Incudostapedial rebridging ossiculoplasty with bone cement
OTOLOGY & NEUROTOLOGY, cilt.23, sa.5, ss.643-646, 2002 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 23 Sayı: 5
- Basım Tarihi: 2002
- Doi Numarası: 10.1097/00129492-200209000-00006
- Dergi Adı: OTOLOGY & NEUROTOLOGY
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.643-646
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Hayır
Özet
Objective: This study reports the authors' technique and hearing results with bone cement reconstruction of the incudostapedial chain. The technique is called incudostapedial rebridging ossiculoplasty. Study Design: A retrospective analysis of the hearing results of the incudostapedial rebridging ossiculoplasty was performed on 15 patients. Background: Recently, bone cements have been available commercially, and their use in otologic surgery is increasing. Polymaleinate glass ionomer cement is a commercially available bone cement that can be used to reconstruct a discontinuity between the incus and the stapes. Setting: Tertiary referral center. Patients: Disease-free or cleansed middle car and mastoid and intact ossicular chain except for discontinuity between the long process of the incus and the head of the stapes. Interventions: Therapeutic. Main Outcomes Measures: Functional results of incudostapedial rebridging ossiculoplasty. Results: Of 15 patients, 9 achieved a successful hearing result (an air-bone gap within 20 dB) with incudostapedial rebridging ossiculoplasty after 1 year. The mean preoperative and postoperative air-bone gaps were 32.9 and 14.3 dB, respectively. Conclusions: Incudostapedial rebridging ossiculoplasty with bone cement is a cost-effective and safe procedure that yields good hearing results in selected patients.