Ossiculoplasty with intact stapes: analysis of hearing results according to the middle ear risk index

Emir, Hatice; Kaptan, Zeynep Kizilkaya; Göçmen, Hakan; Uzunkulaoğlu, Hakkı; Tüzüner, Arzu; Bayiz, Ünal; Samim, Erdal

doi:10.1080/00016480802587853

Cited by 24 publications

(16 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unfortunately, long-term mean ABG (at 12 months) in our incus interposition control group (23.1 dB) was not as favourable as results reported by other authors, such as Dere et al [18] (20 dB), Emir et al [19] (20.4 dB) and O'Reilly et al (18.6 dB) [11].…”

Section: Discussioncontrasting

confidence: 79%

Ossicular reconstruction: hydroxyapatite bone cement versus incus remodelling

Somers¹,

Rompaey²,

Claes³

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

The objective of this study was to compare the hearing outcome using hydroxyapatite (HA) bone cement to bridge the incudostapedial gap versus incus remodelling for ossiculoplasty in case of incudostapedial discontinuity. A non-randomized retrospective study was conducted at a tertiary referral otologic centre. The intervention in 24 primary cases of conductive hearing loss was subsequent middle ear inspection where incudostapedial discontinuity was observed. HA bone cement was used in 10 consecutive cases, and incus remodelling was performed in 14 consecutive cases. Air-bone gap (ABG), bone-conduction (BC) thresholds, and air-conduction (AC) thresholds were evaluated preoperatively and at 3, 6 and 12 months postoperatively. No patients were lost to follow-up. Pure-tone averages were calculated according to the guidelines of the Committee on Hearing and Equilibrium for the evaluation of conductive hearing loss. The Amsterdam Hearing Evaluation Plots are presented. The postoperative ABG closure to within 20 and 10 dB at 12 months was, respectively, 80 and 40% in the HA bone cement group and 57.1 and 28.6% in the standard ossiculoplasty group (no statistically significant difference). However, we observed a statistically significant difference in ABG gain at 6 and 12 months favoring the HA bone cement cases. No short-term or intermediate-term adverse reactions were observed. Hydroxyapatite bone cement bridging ossiculoplasty offers a better intermediate-term ABG gain than standard ossiculoplasty. This new technique is a valuable alternative to conventional ossiculoplasty and presents the practical advantage of being easier and faster.

show abstract

Section: Discussioncontrasting

confidence: 79%

Ossicular reconstruction: hydroxyapatite bone cement versus incus remodelling

Somers¹,

Rompaey²,

Claes³

et al. 2011

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…11 Autografts have important advantages, namely lower extrusion rates, biocompatibility, low cost and no risk of disease transmission. 8,15 However, although they have proven long-term stability, autografts have several disadvantages that may result in unfavourable hearing outcomes, including extrusion, necrosis, displacement and absorption of the graft, and bony adhesion. 11,16 In addition, it is difficult to separate the ossicular graft from the stapes head during revision surgery, and a longer operative time is required to reshape the autologous graft.…”

Section: Discussionmentioning

confidence: 99%

Management of incus long process defects: incus interposition versus incudostapedial rebridging with bone cement

et al. 2013

View full text Add to dashboard Cite

show abstract

“…IT, CBA, BC gave nearly similar ABG gain 17.71 (3.40), 16.71 (6.68), 15.71 (5.85) dB with no statistically significant differences among the three techniques making them as reliable techniques for cases with erosions in the long process of incus in cases with moderate hearing loss. With intact and mobile stapes in addition to other ossicular defects, two methods of tympanoplasty (namely II and III) constitute the choice for ossicular reconstruction either by a direct columellar effect of tympanic membrane or interposing graft/prosthesis between malleus handle and stapes [7] . Several materials have been proposed as a graft for ossiculoplasty [8][9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

Hearing results after ossiculoplasty with incus transposition, cortical bone autografting and bone cement

Beharey

Sharnouby

zayan³

et al. 2020

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

View full text Add to dashboard Cite

Background: This study assesses hearing results after ossiculoplasty with incus transposition (IT), cortical bone autograft (CBA) and bone cement (BC). Methods: A total of 21 patients with mild/moderate conductive hearing loss were enrolled in our study. Patients were assigned to each of the three techniques according to length of incus defect. Pre-operative and 6 months post-operative audiograms (PTA) were obtained and results of air bone gap (ABG) were statistically analyzed. Results: A total of 7 patients were included in each technique. BC ABG was decreased from 26.57 (5.06) (mean (SD)) to 10.86 (6.34) with mean gain 15.71 (5.85) For IT group, the mean for pre-ABG was 33.57 with SD 5.13, it became 15.86 (1.86) after 6 months of follow-up with 17.71 (3.40) gain. For CBA, pre-ABG mean was 35.86 (5.67) that finally became 19.14 (2.41) achieving ABG gain 16.71 (6.68). No significant statistical difference between pre-post gain in all three surgical procedures (p-value = 0.80). Regarding side effects in each technique, infections was noted in one case of IT and two cases of CBA, transient infection was found in one case of IT and CBA, and transient vertigo in one case of BC with no significant difference in adverse effects between the three group (P-value= 0.494). Conclusions: Both BC, IT and CBA are reliable techniques for ossiculoplasty with good postoperative hearing results. The choice of the proper technique depends on length of incus defects.

show abstract

Ossiculoplasty with intact stapes: analysis of hearing results according to the middle ear risk index

Cited by 24 publications

References 17 publications

Ossicular reconstruction: hydroxyapatite bone cement versus incus remodelling

Ossicular reconstruction: hydroxyapatite bone cement versus incus remodelling

Management of incus long process defects: incus interposition versus incudostapedial rebridging with bone cement

Hearing results after ossiculoplasty with incus transposition, cortical bone autografting and bone cement

Contact Info

Product

Resources

About