Ministry of Health Mardin Public Hospital, 13 Mart Mahallesi Mehtap sokak Zeki Yağmurcu apt Kat 2 No 5, Mardin, Turkey.
Eur Arch Otorhinolaryngol. 2013 May;270(5):1593-6. doi: 10.1007/s00405-012-2120-6. Epub 2012 Aug 4.
Objective of this study is to compare glass ionomer cement application and incus interpositioning techniques in patients who have chronic otitis media, conductive hearing loss with intact tympanic membrane and who undergo hearing reconstruction of staged surgery using a retrospective chart review in the setting of Ministry of Health Ankara Training and Research Hospital ENT Clinic, Turkey. We retrospectively evaluated patients who underwent otological surgery and hearing reconstruction with auto graft incus during 2005-2008 or glass ionomer cement during 2008-2010. Patients who had cholesteatoma, stapes fixation and tympanosclerosis were excluded. Postoperative mean follow-up time of 107 patients was 9.8 months (6-38 months, 83.2 % of them was ≤ 9 months). Postoperative pure tone hearing thresholds, graft status, gain scores and air bone gaps were recorded. Intact graft, dry ear on the operated side and ABG scores less than 20 dB were accepted as surgical success. Preoperative ABG score was 30.6 ± 7.93 dB in glass ionomer (group I) and 33.6 ± 11.99 dB in incus interpositioning (group II). Postoperative ABG scores were 13.6 ± 10.40 and 22.6 ± 12.39 dB, respectively, in group I and II. Success of closure in ABG scores was obtained in both groups (p < 0.001). Gain scores in group I were better (p = 0.035). Graft success (p = 0.020) correlated with gain score. Results showed that the glass ionomer cement application is a good, cost-effective technique, easy to perform and yields better hearing scores and lower complication rates compared to incus interpositioning technique.
本研究的目的是通过回顾性图表审查，比较慢性中耳炎、鼓膜完整的传导性听力损失患者在接受分期手术听力重建时使用玻璃离子水门汀和砧骨植入技术的效果。在土耳其卫生部安卡拉培训和研究医院耳鼻喉科诊所，我们回顾性评估了 2005-2008 年期间使用自体砧骨进行耳科手术和听力重建的患者，或 2008-2010 年期间使用玻璃离子水门汀的患者。排除胆脂瘤、镫骨固定和鼓膜硬化的患者。107 例患者的平均术后随访时间为 9.8 个月（6-38 个月，83.2%的患者≤9 个月）。记录术后纯音听力阈值、移植物状态、增益评分和气骨间隙。完整的移植物、手术侧干燥耳和 ABG 评分小于 20dB 被认为是手术成功。玻璃离子组（I 组）术前 ABG 评分为 30.6±7.93dB，砧骨植入组（II 组）为 33.6±11.99dB。术后 I 组和 II 组的 ABG 评分分别为 13.6±10.40 和 22.6±12.39dB。两组 ABG 评分均达到闭合（p<0.001）。I 组的增益评分更好（p=0.035）。移植物成功率（p=0.020）与增益评分相关。结果表明，与砧骨植入技术相比，玻璃离子水门汀应用是一种良好、具有成本效益的技术，操作简单，听力评分更好，并发症发生率更低。
