Incudostapedial bridging ossiculoplasty with bone cement hearing results

Year 2010, Volume: 20 Issue: 4, 169 - 172, 20.08.2010

Fatih Bora Zeki Yücel Serdar Ceylan Erdal Oltulu Timur Batmaz Enver Avseren

Abstract

Objectives: This study describes the hearing results of patients whose ossicles were reconstruction using bone cement. Patients and Methods: The medical records of 19 patients 11 males, 8 females; mean age 35,6 years; range 12 to 64 years who underwent surgery for chronic otitis media at Istanbul Education and Research Hospital Otorhinolaryngology Department between January 2006 and December 2009 were evaluated. Bone cement reconstruction of the ossicular chain was performed from incus to stapes in the absence of a long arm or lenticular process of the incus. The clinical data of the patients were evaluated by otoscopic examination and audiometry. Results: After incudostapedial rebridging ossiculoplasty we performed; out of 19 patients, 10 had 20 dB gain while two patients had 15-20 dB gain another two patients had 10-15 dB gain. The remaining five patients didn’t have any significant gain. The mean pre- and postoperative air-bone gaps of all the patients were 36.5 and 20.4 dB respectively. Conclusion: Incudostapedial rebridging ossiculoplasty with bone cement is a cost-effective and safe procedure that yields good hearing results in selected patients.

Keywords

Bone cement, incudostapedial rebridging ossiculoplasty, otitis media/surgery, postoperative period, tympanic membrane/transplantation

Kemik çimentosu ile inkudostapedial köprüleme ossiküloplasti işitme sonuçları

Abstract

Amaç: Bu çalışmada kemik çimentosu kullanılarak ossiküler rekonstrüksiyon yapılan hastalardaki işitme sonuçları bildirildi.Hastalar ve Yöntemler: Ocak 2006 - Aralık 2009 tarihleri arasında İstanbul Eğitim ve Araştırma Hastanesi Kulak Burun Boğaz Kliniğinde kronik otitis media nedeniyle ameliyat edilen 19 hastanın 11 erkek, 8 kadın; ort. yaş 35.6 yıl; dağılım 12-64 yıl kayıtları geriye yönelik olarak incelendi. İnkusun lentiküler çıkıntısının ya da uzun kolunun yokluğunda inkus ile stapes arasına kemik çimento kullanılarak kemikçik zincir rekonstrüksiyonu yapıldı. Hastaların klinik verileri otomikroskobik muayene ve odyolojik incelemelerle değerlendirildi.Bulgular: Uyguladığımız inkudostapedial köprüleme ossiküloplasti sonucunda 19 hastanın 10’unda 20 dB kazanç, iki hastada 15-20 dB kazanç diğer iki hastada ise 10-15 dB kazanç elde edildi. Geriye kalan beş hastada ise anlamlı bir kazanç elde edilmedi. Tüm hastaların ameliyat öncesi ve sonrası hava-kemik aralığı ortalaması sırasıyla 36.5 ve 20.4 dB idi.Sonuç: Kemik çimentosu ile inkudostapedial köprüleme ossiküloplasti, seçilmiş hastalarda başarılı işitme sonuçlarının elde edilebileceği ucuz ve güvenli bir yöntemdir

Keywords

Kemik çimentosu, inkudostapedial köprüleme ossiküloplasti, orta kulak iltihabı/cerrahi, ameliyat sonrası dönem, kulak zarı/transplantasyon

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