial Reconstruction Using Conchal Cartilage Interposition Graft on Hearing Outcome

Hameed

Alexander

Saxena

et al. 2018

Int Arch Otorhinolaryngol

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“…There are controversies about the effects of the ossicular reconstruction materials on hearing outcomes, because similar hearing outcomes have been reported with different reconstruction materials [28,31,32]. By contrast, better hearing outcomes were also reported with autograft PORP compared to allograft reconstruction materials [33].…”

Section: Discussionmentioning

confidence: 99%

Canal wall down versus canal wall up surgeries in the treatment of middle ear cholesteatoma

Karamert¹,

Eravcı²,

Cebeci³

et al. 2019

Turk J Med Sci

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Background/aim: To compare outcomes of canal wall up (CWU) and canal wall down (CWD) techniques in the treatment of middle ear cholesteatoma.Materials and methods: Medical records of 76 patients who had a primary surgery due to middle ear cholesteatoma between July 2015 and November 2017 were reviewed retrospectively. Hearing thresholds, speech discrimination scores (SDS), recurrences, and revision surgeries of CWU and CWD surgeries were compared.Results: Of 76 cholesteatoma cases, 40 (52.6%) had a CWU and 36 (47.4%) had a CWD operation. Postoperatively, the mean air conduction thresholds were significantly better in CWU compared to CWD surgeries (P = 0.016). The presence of the stapes and the type of reconstruction material used did not have a significant effect on auditory success rates (P = 0.342 and P = 0.905, respectively). Auditory success was affected by the status of the middle ear mucosa as well. The recurrence and revision rates did not differ between the surgical techniques (P > 0.05). Conclusion:Status of the middle ear mucosa and external auditory canal are important factors affecting the outcomes in cholesteatoma. Instead of a CWD surgery, a CWU surgery seems applicable in cases of cholesteatoma when the bone in the external auditory canal is not eroded by the disease.

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“…Since we could not see a publication describing this modification in the literature, we needed to share the results of this modified technique. While reconstructing the incudostapedial bridge, we used bone cement that proven success and easily applicable [14][15][16] . Due to the risk of absorption and dislocation with the material made with bone or cartilage, we use bone cement very often in our clinic in order to minimalize the failure in ossiculoplasty.…”

Section: Discussionmentioning

confidence: 99%

Endoskopik modifiye kelebek timpanoplasti ile incudostapedial rekonstrüksiyon sonuçları

Kaplama

Erden

2021

Cukurova Medical Journal

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The aim of this study was to evaluate the results of endoscopic butterfly tympanoplasty in perforations that involve the ossicular chain pathologies. Materials and Methods: We assessed the outcome of endoscopic modified butterfly tympanoplasty in 29 patients. The study included those with large tympanic membrane perforations covering the manubrium of malleus and has ossicular chain pathologies, operated via endoscopic transcanal tympanoplasty. Results: The tympanic membrane closure rate was 89.7% (26 of 29 ears). The mean air conduction in the pre-and postoperative period was 37.75±5.20 dB and 18.96±6.52 dB, respectively, with a statistically significant decrease of 18.79±7.33. The mean pre-and the postoperative air-bone gap was 27.82±4.74 dB and 9.17±4.89 dB, respectively, with a statistically significant decrease of 18.62±7.11 Conclusion: The endoscopic modified butterfly tympanoplasty technique is a minimally invasive technique that can provide successful results in large perforations with defective incudostapedial joint. Amaç: Bu çalışmanın amacı, kemikçik zincir patolojilerini de içeren perforasyonlarda endoskopik kelebek timpanoplasti sonuçlarını değerlendirmektir. Gereç ve Yöntem: Çalışmada 29 hastada endoskopik modifiye kelebek timpanoplasti sonuçlarını değerlendirdik. Çalışmaya malleus manubriumunu içeren geniş timpanik membran perforasyonları olan ve kemikçik zincir patolojileri olanlar, endoskopik transkanal timpanoplasti ile ameliyat edilen hastalar dahil edildi. Bulgular: Timpanik membran kapanma oranı % 89.7 idi (n=26). Ameliyat öncesi ve sonrası dönemde ortalama hava iletimi sırasıyla 37.75 ± 5.20 dB ve 18.96 ± 6.52 dB idi. Ameliyat sonrası dönemdeki hava yolu saf ses ortalamalarındaki düşüş istatistiksel olarak anlamlı 18.79 ± 7.33 bulundu. Ameliyat öncesi ve sonrası hava-kemik aralığı sırasıyla 27,82 ± 4,74 dB ve 9,17 ± 4,89 dB olarak bulundu. Ameliyat öncesi ve sonrası karşılaştırıldığında hava kemik aralığındaki azalma 18,62 ± 7,11 olarak bulundu ve istatistiksel olarak anlamlı olarak değerlendirildi. Sonuç: Endoskopik modifiye kelebek timpanoplasti tekniği, incudostapedial eklem defektli büyük perforasyonlarda başarılı sonuçlar verebilen minimal invaziv bir tekniktir.

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Comparison of early hearing outcomes of type 2 ossiculoplasty using hydroxyapatite bone cement versus other materials

Abstract: HAP cement provides similar hearing outcomes to autologous material and titanium PORP, and better outcomes than HAP PORP in our patients. These results must be confirmed in a larger series with a longer follow-up.

Cited by 26 publications

References 24 publications

Effect of Incudostapedial Reconstruction Using Conchal Cartilage Interposition Graft on Hearing Outcome

Effect of Incudostapedial Reconstruction Using Conchal Cartilage Interposition Graft on Hearing Outcome

Canal wall down versus canal wall up surgeries in the treatment of middle ear cholesteatoma

Endoskopik modifiye kelebek timpanoplasti ile incudostapedial rekonstrüksiyon sonuçları

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