Demir B, Binnetoglu A, Sahin A, Derinsu U, Batman Ç
Department of Otorhinolaryngology - Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey.
St. Elizabeth's Medical Center, Boston, Massachusetts, USA.
J Laryngol Otol. 2019 Aug;133(8):658-661. doi: 10.1017/S0022215119001300. Epub 2019 Jul 4.
This study aimed to evaluate the long-term results of ossiculoplasty using bone cement.
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.
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.
Bone cement is reliable for the repair of incudostapedial-joint defects.
本研究旨在评估使用骨水泥进行听骨链成形术的长期效果。
回顾性评估40例慢性中耳炎伴穿孔但无胆脂瘤患者（24例女性和16例男性；平均年龄：34.1±11.8岁；范围9 - 54岁），这些患者接受了使用骨水泥的砧镫关节再架桥听骨链成形术。评估术前和术后听力图。根据国际指南计算骨导、气导和气骨导间距。
术前和术后气导平均降低（12.30±11.98 dB），该结果具有统计学意义（p = 0.0001）。术前和术后骨导平均降低（4.30±6.69 dB），该结果具有统计学意义（p < 0.0001）。术前气骨导间距为27.65 dB，随访期间降至19.65 dB（p = 0.0001）。未观察到不良反应或并发症。
骨水泥用于修复砧镫关节缺损是可靠的。
