Long-term outcomes of ossiculoplasty using bone cement

J Laryngol Otol. 2019 Aug;133(8):658-661. doi: 10.1017/S0022215119001300. Epub 2019 Jul 4.

Abstract

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.

Keywords: Bone Cement; Incus; Ossicular Replacement.

MeSH terms

  • Adolescent
  • Adult
  • Audiometry
  • Bone Cements
  • Child
  • Female
  • Hearing Loss, Conductive / surgery*
  • Humans
  • Male
  • Middle Aged
  • Ossicular Replacement / instrumentation*
  • Otitis Media / complications
  • Otitis Media / surgery*
  • Plastic Surgery Procedures / instrumentation
  • Retrospective Studies
  • Stapes Surgery / instrumentation*
  • Treatment Outcome
  • Young Adult

Substances

  • Bone Cements