Olgun Yüksel, Pınar Ercan, İmre Abdülkadir, Önal Haydar Kazım, Aslan Hale, Ateş Düzgün
Department of Otolaryngology, İzmir Katip Çelebi University, Atatürk Training and Research Hospital, 35310 Çiğli, İzmir, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2015;25(1):39-42. doi: 10.5606/kbbihtisas.2015.91297.
This study aims to evaluate our ossiculoplasty results using hydroxyapatite bone cement.
Data of 29 patients (16 males, 13 females; mean age 28 years; range 17 to 57 years) who were performed ossiculoplasty using hydroxyapatite bone cement in İzmir Katip Çelebi University Atatürk Training and Research Hospital Department of Otorhinolaryngology between January 2010 and December 2013 were retrospectively evaluated. Of the 29 operated patients, bone cement was administered in 23 patients during tympanoplasty, in two patients during open technique tympanomastoidectomy, and in four patients during exploratory tympanotomy. Hydroxyapatite bone cement was only used to repair defects between incus and stapes no longer than one third of incus long arm length. Mean follow-up time was 6.5 months (range 2-32 months).
Success of ossiculoplasty was evaluated by Belfast 15/30 dB rule of thumb. Preoperative air-bone gap was 45.1 dB (range 35-55) and postoperative air-bone gap was 17.7 dB (range 6-40). Air-bone gap was below 10 dB in six patients, between 10-20 dB in 14 patients, between 20-30 dB in seven patients, and between 30-40 dB in two patients.
Ossiculoplasty using hydroxyapatite bone cement is a safe and effective method for the repair of particularly small incus long arm defects.
本研究旨在评估使用羟基磷灰石骨水泥进行鼓室成形术的效果。
回顾性评估2010年1月至2013年12月间在伊兹密尔卡迪普·切莱比大学阿塔图尔克培训与研究医院耳鼻喉科使用羟基磷灰石骨水泥进行鼓室成形术的29例患者（16例男性，13例女性；平均年龄28岁；年龄范围17至57岁）的数据。在29例接受手术的患者中，23例在鼓膜成形术中使用了骨水泥，2例在开放式鼓室乳突切开术中使用，4例在探查性鼓室切开术中使用。羟基磷灰石骨水泥仅用于修复砧骨和镫骨之间不超过砧骨长臂长度三分之一的缺损。平均随访时间为6.5个月（范围2至32个月）。
采用贝尔法斯特15/30dB经验法则评估鼓室成形术的成功率。术前气骨导间距为45.1dB（范围35至55dB），术后气骨导间距为17.7dB（范围6至40dB）。6例患者气骨导间距低于10dB，14例患者在10至20dB之间，7例患者在20至30dB之间，2例患者在30至40dB之间。
使用羟基磷灰石骨水泥进行鼓室成形术是修复特别是较小砧骨长臂缺损的一种安全有效的方法。
