Long-term outcomes of ossiculoplasty using bone cement.

J Laryngol Otol

Department of Otorhinolaryngology - Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey.

Published: August 2019

Objective: This study aimed to evaluate the long-term results of ossiculoplasty using bone cement.

Method: Forty patients (24 females and 16 males; mean age: 34.1 ± 11.8 years; range, 9-54 years) with chronic otitis media with perforation but without cholesteatoma who had undergone incudostapedial rebridging ossiculoplasty using bone cement were evaluated retrospectively. Pre-operative and post-operative audiograms were evaluated. Bone conduction, air conduction and air-bone gaps were calculated according to international guidelines.

Results: There was a mean reduction in pre-operative and post-operative air conduction (12.30 ± 11.98 dB), and this result was significant (p = 0.0001). There was a mean reduction in pre-operative and post-operative bone conduction (4.30 ± 6.69 dB), and this result was significant (p < 0.0001). The pre-operative air-bone gap was 27.65 dB and decreased to 19.65 dB during follow-up (p = 0.0001). No adverse reactions or complications were observed.

Conclusion: Bone cement is reliable for the repair of incudostapedial-joint defects.

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Source
http://dx.doi.org/10.1017/S0022215119001300DOI Listing

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