Physiologic Reestablishment of Ossicular Continuity During Excision of Retraction Pockets

Abstract

To analyze the results obtained from hydroxyapatite bone cement repair of ossicular discontinuity between the incus and stapes during surgery of retraction pockets.

Ossicular reconstruction: hydroxyapatite bone cement versus incus remodelling

“…Two other standard ossiculoplasty patients did not achieve a signiWcant ABG improvement. Our Wndings conWrm the study results of Elsheikh et al [17]. These authors found a signiWcantly better closure of air-bone gap in patients with a small (n = 48 ears) and large (n = 34 ears) defect in the long process of the incus in comparison with control patients who underwent surgery using plastipore partial ossicular replacement prostheses.…”

Systematic review of the use of bone cement in ossicular chain reconstruction and revision stapes surgery

“…The aim of this systematic review was to assess the effect of bone cement therapy in patients with incudostapedial discontinuity on ABG closure. Three out of 11 studies reported a statistically significant RD in the percentage of patients with ABG closure to within 20 dB. The results of all three studies were in favor of bone cement.…”

“…Somers et al used hydroxyapatite cement (mean difference was 14.0 dB; estimated 95% CI 1.93–26.07; in favor of hydroxyapatite bone cement) . The other three studies did not show a difference between bone cement and allograft ossicles, autograft ossicles, cortical bone, and PORP …”

Comparing the Audiological Success of Bone Cement to Standard Ossiculoplasty Techniques: A Systematic Review and Meta‐analysis

“… 21 In contrast, three studies compared bone cement to PORP beyond 12 months. 26 , 27 , 28 The pooled analysis demonstrated no statistically significant difference in the RR between bone cement and PORP beyond 12 months (RR, 1.38 [95% CI, 0.97‐1.96]; I 2 = 71.2%) ( Figure 3C ).…”