Objectives: This study describes the hearing results
of patients whose ossicles were reconstruction using
bone cement.
Patients and Methods: The medical records of
19 patients (11 males, 8 females; mean age 35,6
years; range 12 to 64 years) who underwent surgery
for chronic otitis media at Istanbul Education and
Research Hospital Otorhinolaryngology Department
between January 2006 and December 2009 were
evaluated. Bone cement reconstruction of the ossicular
chain was performed from incus to stapes in
the absence of a long arm or lenticular process
of the incus. The clinical data of the patients were
evaluated by otoscopic examination and audiometry.
Results: After incudostapedial rebridging ossiculoplasty
we performed; out of 19 patients, 10 had
20 dB gain while two patients had 15-20 dB gain
another two patients had 10-15 dB gain. The remaining
five patients didn’t have any significant gain. The
mean pre- and postoperative air-bone gaps of all the
patients were 36.5 and 20.4 dB respectively.
Conclusion: Incudostapedial rebridging ossiculoplasty
with bone cement is a cost-effective and
safe procedure that yields good hearing results in
selected patients.
FREE FULL TEXT
Anahtar Kelimeler: Kemik çimentosu; inkudostapedialköprüleme ossiküloplasti; orta kulak iltihabı/cerrahi; ameliyatsonrası dönem; kulak zarı/transplantasyon.