Baglam Tekin, Karatas Erkan, Durucu Cengiz, Kilic Ali, Ozer Enver, Mumbuc Semih, Kanlikama Muzaffer
Gaziantep University, Department of Otolaryngology-Head Neck Surgery, Gaziantep, Turkey.
Otolaryngol Head Neck Surg. 2009 Aug;141(2):243-6. doi: 10.1016/j.otohns.2009.03.025.
The purpose of this study is to evaluate hearing results of our experience with ionomeric bone cement repair of ossicular discontinuity between incus and stapes.
Case series with chart review.
Tertiary referral center.
One hundred thirty-six patients who underwent incudostapedial rebridging ossiculoplasty with ionomeric bone cement were included in the study. Preoperative and postoperative audiologic results of incudostapedial rebridging ossiculoplasty with bone cement were evaluated. One year of follow-up is provided.
The postoperative air-bone gap was less than 20 dB in 81.6 percent after one year. The mean preoperative and postoperative pure-tone avarages of the patients were 52.82+/-5.59 and 32.81+/-7.18 dB, respectively (P<0.01). The mean preoperative and postoperative air-bone gaps were 35.83+/-4.73 and 16.54+/-5.01, respectively (P<0.01). There were no statistically significant differences among the hearing results of different types of surgeries (P>0.05). No complications in the middle ear related to bone cements were encountered.
Incudostapedial rebridging ossiculoplasty with ionomeric bone cement is a reliable method for ossicular reconstruction that is cost effective and offers satisfactory hearing results in selected patients.
本研究旨在评估我们使用离聚物骨水泥修复砧骨与镫骨之间听骨链中断的听力结果。
病例系列研究并进行图表回顾。
三级转诊中心。
本研究纳入了136例行砧镫关节再架桥听骨成形术并使用离聚物骨水泥的患者。评估了使用骨水泥进行砧镫关节再架桥听骨成形术的术前和术后听力结果。提供了一年的随访数据。
一年后，81.6%的患者术后气骨导差小于20dB。患者术前和术后纯音平均听阈分别为52.82±5.59dB和32.81±7.18dB（P<0.01）。术前和气骨导差分别为35.83±4.73dB和16.54±5.01dB（P<0.01）。不同类型手术的听力结果之间无统计学显著差异（P>0.05）。未遇到与骨水泥相关的中耳并发症。
使用离聚物骨水泥进行砧镫关节再架桥听骨成形术是一种可靠的听骨重建方法，具有成本效益，并且在选定患者中能提供令人满意的听力结果。
