Manubrio-stapedioplasty: new surgical technique for malleus and incus fixation due to tympanosclerosis

Sennaroḡlu, Levent; Güngör, Volkan; Atay, Gamze; Özer, Serdar

doi:10.1017/s0022215115000973

Cited by 11 publications

(4 citation statements)

References 30 publications

(25 reference statements)

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“…Sennaroglu et al . 26 described manubrio-stapedioplasty as a reconstruction method in patients with incus–malleus fixation due to tympanosclerosis, and demonstrated satisfactory hearing outcomes using this technique. The disadvantages of manubrium relocation include the potential risk of medialisation of the tympanic membrane.…”

Section: Discussionmentioning

confidence: 99%

Manubrio-incudo-stapedioplasty for reconstruction of Austin–Kartush type B ossicular defects

Düzenli

Kıroğlu

2019

J. Laryngol. Otol.

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ObjectiveManubrio-incudo-stapedioplasty functional outcomes were compared to those of other methods for reconstructing Austin–Kartush type B ossicular defects.MethodsForty-two patients underwent Austin–Kartush type B ossicular defect reconstruction using: manubrio-incudo-stapedioplasty (13 patients), an autologous incus (19 patients) or a titanium ossicular replacement prosthesis (10 patients). For manubrio-incudo-stapedioplasty reconstruction, the malleus head was removed, the manubrium was relocated posteriorly and the incus short process was placed on the mobile footplate. The manubrium was placed on the incus body groove and bone cement was applied to stabilise the manubrium–incus junction. Pre- and post-operative hearing thresholds were assessed.ResultsThe air–bone gap decreased from 25.9 ± 6.0 dB to 12.3 ± 5.0 dB (p < 0.05) in the manubrio-incudo-stapedioplasty group. The hearing gain was 13.6 ± 5.2 dB for manubrio-incudo-stapedioplasty, 3.4 ± 14.2 dB with the autologous incus, and 3.3 ± 11.07 dB with the titanium ossicular replacement prosthesis. Hearing improvement was greater for manubrio-incudo-stapedioplasty compared to the other reconstruction methods (p < 0.05).ConclusionManubrio-incudo-stapedioplasty resulted in satisfactory hearing outcomes in patients with Austin–Kartush type B ossicular defects. This technique can be considered a stable, inexpensive and effective method to reconstruct Austin–Kartush type B ossicular defects.

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Section: Discussionmentioning

confidence: 99%

Manubrio-incudo-stapedioplasty for reconstruction of Austin–Kartush type B ossicular defects

Düzenli

Kıroğlu

2019

J. Laryngol. Otol.

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“…Most recently, Sennaroglu et al . published a study in 2015 describing the new technique of manubrio-stapedioplasty, which uses glass ionomer bone cement to build a connection between the manubrium and the capitulum of the stapes, after removal of the incus and malleus head 20 . Proponents of this technique cite reduced cost and elimination of the risk of prosthesis displacement.…”

Section: Discussionmentioning

confidence: 99%

“…The use of bone cement, as in manubrio-stapedioplasty, presents potential complications such as aluminium toxicity if the cement contacts the facial nerve or the oval window, although Sennaroglu et al . reported no such complications 20 . Regarding ossicular chain mobilisation related complications, Seidman and Babu described one tympanic membrane perforation and one patient with a 20 dB sensorineural hearing loss, presumably from mechanical vibration of the ossicles by the otological drill intra-operatively 3 .…”

Section: Discussionmentioning

confidence: 99%

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Ossicular chain mobilisation versus reconstruction in surgery for isolated malleus and/or incus fixation: systematic review and meta-analysis

2018

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ObjectiveTo compare post-operative audiometric outcomes for the two prevailing surgical approaches for isolated malleus and/or incus fixation: ossicular mobilisation with preservation of the ossicular chain, and disruption and reconstruction of the ossicular chain.MethodsA search was conducted, in December 2016, of PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature articles written in English. Papers presenting original data regarding post-operative audiometric outcomes in patients who underwent surgical treatment for malleus and/or incus fixation with a mobile and intact stapes were included. A risk of bias assessment was performed on the 14 selected papers and a tier system was developed. Meta-analysis was accomplished by comparing pooled rates of surgical success by chi-square test and calculating odds ratios by logistical regression. Analysis was performed using Revman5 and R software.Results and conclusionAnalysis of the literature revealed no differences in audiometric outcomes between ossicular chain mobilisation and ossicular chain reconstruction in patients with isolated malleus and/or incus fixation. A large, prospective study comparing both short- and long-term hearing results for ossicular chain mobilisation and ossicular chain reconstruction in this population may identify whether a difference in outcomes exists between the two approaches.

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Stapedotomy

Sennaroḡlu

Bajin

Çınar

2022

Inner Ear Malformations

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Manubrio-stapedioplasty: new surgical technique for malleus and incus fixation due to tympanosclerosis

Abstract: Manubrio-stapedioplasty is an effective method for ossicular reconstruction in cases of malleus and incus fixation due to tympanosclerosis.

Cited by 11 publications

References 30 publications

Manubrio-incudo-stapedioplasty for reconstruction of Austin–Kartush type B ossicular defects

Manubrio-incudo-stapedioplasty for reconstruction of Austin–Kartush type B ossicular defects

Ossicular chain mobilisation versus reconstruction in surgery for isolated malleus and/or incus fixation: systematic review and meta-analysis

Stapedotomy

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