Malleus to Stapes Bone Cement Rebridging Ossiculoplasty

Author:

Edizer Deniz Tuna1,Durna Yusuf Muhammed1,Hamit Bahtiyar1,Demirhan Hasan1,Yigit Ozgur1

Affiliation:

1. Istanbul Training and Research Hospital, Otorhinolaryngology Department, Istanbul, Turkey

Abstract

Objective: To evaluate the effectiveness of malleus to stapes bone cement rebridging (MS-BCR) for Austin Kartush group A ossicular defects and compare the audiological results with incus interposition (IP) and incus to stapes bone cement rebridging (IS-BCR). Methods: Patients for whom type 2 tympanoplasty had been performed in a tertiary referral center were examined. Revision cases and those with graft failure were excluded. Three treatment groups were IS-BCR, IP, and MS-BCR. Preoperative and postoperative audiological results were compared. Results: A total of 92 patients were enrolled. The IS-BCR was performed in 42 (45.65%), IP in 18 (19.56%), and MS-BCR in 32 (34.78%) patients. Postoperative mean air bone gap was 20.1 ± 9.8 dB HL and did not differ significantly between the groups ( P = .271). Postoperative mean air bone gap less than 20 dB HL was achieved in 23 (54.7%) patients in IS-BCR, 10 (55.5%) patients in IP group, and 24 (75%) patients in MS-BCR group ( P = .06). Mean closure in air bone gap was 14.0 ± 11.6 dB HL. The changes in mean and frequency-specific air bone gap were not significantly different between treatment groups ( P > .05). Conclusion: Malleus to stapes bone cement rebridging may provide hearing results comparable to IS-BCR and IP.

Publisher

SAGE Publications

Subject

General Medicine,Otorhinolaryngology

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1. Bone cement in ossicular chain reconstruction: systematic review and meta-analysis;Acta Otorrinolaringológica Española;2024-09

2. Exclusive endoscopic management of incus long process major defects: conventional incus interposition versus malleostapediopexy;European Archives of Oto-Rhino-Laryngology;2024-04-01

3. Outcomes review and future management of conductive hearing loss;Operative Techniques in Otolaryngology-Head and Neck Surgery;2024-03

4. Bone cement in ossicular chain reconstruction: systematic review and meta-analysis;Acta Otorrinolaringologica (English Edition);2024-02

5. Long term results of glass ionomer ossiculoplasty;European Archives of Oto-Rhino-Laryngology;2023-07-31

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