A Novel Method of Hybrid Ossiculoplasty: Ionomer Bone Cement Coated Mastoid Cortical Bone

Yıl 2022, , 25 - 30, 11.05.2022

Dastan Temirbekov , Cengiz Celikyurt

https://doi.org/10.26650/Tr-ENT.2022.1058005

Öz

Objective: The development of otologic surgical techniques has significantly improved the functional results of surgery. However, the issue of the most effective ossiculoplasty material is still controversial. The study aimed to introduce a novel method of autologous ossiculoplasty, using “ionomer bone cement coated mastoid cortical bone” and to assess short-term and long-term results of this method.

Material and Methods: The study presented a retrospective, consecutive case series of twelve patients who underwent revision surgery as type IV tympanoplasty using Mastoid cortical bone coated with ionomer bone cement in our institution between January 2013 and December 2019. Coating with ionomer bone cement was performed to prevent the autograft from sticking to the surrounding bone tissue. The short- and long-term auditory functions and otologic examination findings of the patients were analyzed.

Results: Physical examination findings were satisfactory. Except one, all patients had a significant improvement in hearing outcomes, and the late-term results were also satisfactory. An average long term audiological gain of 19.9 dB (± 8.7 SD) was found.

Conclusion: A novel method of Hybrid Ossiculoplasty: Ionomer Bone Cement Coated Mastoid Cortical Bone is an effective and safe method of ossiculoplasty. It can be easily eliminated one of the major disadvantages of mastoid cortical bone by coating it with ionomer bone cement.

Anahtar Kelimeler

Ossiculoplasty, graft material, mastoid cortical bone graft, ionomer bone cement, type IV tympanoplasty

Kaynakça

• 1. Yu Z, Zhang L, Han D. Long-term outcome of ossiculoplasty using autogenous mastoid cortical bone. J Laryngol Otol 2014;128(10):866-70. google scholar
• 2. Ulku CH, Avunduk MC, Uyar Y, Arbag H. Biocompatibility of vitallium as ossicular reconstruction material in the middle ear: experimental animal study. Acta Otolaryngol 2005;125(1):38-42. google scholar
• 3. Kim HH, Wiet RJ. Preferred technique in ossiculoplasty. Oper Tech Otolaryngol Head Neck Surg 2003;14:243-6. google scholar
• 4. Morris DP, Wong L, van Wijhe RG, Bance ML. Effect of adhesion on the acoustic functioning of partial ossicular replacement prostheses in the cadaveric human ear. J Otolaryngol 2006;35(1):22-5. google scholar
• 5. Faramarzi M, Jahangiri R, Roosta S. Comparison of Titanium vs. Polycel total ossicular replacement prosthesis. Iran J Otorhinolaryngol 2016;28(85):89-97. google scholar
• 6. Kong JS, Jeong CY, Shim MJ, Kim WJ, Yeo SW, Park SN. Comparative study of new autologous material, bone-cartilage composite graft, for ossiculoplasty with Polycel® and Titanium. Clin Otolaryngol 2018;43(2):434-9. google scholar
• 7. Dornhoffer JL, Gardner E. Prognostic factors in ossiculoplasty: A statistical staging system. Otol Neurotol 2001;22(3):299-304. google scholar
• 8. Goyal R, Mourya A, Qureshi S, Sharma S. Modified Radical Mastoidectomy with Type III Tympanoplasty: Revisited. Indian J Otolaryngol Head Neck Surg 2016;68(1):52-5. google scholar
• 9. Lucidi D, De Corso E, Paludetti G, Sergi B. Quality of life and functional results in canal Wall down vs canal Wall up mastoidectomy. ActaOtorhinolaryngol Ital 2019;39(1):53-60. google scholar
• 10. Alaani A, Raut VV. Kurz titanium prosthesis ossiculoplasty--follow-up statistical analysis of factors affecting one year hearing results. Auris Nasus Larynx 2010;37(2):150-4. google scholar
• 11. Truy E, Naiman AN, Pavillon C, Abedipour D, Lina-Granade G, Rabilloud M. Hydroxyapatite versus titanium ossiculoplasty. Otol Neurotol 2007;28(4):492-8. google scholar
• 12. Choi YS, Shin SO. Results of hearing outcome according to the alloplastic ossicular prosthesis materials. Indian J Otolaryngol Head Neck Surg 2018;70(2):184-7. google scholar
• 13. Lahlou G, Sonji G, De Seta D, et al. Anatomical and functional results of ossiculoplasty using titanium prosthesis. Acta Otorhinolaryngol Ital 2018;38(4):377-83. google scholar
• 14. Moon IS, Song MH, Kim HN, Chung MH, Lee WS, Lee HK. Hearing results after ossiculoplasty using Polycel prosthesis. Acta Otolaryngol 2007;127(1):20-4. google scholar
• 15. Shea JJ. Plastipore total ossicular replacement prosthesis. Laryngoscope 1976;86(2):239-40. google scholar
• 16. Grote J. Tympanoplasty with calcium phosphate. Arch Otolaryngol 1984;110(3):197-9. google scholar
• 17. Wang X, Song J, Wang H. Results of tympanoplasty with titanium prostheses. Otolaryngol Head Neck Surg 1999;121(5):606-9. google scholar
• 18. Zeitler DM, Lalwani AK. Are postoperative hearing results better with titanium ossicular reconstruction prostheses? Laryngoscope 2010;120(1):2-3. google scholar
• 19. Hess-Erga J, M0ller P, Vassbotn FS. Long-term hearing result using Kurz titanium ossicular implants. Eur Arch Otorhinolaryngol 2013;270(6):1817-21. google scholar
• 20. Bance M. Optimizing Ossicular Prosthesis Design and Placement. Adv Otorhinolaryngol 2018;81:14-23. google scholar
• 21. Katzer A, Hockertz S, Buchhorn GH, Loehr JF. Invitro toxicity and mutagenicity of CoCrMo and Ti6Al wear particles. Toxicology 2003;190(39):145-54. google scholar
• 22. Bauer M. Ossiculoplasty: autogenous bone grafts, thirty-fouryears’ experience. Clin Otolaryngol Allied Sci 2000;25(4):257-63. google scholar
• 23. Malafronte G, Filosa B, Mercone F. A new double-cartilage block ossiculoplasty: long-termresults. Otol Neurotol 2008;29(4):531-3. google scholar
• 24. el Seifi A, Fouad B. Autograft ossiculoplasty in cholesteatoma. ORL J Otorhinolaryngol Relat Spec 1992;54(6):324-7. google scholar
• 25. Ojala K, Sorri M, Vainio-Mattila J, Sipila P. Late results of tympanoplasty using ossicle or cortical bone. J Laryngol Otol 1983;97(1):19-25. google scholar
• 26. Bauer M, Pytel J, Vona I, Gerlinger I. Combination of ionomer cement and bone graft for ossicular reconstruction. Eur Arch Otorhinolaryngol 2007;264(11):1267-73. google scholar
• 27. Chen DA, Arriaga MA. Technical refinements and precautions during ionomeric cement reconstruction of incus erosion during revision stapedectomy. Laryngoscope 2003;113(5):848-52. google scholar
• 28. Aldosari B, Thomassin JM. Audiological results of endoscopic surgical repair of the lengthy process of incus. World J Otorhinolaryngol Head Neck Surg 2017;3(3):148-52. google scholar