Long-term outcomes of ossiculoplasty using bone cement

Demir, Berat; Binnetoğlu, Adem; Şahin, Akın; Derinsu, Ufuk; Batman, Caglar

doi:10.1017/s0022215119001300

Cited by 13 publications

(4 citation statements)

References 14 publications

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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%

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Endoskopik modifiye kelebek timpanoplasti ile incudostapedial rekonstrüksiyon sonuçları

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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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Section: Discussionmentioning

confidence: 99%

“…Also our results with endoscopic modified butterfly tympanoplasty were similar to those in previous studies. For 15 . In another study performed by Güngör et al, an ABG gain of 13 dB was reported in 30 patients who underwent incudostapedial reconstruction 16 .…”

Section: Discussionmentioning

confidence: 99%

Endoskopik modifiye kelebek timpanoplasti ile incudostapedial rekonstrüksiyon sonuçları

Kaplama

Erden

2021

Cukurova Medical Journal

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“…Many researchers consider that the most crucial factors affecting the long-term outcome of ossiculoplasty are persistent middle ear disease such as cholesteatoma, atelectasis, and Eustachian tube dysfunction. Such factors are often indications for reoperation and, as a consequence, worse hearing results [7,8].…”

Section: Methodsmentioning

confidence: 99%

Long-term results of a hearing test in patients operated for chronic otitis media

Boroń

Składzień

2020

Otolaryngol Pol

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Introduction: Chronic otitis media is characterized by tympanic membrane perforation and conductive hearing loss. In the active form of this disease, there will also be periodic or permanent otorrhea. With a number of surgical techniques available depending on intraoperative findings, otosurgery is the treatment of choice in such cases, the extent of which depends on the type and extent of the pathological changes. Material and Method: We carried out an analysis of 79 patients with chronic otitis media undergoing surgery at the Department of Otolaryngology, Jagiellonian University Medical College in Kraków between 2005 and 2014. Total audiometry was used as a part of hearing assessment, before the surgery, 6 months after the surgery and in the distant 10-year observation period. In addition, each patient completed the questionnaire and was examined by an otolaryngologist. Results: The analysis included 79 patients operated on due to chronic otitis media. The mean bone conduction (for frequencies 500,1000 and 2000 Hz) before surgery was 31.8 dB, it did not differ significantly (p = 0.355) after 6 months after surgery (32.8 dB), while it significantly increased (p < 0.001) in a distant 10-year control of 43.4 dB. The mean air conduction (for frequencies 500, 1000 and 2000 Hz) before the procedure was 57.6 dB, it significantly improved in the early control by 50.5 dB, at p < 0.001. In long-term follow-up it increased again to 61.3 dB and was significantly different from the early postoperative period (p < 0.001). The mean air-bone gap for frequencies 500, 1000 and 2000 Hz before surgery was on average 26.4 dB, it was significantly (p < 0.001) reduced in the postoperative period by 17.6 dB. The level of air-bone gap remained at a similar level in distant control. Conclusions: (1) A completely preserved ossicular chain in the absence of active chronic otitis media is the best prognosis for stable hearing improvement over the years with normal inner ear function; (2) Reoperation worsens the long-term results of a hearing test compared to the first operation.

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“…Die Verwendung von Zement ist eine elegante Lösung mit zuverlässiger Ankopplung. In einer Studie an 40 Patienten und einer Nachbeobachtungszeit von 4 Jahren reduzierte sich der ABG von 27,65 dB auf 19,65 dB und liegt damit in der Größenordnung der Winkelprothese [24]. Bei Kindern wurde das Re-Bridging mit der Interposition verglichen, wobei der Hörgewinn in der Ionomerzementgruppe signifikant besser war als nach Interposition des Ambosses [25].…”

Section: Rekonstruktion Der Ossikelketteunclassified