Atan Doğan, Dere Hüseyin, Yamur Ali Rıza, Özcan Kürşat Murat
Department of Otorhinolaryngology, Ankara Numune Training and Research Hospital, Ankara, Turkey.
Department of Otorhinolaryngology, Ankara Numune Training and Research Hospital, Ankara, Turkey.
Int J Pediatr Otorhinolaryngol. 2016 Jun;85:103-6. doi: 10.1016/j.ijporl.2016.03.027. Epub 2016 Mar 28.
The aim of our study was to analyze the hearing results of ossicular chain reconstruction in incus long process defects in pediatric patients.
This retrospective study included 15 pediatric patients that had incus long process defect due to chronic otitis media or adhesive otitis, and repaired with glass ionomer cement between 2009 and 2015. The audiological tests (air conduction thresholds, bone conduction thresholds, air bone gap) obtained preoperatively and one year after surgery were compared. In addition, preoperative and postoperative air bone gap differences were estimated to determine hearing gain.
Mean air conduction and air bone gaps decreased significantly one year after surgery when compared to the preoperative values (p< 0.001 for both). Mean hearing gain was 20.33±6.36dB one year after surgery.
Use of glass ionomer cement to repair incus long process defects is a suitable method that improves hearing in pediatric patients. Further large studies that compare glass ionomer cement ossiculoplasty with other ossicular reconstruction methods are needed.
本研究旨在分析小儿患者砧骨长突缺损时听骨链重建的听力结果。
这项回顾性研究纳入了15例因慢性中耳炎或粘连性中耳炎导致砧骨长突缺损，并于2009年至2015年间采用玻璃离子水门汀修复的小儿患者。比较术前及术后一年所获得的听力学测试结果（气导阈值、骨导阈值、气骨导间距）。此外，通过估计术前和术后气骨导间距差异来确定听力增益。
与术前值相比，术后一年平均气导和气骨导间距显著降低（两者p均<0.001）。术后一年平均听力增益为20.33±6.36dB。
使用玻璃离子水门汀修复砧骨长突缺损是改善小儿患者听力的一种合适方法。需要进一步开展大型研究，将玻璃离子水门汀听骨成形术与其他听骨链重建方法进行比较。
