Electrocoagulation improving bone cement use in middle-ear surgery: short-term and middle-term results

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

doi:10.1017/s0022215116009014

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Electrocoagulation was suggested to be used before bone cement ossiculoplasty applications to achieve a dry surface and have a better bonding. 5 Although this approach sounds logical at first and a dry surface is essential for a strong bond, it did not show any benefit in our study. Even though bipolar electrocoagulation was applied at a very low-power setting, thermal injury to the surrounding tissue and bone could have adversely affected healing, increased inflammation, and hindered any potential benefits.…”

Section: Discussioncontrasting

confidence: 52%

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Comparison of the Bond Strengths of Glass-Ionomer Bone Cement Combined with Various Pretreatments

ERGÜN,

HAKAN YÜCE,

ÇAKMAK

et al. 2023

KBB ve BBC Dergisi

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ABS TRACT Objective: Our aim in this study is to determine if a pretreatment could make bone cement connection stronger and reduce the failure rate. Material and Methods: Twenty-four 6-9 months old female rats were divided into 2 groups as "day 0" and "day 90". Four different applications were made to the 2x2 cm 2 surgical area. Freshly prepared glass ionomer bone cement (GIBC) was applied by removing the periosteum with bipolar in the first application, by keeping the perichondrium intact in the second application, by removing the periosteum with trichloroacetic acid (TCA) solution in the third application, and by removing the periosteum mechanically in the last application. After these rats were sacrificed on day 0 and day 90, mechanical tests were made to the bone cements and shear strength values were calculated by dividing the maximum measured forces by the apparent contact areas. Results: Although shear forces were higher on day 90 than on day 0 (p=0.007), subgroup analyses revealed that the differences were significant in only the subperiosteum group (p=0.003). According to the pairwise comparisons, subperiosteal bone cement application yielded significantly higher shear forces on day 90 compared to the others (p<0.003) while the supraperiosteum, TCA, and electrocoagulation groups were similar to each other. Conclusion: GIBC reached its highest shear strength with time after a subperiosteal application. We do not recommend any of the pre-treatments tried in this study over a supra periosteal application before a bone cement ossiculoplasty since no increase in shear strength could be obtained.

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Section: Discussioncontrasting

confidence: 52%

“…But a controlled comparison was not included to support that argument. 5 Trichloroacetic acid (TCA) solution has been used for chemical coagulation and de-epithelization of perforation margins for more than a century. 6 The use of 50% and near-saturated TCA solutions was reported with successful results.…”

Section: Original Researchmentioning

confidence: 99%

Comparison of the Bond Strengths of Glass-Ionomer Bone Cement Combined with Various Pretreatments

ERGÜN,

HAKAN YÜCE,

ÇAKMAK

et al. 2023

KBB ve BBC Dergisi

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“…The use of bone cement to improve hearing in middle-ear surgery is well known 3 , 4 . Ardıç et al 5 .…”

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confidence: 99%

Imaging in autoimmune inner-ear disease and endolymphatic hydrops, bone cement for improving hearing outcomes in stapes surgery, and the reporting of results. External ear canal cholesteatoma: a hypothesis

Hussain¹,

Fisher²,

Fishman³

2018

J. Laryngol. Otol.

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Their study of patients with suspected primary immune-mediated inner-ear disease found that over 90 per cent had endolymphatic hydrops on intratympanic gadolinium three-dimensional magnetic resonance imaging (MRI). Gadolinium was diluted 8-fold and injected 24 hours prior to the scan. In secondary immune-mediated inner-ear disease, hydrops was less common. This adds to a previous paper by Patel et al.2 that showed a lack of visualisation of the right or left vestibular aqueduct on MRI as a significant finding in patients with Ménière's disease. Advances in imaging are rapidly changing our concepts of inner-ear disorders.The use of bone cement to improve hearing in middle-ear surgery is well known. 3,4Ardıç et al. 5 used an endoscope to apply bone cement over the prosthesis and the long process of the incus in their study comparing two methods of stapedotomy. They found better outcomes in terms of air-bone gap closure with the use of the endoscope and bone cement.In an interesting paper, Watson and da Cruz 6 show that despite American Academy of Otolaryngology -Head and Neck Surgery guidelines, results following stapes surgery have not always been accurately reported, leading to inflated outcomes. This would affect the consent process and patient expectations, which is a topical issue in the present climate. Now for something controversial. External ear canal cholesteatoma and benign necrotising otitis externa are considered independent entities. However, Hertz and Siim 7 propose that these are a continuum of the same disease at different stages of development.

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Corrélation radio-audiologique des tympanoplasties de type II par ciment verre ionomère

Truffert¹,

Barrat²,

Lecanu³

et al. 2020

Annales françaises d'Oto-rhino-laryngologie et de Pathologie Ce

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Electrocoagulation improving bone cement use in middle-ear surgery: short-term and middle-term results

Abstract: Electrocoagulation allows the removal of mucosa from the ossicles in an easy, fast and safe manner, enabling the use of bone cement for ossicular chain reconstruction.

Cited by 4 publications

References 5 publications

Comparison of the Bond Strengths of Glass-Ionomer Bone Cement Combined with Various Pretreatments

Comparison of the Bond Strengths of Glass-Ionomer Bone Cement Combined with Various Pretreatments

Imaging in autoimmune inner-ear disease and endolymphatic hydrops, bone cement for improving hearing outcomes in stapes surgery, and the reporting of results. External ear canal cholesteatoma: a hypothesis

Corrélation radio-audiologique des tympanoplasties de type II par ciment verre ionomère

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